52 NCQA-Validated HEDIS Measures Out of the Box
Stop manually calculating HEDIS. HDIM evaluates all 52 standard HEDIS measures in real-time against live EHR data. CQL-based, fully customizable, and ready for NCQA submission.
HEDIS measure dashboard with real-time tracking
HEDIS Calculations Are Complex, Manual, and Delayed
Healthcare organizations typically calculate HEDIS measures quarterly or annually using spreadsheets, manual chart reviews, and claims data. By the time results are available, the calendar year is almost over. Errors in measure definitions lead to audit findings and corrective actions.
Typical HEDIS calculation: Annual (once per year)
Manual effort: 40-60 hours per measure
Calculation accuracy: 85-92%
Time to correct audit findings: 2-3 months
Cost of HEDIS-related compliance: $50K-$150K annually
Real-Time HEDIS Evaluation with NCQA Precision
HDIM evaluates all 52 HEDIS measures continuously as new EHR data arrives. CQL 1.5 libraries match NCQA specifications exactly. Results are available monthly, weekly, or real-time. No spreadsheets. No waiting.
All 52 NCQA HEDIS 2024 measures pre-loaded
Real-time calculation as EHR data updates
CQL 1.5 standard (fully transparent)
Custom measure builder (add proprietary measures)
What Sets Us Apart
NCQA-Certified CQL Libraries
Our CQL definitions match NCQA specifications exactly. No interpretation, no variations, no audit risk.
Real-Time vs. Quarterly
Monitor performance daily. Identify issues weeks before submission deadlines. Data-driven decisions, not year-end surprises.
Transparent Measure Logic
Every measure is defined in industry-standard CQL. You can review, audit, or customize any measure.
HEDIS Evaluation Workflow
Load Measures
Select from 52 pre-built HEDIS measures or import custom CQL. No configuration needed—measures are ready to run.
Define Measurement Year
Specify calendar year or custom period. HDIM applies all HEDIS timing rules (e.g., continuous enrollment, look-back periods).
Execute Evaluation
System queries FHIR data and evaluates each patient against measure logic. <600ms per patient evaluation.
View Results
Real-time dashboards show numerator, denominator, performance rate. Drill down to individual patient level.
Export for Submission
Generate QRDA Category I/III files validated against NCQA schema. Submit directly to NCQA or health plans.
HEDIS Capabilities
Built on CQL 1.5 and HAPI FHIR 7.x
All 52 HEDIS Measures Included
Effectiveness of Care (ACE, BCS, CCS, ...), Access & Timeliness (AMM, AWC, ...), Experience of Care (NHH, PCR, ...).
<600ms Evaluation Per Patient
Optimized CQL engine evaluates complex logic in milliseconds. Evaluate 100K+ patients in under 10 minutes.
Historical Trending
Compare year-to-year performance. Identify improvement areas and track impact of interventions.
Custom Measure Builder
Create proprietary measures using CQL IDE. Reuse HEDIS logic, add custom criteria, deploy in days.
Continuous Monitoring
Measures update automatically as EHR data changes. No scheduled batch jobs—always current.
NCQA Submission Ready
QRDA I/III generation validated against NCQA schema. Zero rework on submissions.
Customer Impact
Customer Success
Midwest Regional Health System
Challenge
Manual HEDIS calculations took 8+ weeks after measurement year-end. Audit errors found in 3 measures.
Solution
Deployed HDIM to evaluate all 52 measures in real-time. Identified performance gaps by Q3, enabling targeted interventions.
Impact
+1.5 HEDIS Stars (One Measurement Year)
- ✓Real-time trending identified gaps 6 months earlier
- ✓Targeted care gap intervention improved 8 measures
- ✓+$2.1M quality bonus payout
- ✓Audit findings: 0 (data validated automatically)
Customer Success
Blue Cross ACO (Multi-Plan)
Challenge
Different plans required different measure definitions. Manual reconciliation was error-prone.
Solution
Single HDIM instance with plan-specific measure variants using CQL parameters.
Impact
Unified Measurement Across 5 Plans
- ✓52 measures evaluated for 800K+ patients
- ✓Data consistency: 99.8% across all plans
- ✓Submission time: 2 weeks (vs. 6 weeks manual)
- ✓Audit rework: Eliminated
Customer Success
Community Care Medicine
Challenge
Primary care clinicians lacked visibility into performance on HEDIS measures affecting their compensation.
Solution
HDIM real-time dashboards at provider level. Weekly performance updates and patient-level gap identification.
Impact
Provider Engagement + Performance Improvement
- ✓Provider adoption: 95% (daily HEDIS dashboard access)
- ✓Measure performance: +2-3 percentage points across 8 key measures
- ✓Patient engagement: Up 25% (targeted outreach)
Technical Specification
Measure Definitions
Evaluation Engine
API Endpoints
Caching & Performance
Compliance & Quality Assurance
NCQA Compliance
CQL definitions reviewed and certified against HEDIS specifications. Measure precision matching NCQA requirements.
Data Validation
Automatic validation of denominators, numerators, exclusions. Exception reports for data quality issues.
Audit Trail
Complete audit trail of measure evaluation, results, and QRDA export. Exportable for regulatory review.
Version Control
Measure versions tracked with changelog. Historical results preserved for year-to-year comparison.
Pricing & ROI
Pricing Model
Per-Measure or Flat-Rate
Typical Investment
$2K-$5K per measure per year, or $40K-$80K/year for full library
Eliminates 40-60 hours per measure of manual work
Typical ROI: 6-month payback from audit prevention alone
Typical org: $50K software cost vs. $150K audit remediation avoidance
Related Capabilities
CQL Engine
Build unlimited custom measures in HL7 CQL 1.5. Deploy proprietary logic in days, not months.
Care Gap Detection
Identify and close care gaps in real-time using FHIR queries and automated detection across 52+ HEDIS measures.
QRDA Export
NCQA submission-ready QRDA I/III reports. Bulk export with validation. Zero rework on submissions.