NCQA Reveals First Cohort in Data Aggregator Validation Program

Dec. 20, 2021
Program evaluates clinical data streams to help ensure that health plans, providers, and government organizations can trust the accuracy of clinical data for use in quality reporting, value-based contracting

The National Committee for Quality Assurance has revealed the 12 organizations that have validated data streams or earned Certified Data Partner status in its Data Aggregator Validation program. NCQA said that program is a vital early step in realizing its vision of a digital measurement ecosystem where trusted data flow freely between organizations to improve patient outcomes and drive success in value-based contracts.

The Data Aggregator Validation program evaluates clinical data streams to help ensure that health plans, providers, government organizations and others can trust the accuracy of clinical data for use in quality reporting, value-based contracting, closing care gaps and other important clinical decisions. Data validated during Cohort 1 comes from more than 2,300 ingestion sites representing tens of millions of patients. 

Most of the dozen organizations that are part of the first program cohort, which began validation review in July, are health information exchanges:

• Applied Research Works, Inc d/b/a Cozeva

•  Azara Healthcare

• Diameter Health

• Health Advancement Collaborative of Central New York, Inc. d/b/a HealtheConnections

• Healthcare Information Xchange of New York, Inc., d/b/a Hixny

• Healthix, Inc.

• Kansas Health Information Network, Inc. d/b/a KONZA

• KPI Ninja, Inc.

• Manifest MedEx

• Nebraska Health Information Initiative d/b/a CyncHealth

• Western New York Clinical Information Exchange, Inc., d/b/a HEALTHeLINK

• Wisconsin Statewide Health Information Network, Inc. (WISHIN)

NCQA had previously announced that it had validated data streams belonging to Hixny, HealtheConnections, HEALTHeLINK and Manifest MedEx as part of its pilot and early adopter programs. 

A cohort of additional organizations began the Data Aggregator Validation process in October as part of Cohort 2 and are expected to complete it in spring 2022. Cohort 3 of the Data Aggregator Validation program begins in February. NCQA plans to evaluate cohorts X times per year, going forward.

The NCQA Data Aggregator Validation program expands the industry’s trusted Healthcare Effectiveness Data and Information Set (HEDIS) standards to prospectively validate the quality and fitness of clinical data streams for quality measurement and other uses. Data Aggregator Validation is a vital early step in realizing NCQA’s vision of a digital measurement ecosystem where trusted data flow freely between organizations to improve patient outcomes and drive success in value-based contracts.

“Most discussions of interoperability focus on technical challenges, like formats for data exchange,” said NCQA Chief Product Officer Brad Ryan, in a statement. “Data Aggregator Validation is about something bigger: Ensuring people across organizations can trust the data that drive high-quality care and value-based reimbursements.”  

The validation process traces data as it flows from physician offices and other ingestion sites into electronic health records, examining documentation practices, data capture, data integrity checks, data mapping and resiliency of workflows. The Data Aggregator Validation program also checks how data are managed, with a focus on security, effective governance, change management protocols and the subtle but important practices that can ensure or undermine data quality. Finally, the assessment evaluates the continuity of care document (CCD) for conformity with the NCQA CCD Implementation Guide and checks to confirm the data in the CCD matches primary source data.

The Data Aggregator Validation program also improves the efficiency of HEDIS reporting, NCQA said. No primary source verification is required for HEDIS reporting when health plans use data validated through the Data Aggregator Validation program. This saves health plans and provider organizations time and money. 

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