Surveillance and Quality

Get notified of new gaps for measures such as OMW, FUH, and FUA without waiting for a claim, giving you more time to intervene.

Improve the effectiveness of your quality improvement teams by targeting the right gaps for outreach and reducing provider and member abrasion in the process.

The OMW Use Case

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 Strategies

Run more effective and efficient QI campaigns by using gap closure strategies customized for each member’s gap

Target Only True Gaps

Reduce member and provider abrasion by only targeting true gaps and only requesting additional documentation when truly needed.

Track Daily Chart Updates

No need to wait for claims. Track patient chart updates daily to identify new gaps and suggest timely interventions.