Quality Navigator
NLP-Assisted Reporting and Tracking for Quality Outreach Teams and Providers
Quality Navigator uses NLP to analyze HEDIS®-specific clinical events in the medical record, flag members in the relevant cohort, and group them to enable efficient, targeted outreach strategies for Quality Teams and Providers.
Timely Intervention for Hard-to-Move Measures
Star ratings for measures like OMW (Osteoporosis Management in Women who had a fracture) are notoriously difficult to move. That’s because Quality teams rely on claims data that appear weeks after the event when outreach efforts face significant friction. For OMW and measures like it, timely outreach, and intervention are key.
Quality Navigator’s reporting tools can identify OMW and other time-sensitive gaps weeks before the claim, allowing early QI intervention and increased compliance.
Key Benefits
Targeted Quality Improvement Opportunities
Astrata’s clinically focused NLP pinpoints specific types of “leads” – for example, an order for a colonoscopy with no documentation of results – and groups members with those lead types together.
Flexible Reporting
Outreach managers can design reports that slice and dice member outreach lists into effective groupings and deliver them to the teams best equipped to manage them, maximizing available Health Plan and provider resources.
Tracking Dashboard
Review team progress month over month.
| Quality Improvement Opportunities | BCS | CCS | OMW | COL |
|---|---|---|---|---|
| True open gaps | ||||
| No date for procedure | ||||
| Ordered, no results | ||||
| Due next year | True gaps with recent fracture |
