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Oct 2, 2020

Operationalizing RPA for the healthcare industry using Business Process Management

Robotic process automation, or RPA, can be an effective way to reduce costs while improving the quality of repetitive tasks. Because there is so much opportunity, the RPA software market grew more than 63% between 2017 and 2018. However, an astonishing 50% of RPA implementation projects fail. What sets the successful projects apart? Business process management.

Sep 23, 2020

HEDIS® MY2020 Data Management – Expanding Use of Electronic Clinical Data Systems

In the final blog in this series, I want to touch on the evolution of using electronic clinical data in HEDIS measures. Data collection is one of the biggest challenges health plans face in preparation for HEDIS measures. The Electronic Clinical Data Systems (ECDS) framework was designed to increase the efficiency of quality reporting while also providing an incentive to connect to primary clinical information systems. Organizations that successfully report ECDS measures demonstrate interoperability of health data systems in the provision of high-quality care. NCQA’s commitment to the ECDS architecture was bolstered by the standards for interoperability finalized earlier this year.

Aug 26, 2020

HEDIS® Measurement Year 2020 – continuing the pursuit of a core set of meaningful measures

The National Committee for Quality Assurance (NCQA) HEDIS® set of quality measures is considered by many to be the gold standard when it comes to quality measurement. NCQA continues to pursue a strategy to find a core set of meaningful measures that will allow for the harmonization of performance measurement across the healthcare industry. As such, NCQA will retire a number of measures, streamline and modify existing measures, and add a small number of meaningful measures for HEDIS Measurement Year 2020 (HEDIS MY 2020). This is the first in a four-part blog series in which we’ll be discussing these changes and sharing tips on understanding and incorporating them into your HEDIS strategy.

Sep 27, 2018

Is drug price transparency to consumers possible?

The Institute of Medicine (IOM) 1999 study “To Err is Human,” spotlighted the need for care delivery redesign  and concluded that preventable medical errors causing deaths are attributable to faulty systems and delivery processes. 


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