Data Quality and Reporting Guide

Practices need to evaluate their capacity to produce and report core measures with fidelity to HEDIS specifications and adaptions made for PHMI. Start by examining the current reporting processes for core measures to determine what may need to change to ensure they can be accurately calculated and reported. You will need to look closely at how you are currently running or programming the measures and the resources being used in that process (e.g., EHR or population health management platform).

The Measure Calculation and Reporting for PHMI resource outlines how practices can develop a step-by-step process for assessing and improving capability to calculate and track the core measures. It includes a measure calculation checklist that you can use with the support of your practice coach and SMEs to identify and address any gaps in your data collection and calculation processes.

This resource outlines criteria for each core measure that can be used to:

• Identify current gaps in your ability to accurately calculate the denominator, exclusions, numerator and subpopulations.
• Identify steps to manually calculate the measure, if needed.