DSTHS CareAnalyzer™ - HEDIS® Reporting

Experience - NCQA HEDIS Software Certified SolutionSM
Since its introduction in 1993, HEDIS® has become the gold standard in managed care performance measurement.  HEDIS Software certification involves precise automated testing to ensure that measure calculations are in compliance with the annual NCQA technical specifications.  DST Health Solutions has extensive experience in the HEDIS Software Certification program, successfully certifying its products every year since 2002.1 

A More Complete Assessment to Support Healthcare Quality
Industry acceptance of the HEDIS methodology, the transparent nature of the measure calculations and their stability over time make it an ideal framework for the identification of members with manageable gaps in care who may benefit from additional health plan services.  But simple compliance management fails to provide the more comprehensive member assessment which is crucial for care management programs.  Understanding the spectrum of a member’s compliance opportunities, co-morbidities and predicted risk is vital to the development and implementation of an effective care plan.

Integration of Predictive Modeling with HEDIS
DSTHS CareAnalyzer™ uses a unique analytic approach that provides the option to seamlessly interface the HEDIS methodology with information on member-specific risk using The Johns Hopkins ACG® Predictive Models.  A member once seen as a diabetic failing to meet standard guidelines for diabetic management can become a diabetic with multiple co-morbidities who is at risk for an acute event in the next 12 months.   Use DSTHS CareAnalyzer™ to improve your ROI by more effectively selecting the members who will benefit from care management and by tailoring that care to member-specific needs.

Competitive Advantage

1. NCQA HEDIS Certified Software VendorSM
2. Seamless integration with member risk using Johns Hopkins ACG predictive modeling
3. Specify user-defined  analysis period to monitor compliance and risk over time
4. Modify continuous enrollment criteria to meet additional compliance and analytic requirements
5. View the member dashboard - at a glance member-specific compliance across all applicable HEDIS measures
6. Support targeted mailings using mail merge functionality
7. Flexible delivery:  hosted and turnkey solutions

HEDIS Services At A Glance:

• Access via browser-based application
• Calculate administrative and hybrid HEDIS® measure calculations
• Provide sampling for CAHPS Survey and hybrid methodology
• Report summary level measure rates by plan and by user defined groups
• Identify member level gaps in care using detailed reports
• Create Medicare patient-level detail report
• Populate Interactive Data Submission System (IDSS)

1 DSTHS CareAnalyzer™ embeds DSTHS CareAnalyzer HEDIS 2008.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

HEDIS Software CertificationSM is a service mark of the National Committee for Quality Assurance (NCQA).

ACG® is a registered trademark of The Johns Hopkins University.  

For more about DSTHS CareAnalyzer™ HEDIS® reporting, contact us at inforequests@dsthealthsolutions.com.