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Catalyst Technologies Quality Spectrum software includes a module designed to report and compare rates for provider groups, employers, individual PCPs, geographic regions, and other small member groups. 4 Flexible methodologies for group assignment as part of a small group reporting project, you may specify customized logic to dictate which groups are responsible for which members. The logic can be modified measure by measure, and may be as restrictive or as broad as you wish. Much like our chase logic for medical record review, the assignment logic can draw on many different sources of data, including enrollment, events, and detail claims. We provide suggested defaults for each measure, giving you a good starting point for your own ideas. 4 Peer-to-peer benchmark comparisons make data more meaningful by specifying the relationships among your small groups. As part of our package of reports, we can compare each set of rates to those of similar groups. Percentile rankings relative to the larger peer group give readers the context to understand how good or how poor the rates really are. 4 Production-ready reports once the measure results have been associated to the appropriate groups and the peer groups have been created, the data is imported to Microsoft Access, where it populates ready-made reports, suitable for review by the small groups. These reports are easily customized to adapt them to the formats of the health plan, and the presence of the data in Access makes it easy to pull into other reporting tools as needed. |
Transforming Data Into Information