“Working with Vital Data Technology has improved our capability to communicate targeted care gap interventions to physicians. This is beneficial to our members and physicians.”

Mary Dale Peterson, M.D.
Chief Executive Officer


Driscoll Health Plan
“Working with Vital Data Technology has improved our capability to communicate targeted care gap interventions to physicians. This is beneficial to our members and physicians.”

Mary Dale Peterson, M.D.
Chief Executive Officer


Driscoll Health Plan
 

Do You Feel Like You’re Always Playing Catch-up?

Affinitē Quality gives you real-time insight to stay on top of HEDIS® year-round

One of the major frustrations many health plan quality management professionals share is the fact that the new year begins, while the former year’s HEDIS® season reporting is in full swing. This means Quality Improvement (QI) coordinators must keep track of how members are performing against HEDIS® measures in the current year, while “chasing chases” to meet reporting deadlines for the former year.

Time Spent On Low Priority, Tedious Tasks

Member encounter records for specific measures must be collected from providers, assigned to the members, and conformed in time for the HEDIS® submission deadline. This process is labor-intensive, especially if providers are slow to send medical record requests or those received are not aligned with plan needs. Thus, QI coordinators may spend countless hours faxing medical record requests back and forth with providers. This process consumes valuable resources, and it may strain the payer’s relationship with providers.

Affinitē Quality Makes HEDIS® Score Improvement Achievable and Medical Record Review More Meaningful

Consider these factors when evaluating your HEDIS® Reporting process

    • HEDIS® Reporting The Old Way

    • “HEDIS® Season”reporting is always stressful because of the time consuming “case chases” and manual processes
    • When you start the year, you’re already playing catch-up
    • Prioritizing members is difficult due to the lack of real-time data about provider encounters, labs and prescribed medications
    • Motivating providers to help close care gaps is difficult and tedious
    • “Case chases” are time consuming and often lack automation – manual faxes, filing of papers and the like waste time and increase error risk
    • Filing and tracking “faxes” and assigning them to the correct member is often manual, opening the door to accidental errors
    • Quality Improvement (QI) coordinators struggle to effectively manage case load due to manually-intensive processes
    • HEDIS® Reporting The Affinitē Quality Way

    • Always on, year-round HEDIS® measure management reduces the burden of “chasing” medical records during “HEDIS® season,” making compliance reporting much easier and faster
    • Automated measure management from day one ensures current year scores are monitored during HEDIS® season reporting
    • Quality managers can set priorities based on the Quality Scorecard – providing insight into measure by measure compliance
    • The Affinitē suite includes ProviderLink – showing providers exactly how they are performing by measure every day, for every member patient
    • Measure-specific information requests are created automatically and sent from Affinitē Quality to providers, no more “standing at the fax machine” waiting for records to be faxed
    • Member encounter data is instantly scanned and attached to the member record. No more “tracking,” “scanning,” or “organizing” patient encounter documents.
    • Save time and optimize your Quality Improvement coordinators’ efforts by using built-in automation and automatic member prioritization based on state of compliance.

Request Your Affinitē Quality Demonstration


 
 

5 Years of NCQA HEDIS® Certification
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