The Data Aggregator Validation Program is a collaboration between the National Committee for Quality Assurance (NCQA) and QMetrics since its inception in the fall of 2019. QMetrics worked closely with NCQA to develop program protocols and standards, develop primary source verification (PSV), and conduct validation audits. Two audit cycles (cohorts) begin in January and July each year, with each cohort running for a duration of twenty-two weeks. Each cohort comprises participants from different states nationwide, featuring a varied mix of new and returning organizations. Those who attain validated status can contribute their data as standard supplemental information for HEDIS reporting for the measurement year. It’s important to note that organizations must undergo periodic re-validation to uphold the integrity of processes and data.
The primary objectives of the Data Aggregator Validation Program are to enhance interoperability in quality reporting and reduce the manual data collection burden on providers. The program validates data aggregators that collect, aggregate, and transform electronic data from original data sources to share with vendors and healthcare organizations interested in offering a product or service using NCQA’s HEDIS® measures. The Data Aggregator Validation program ensures compliance with NCQA’s standards and protocols. It validates that data from the original source is accurately reported for use as standard supplemental data or in medical record abstraction. The benefit for a data aggregator is to increase its partnerships with Health Plans and enhance its role in quality reporting.
The continuous evolution of the program introduced the use of FHIR (Fast Healthcare Interoperability Resource) and a new standard for the Provider Portal during cohort 6. As a result of these advancements, health plans now have increased access to dependable standard HEDIS supplemental data, and providers can expect a reduced administrative workload.
Since its inception, the Data Aggregator Validation program has conducted over 100 validations, encompassing 44 organizations in 21 states, impacting millions of lives across the vast majority of the United States. Additionally, QMetrics has validated over 56,833 data sources. 50% data used for supp data is from DAV.
Furthermore, participants have openly acknowledged the Data Aggregator Validation program as a critical driver of internal process improvement, with each team member now dedicating their focus to enhancing data quality. As the program progresses, it demonstrates adaptability and evolution based on newfound insights and challenges encountered in data exchange. Each participating organization has invested significant time and resources in completing the program, showcasing an unwavering dedication to continuously enhancing data quality.
If your organization is interested in participating in a future cohort, please contact NCQA to receive additional information about the Data Aggregator Validation Program and to apply.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
