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Seamless Review and Submission
HOM leverages advanced technology and a deep understanding of all HEDIS measures to collect, analyze, and submit data.
helps with
- Ensuring compliance
- Enhancing performance
- Improving patient outcomes and quality of care
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NCQA Developed HEDIS Measures
HOM focuses on NCQA-developed HEDIS measures, encompassing both preventive-screening and medication-based categories. Examples include advanced care planning, breast cancer screening, blood pressure monitoring, osteoporosis management in women, and statin therapy for cardiovascular disease.
helps with
- Covering preventive and medication-based categories
- Addressing specific health screenings and therapies
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Interactive, user-friendly dashboard
HOM provides interactive dashboards with a user-friendly interface. These dashboards offer real-time insights into productivity and performance, allowing for continuous improvement.
helps with
- Providing real-time insights
- Enhancing productivity and performance
- Enabling continuous improvement
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Engaging Multiple Vendors
Many health plans rely on multiple vendors for HEDIS fulfillment, leading to inefficiencies and increased costs. HOM offers a single-source solution, simplifying the process and saving you valuable time and resources.
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Data Collection and Integration
HOM eliminates the complexities associated with data management. Through robust collection processes, interoperable IT systems, data analytics tools, established data-sharing agreements, and automated integration, HOM guarantees seamless data collection and exceptional accuracy.
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Measure Calculation and Reporting
Calculating HEDIS measures precisely, interpreting specifications, and generating compliant reports are demanding tasks. HOM utilizes HEDIS software tools and measure calculation engines to automate calculations, validate results, and ensure compliance.
Measurable Impact
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Improved Patient Outcomes
HOM improves the patient outcomes by facilitating quality checks and comparison, providing a detailed view of opportunities. This further enhances the quality and credibility of the providers.
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Timely Submissions
HOM ensures healthcare organizations meet reporting deadlines through proactive tracking. This allows providers to focus on delivering quality care while our in-house auditors guarantee adherence to service level agreements (SLAs) with real-time performance monitoring.
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Monitor and Improve Quality Reporting
HOM provides end-to-end support for improved HEDIS performance. Our cloud-based reporting system and medical review services empower data-driven decision-making, helping healthcare providers optimize their HEDIS ratings.
Selection of Measures
The first step involves identifying HEDIS measures that align with your organization's quality improvement goals and population health priorities. HEDIS measures encompass a broad spectrum of healthcare areas, including preventive care, chronic disease management, and patient experience.
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Data Collection and Aggregation
Following measure selection, data is collected and aggregated from various sources like electronic health records, claims data, and patient surveys. HOM leverages interoperable healthcare IT systems and data analytics tools to efficiently gather, aggregate, and standardize data for HEDIS measurement.
Measure Calculation and Reporting
Once collected, data is calculated using the specified measure algorithms and logic. This involves mapping data elements to measure requirements, applying exclusions and exceptions, performing calculations, and validating results.
Analysis and Quality Improvement
The final step involves analyzing the calculated measures. HOM interprets the performance data, identifies areas for improvement, compares performance against benchmarks, implements quality improvement initiatives, and communicates findings to provider offices.
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Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry – developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS measures how well health plans give service and care to their members.
The 6 major domains of HEDIS include effectiveness of care, access/availability of care, experience of care, utilization and risk adjusted utilization, health plan descriptive Information, and measures reported using electronic clinical data systems.
Quality, in healthcare, is the process of using data to evaluate the performance of the health care providers against recognized quality standard measures. This is a necessary step in the process of improving health care quality.
Different ways to collect HEDIS data include patient survey, administrative source, and hybrid.
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A quick snapshot of everything we do, along with case studies and insights from our experience.
Get our Capability Deck
A quick snapshot of everything we do, along with case studies and insights from our experience.
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Accelerated Outcomes
Value-driven Collaboration
Compliance Assurance
Bring a change to your Healthcare Operations
A partnership with HOM gives you an inherent:
Adherence towards federal, state, and organizational compliances, as well as safeguarding patient data.
Sense of ownership and commitment towards providing value.
Focus on speed, accuracy, efficiency, and optimal outcomes.
Sense of security and transparency through periodic reporting and actionable insights.
Connect with our experts for a quick analysis and possibilities.
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