Revolutionary methodology using FHIR-native data validation, local monitoring tools, and open standards to eliminate manual processes and prevent multi-million dollar losses.
Manual processes, proprietary formats, and delayed feedback create massive inefficiencies
Manual Chart Abstraction
Staff spends 200+ hours/month manually reviewing charts for HEDIS measures
Quarterly Batch Processing
6-month delay before seeing HEDIS performance—too late to intervene
Proprietary Vendor Formats
Locked into vendor-specific formats, high switching costs, no data portability
Validation at Submission
Data errors discovered AFTER submission deadline—too late to fix
Result: $375M losses like Elevance, $1-3B impacts like Humana
Automated FHIR Integration
HL7 FHIR R4/R5 pulls chart data automatically—zero manual abstraction
Real-Time Processing
Sub-200ms calculations after every patient encounter—instant visibility
Open Standards (FHIR/HL7)
Zero vendor lock-in, portable data, works with any FHIR-compliant EHR
Validation at Rest
FHIR queries validate data quality BEFORE calculation—early error detection
Result: Prevent losses, save $2.5M annually, 40+ hours/month saved
How we ensure data quality and prevent submission errors
Epic, Cerner, Meditech
R4/R5
146 Resources
Real-time checks
3 Regional Workers
<100ms
Provider View
Epic, Cerner, Meditech
146 Resources
Real-time data quality checks
3 Regional Workers
Real-time alerts
FHIR R4/R5 - works with any EHR
42 checks before calculations
Instant HEDIS results
Connect to your EHR via HL7 FHIR R4/R5 standard. Supports Epic, Cerner, Meditech, and 200+ healthcare systems. Real-time bidirectional sync pulls patient data automatically.
GET /fhir/Patient?_lastUpdated=gt2024-01-01&_count=1000FHIR queries validate data quality BEFORE calculations. Check for missing demographics, invalid codes, incorrect date ranges, and provider credentials.
GET /Observation?code=4548-4&date=ge2024-01-01&_include=PatientValidates HbA1c tests with patient demographics
PostgreSQL functions execute HEDIS measure logic in <200ms. Results update instantly after each patient encounter—no batch processing delays.
SELECT calculate_hedis_measure('CDC', 'HbA1c_Test', '2024', organization_id);Run validation scripts on-premise to verify platform integrity. You control the quality assurance—no vendor dependency.
./scripts/validate-production.sh # 42 checks, 100% pass rateOne-click export generates NCQA-formatted files with zero errors. Automated validation guarantees submission acceptance.
export_ncqa_submission('2024', 'all_measures') → hedis_2024_validated.xmlFHIR queries validate data at rest—catch errors BEFORE the submission deadline, not after it fails.
Learn About FHIR ValidationRun validation scripts on-premise. You verify platform accuracy—not dependent on vendor claims.
See Monitoring ToolsOpen FHIR/HL7 standards mean your data is portable. Switch vendors anytime—no proprietary formats.
Compare to Legacy SystemsSee how FHIR-native validation and local monitoring tools prevent multi-million dollar losses