Interpreta’s quality analytics capabilities are built by physicians, quality, and technology experts to simplify analytics and provide insight into how and where healthcare workers can adjust their strategy. The Clinical Action portal is an NCQA HEDIS-certified solution designed to provide answers to the most important questions facing quality professionals:
- How is my organization performing?
- How are my physicians performing?
- How should we adjust our intervention strategy?
- Which members and care gaps should we prioritize to make the biggest impact?
- How many gaps must be closed to achieve my goals?
Once an organization’s critical high-level questions have been addressed, Quality Analytics users can deepen their knowledge with different modules designed to provide the clearest view of patient care. Clinical Action manages all data ingestion problems with solutions for structured and unstructured data as well as interfacing with data ingestion solutions like machine learning and natural language processing.
Interpreta’s Clinical Action HEDIS module provides continually updated care gap summaries for patient populations, showing NCQA HEDIS compliance by individual measures or the full measure set for a population or individual member. Healthcare payers and providers can see open, closed, due, and overdue care gaps, allowing full population management and single-patient strategy applications. Use Clinical Action HEDIS to confirm baseline performance, chart your plan to improve performance, and track progress towards your goal.
Clinical Action modules can be dimensioned into custom hierarchies as seen below:
IHA California AMP (Align Measure Perform)
Interpreta has an entire module dedicated to the IHA AMP quality program required for the California market. Working in the same solution architecture as HEDIS, with manageable populations and single-member capability, the IHA AMP module provides all intervention and end-of-year reporting capabilities for California organizations. View populations or single members and take your auditor through your quality intervention strategy with the Interpreta IHA AMP module.
Interpreta provides CMS STARS measures in the Quality Analytics module for continuous tracking of STAR measure group performance. Monitor your population or identify and chart the remaining gaps to meet your target STAR rating. The STAR module can provide important input for yearly planning and track your performance and progress towards organizational goals.
State and Custom Measures
Interpreta has a large library of state and custom measures that can be activated as part of tracking and measurement for additional insight into a patient population. For payer certification or provider performance, our measures are continually updated and can be augmented to meet your specific needs for certification and measurement.
Custom Population Hierarchy
Interpreta has a flexible architecture that allows our partners to design their own population hierarchy. Look at results by key populations to divert resources or view individual members to form patient strategies and prepare pre-visit patient summaries.