>50%
Improvement in targeted star metrics
20
Provider-actionable quality measures
CDI-DRIVEN
Gap closure at point of care
95%+
3rd-party audit accuracy
How It Works
Closing gaps at the point of care
Providers are alerted through the prospective program to open quality/HEDIS/Stars gaps at the point of care, allowing them to take action during the face-to-face visit — such as referring a patient for screening, ordering a test, or writing or refilling a prescription. This improves quality performance, Stars ratings, and ultimately patient outcomes and population health.
HEDIS gap closure
Automated identification and provider alerting for outstanding preventative screenings and chronic care measures.
Stars & HEDIS improvement
CDI-driven gap alerts at point of care with >50% improvement in targeted STAR metrics.
Point-of-care surfacing
Stars/HEDIS gaps surfaced by provider at the exact moment of the patient visit for real-time intervention.
Improved gap closure rates
Actionable quality gaps with documentation guidance and concurrent review to ensure completeness.
Before and after
The impact of prospective gap closure
With Secondwave's prospective program, measures that were falling short of 4-Star cut points close the gap — directly improving overall Star ratings and plan performance.
Without Prospective Program
With Prospective Program
Diagnosis
Members in measure
Members no gap
%
Rating
4-Star cut point
Colorectal Cancer Screening
223
152
68%
3.5 Stars
> 71%
Diabetic Eye Exams
89
60
67%
3.5 Stars
> 71%
Breast Cancer Screening
111
72
65%
3 Stars
> 70%
Statin Therapy
45
37
82%
3 Stars
> 85%
*Not actual patient data. For demonstration purposes only.
PROVIDER-ACTIONABLE MEASURES
20 quality measures impacted at the point of care
Secondwave's prospective program can impact 20 Stars-weighted quality measures through provider action during a face-to-face visit:
-
Breast Cancer Screening (BCS)
-
Controlling Blood Pressure (CBP)
-
Colorectal Cancer Screening (COL)
-
Reducing the Risk of Falling (FRM)
-
Annual Flu Vaccine
-
Improving Bladder Control (MUI)
-
Monitoring Physical Activity (PAO)
-
Statin Therapy for Patients with Cardiovascular Disease (SPC)
-
Care for Older Adults — Medication Review (COA)
-
Medication Adherence for Diabetes Medications
-
Care for Older Adults — Pain Assessment
-
Medication Adherence for Hypertension (RAS antagonists)
-
Osteoporosis Management in Women (OMW)
-
Medication Adherence for Cholesterol (Statins)
-
Eye Exam for Patients with Diabetes (EED)
-
Statin Use in Persons with Diabetes (SUPD)
-
Kidney Function Testing for Members with Diabetes (KED)
-
Polypharmacy: Anticholinergic Medications (POLY-ACH)
-
Hemoglobin A1c Control for Patients with Diabetes (HBD)
-
Concurrent Use of Opioids and Benzodiazepines (COB)