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The HEDIS® 2017 season is about halfway done. Are you on track for the reporting deadline? In the latest addition to our blog series, “from the HEDIS 2017 trenches,” Ashley McNairy, product director for Verscend’s Quality Improvement solutions, discusses best practices for tracking retrieval, abstraction, and measure rates.
At this point in the season, clients should have their production runs complete, samples pulled, chases identified, and all location data clean-up complete. They should also be about halfway through their retrieval efforts and have started abstraction. With a little more than six weeks left in the hybrid season, health plans need to work efficiently and effectively to see improvements in their rates before final submission.
One of the challenges we see with our clients is the ability to appropriately track progress in their retrieval and abstraction processes. This includes identifying:
Knowing the answers to these questions is key to having a successful season. By tracking your retrieval and abstraction efforts on a weekly or even bi-weekly basis as the season progresses, you will see what trends are appearing in your measures and even in your team. The answers will help you understand whether you need to add more staff, whether your provider networks need to intervene to obtain records from their offices, or whether your retrieval partners have been successful in obtaining records.
One difficulty in abstraction is monitoring the performance of your team. It’s hard to let someone go, but if a team member is truly struggling to understand the measures and isn’t improving, it might be a conversation worth having. Alternatively, you might see that the abstractor is stronger in certain measures than others, so dividing the measures among the team could be a better strategy to see an improvement in your abstraction quality scores.
Your vendor should be able to recommend the reports that will give you these answers. Verscend has several retrieval and abstraction reports that can tell you which provider locations have been visited and what the retrieval rates are for those locations, which new chases have been added or samples that have referrals, how many chases are closed and open by measure, and what your day-to-day measure rates look like.
It’s important to track these items to know where you might be falling behind, so you can intervene before abstraction rates need to be submitted to your auditor.
Stay tuned in April for our next report “from the trenches.”
Want to know more about Verscend’s Quality Improvement solutions? Download our brochure.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).