Optimizing and Streamlining HEDIS® Reporting With Health Information Exchange Data

How an innovative health plan saves time and improves quality scores with data from Manifest MedEx

As part of its quality improvement efforts, Health Plan of San Joaquin uses HEDIS® to measure performance and gauge quality and effectiveness of care provided to their members. Developed and maintained by NCQA, the performance measures in HEDIS® are related to many public health issues such as cancer, heart disease, smoking, and diabetes.

HPSJ uses both NCQA Validated Data and clinical data extracted for HEDIS reporting from Manifest MedEx. With this combined data, HPSJ identified the following increases vs without data from MX in Reporting Year 2022:

  • 16.5% increase in Comprehensive Diabetes Care (CDC) Hemoglobin A1c (HbA1c). MX was the second-largest supplier of A1c data after Quest Diagnostics
  • 8.2% increase in administrative rate for Controlling High Blood Pressure (CBP)
  • 4.8% increase in administrative rate for Childhood Immunization Status (CIS)

...and more!