Name
Improving Preventive Care & Financial Performance With Unified Clinical & Claims Data
Track
HEDIS® / Digital Quality
Description

Rural healthcare organizations face growing challenges, including limited resources and manual data collection that hinder effective quality improvement. Without timely and efficient processing of complete clinical and claims data, providers lack the insights needed to deliver meaningful outcomes. This session highlights how Clay County Medical Center (CCMC), in partnership with The SSI Group and KONZA Health, addressed these obstacles with automated management of clinical and claims data. Join Austin Gillard, CEO of CCMC, as he shares the organization’s journey and first-hand insights, including: • Real-time visibility into patient-level measure results enables CCMC to proactively identify care gaps, conduct patient outreach, and increase preventive visit completions. • How digital transformation streamlined workflows and enhanced data quality. • How data integration and meeting NCQA FHIR Clinical Quality Language (CQL) was straight-forward and required minimal resources. For healthcare leaders looking for practical strategies to modernize quality programs and deliver better outcomes with fewer resources, this session is a must‑attend.

Key Takeaways:

  • Unified clinical and claims data provides a more complete picture of patient needs, enabling providers to close care gaps proactively.
  • Ongoing visibility into care gaps increases preventive visit volume and supports both better patient outcomes and financial sustainability.
  • Streamlined workflows reduce administrative burden, allowing quality teams to focus on care management rather than manual record gathering.
  • Digital transformation benefits both payers and providers by improving reporting accuracy and enhancing collaborative population health management efforts.
Austin Gillard Katrina Parrish Laura McCrary