Clinical Quality

Elevating Clinical Quality: Unlocking Insights with 314e’s FHIR-Native Muspell Archive

For Clinical Quality Measures (CQM) teams, accurate, comprehensive, and standardized patient data is fundamental to reporting, improvement initiatives, and achieving optimal patient outcomes. 314e, a Healthcare IT company founded in 2004 and exclusively focused on the sector, offers Muspell Archive – a cutting-edge, FHIR-native data archival solution designed to revolutionize how quality teams access, analyze, and leverage historical healthcare information for precise quality reporting.

Elevating Clinical Quality: Unlocking Insights with 314e’s FHIR-Native Muspell Archive

Addressing the Data Challenges for Clinical Quality

CQM teams frequently encounter hurdles such as fragmented data across disparate legacy systems, lack of data standardization, and difficulty in retrieving historical information necessary for longitudinal analysis. These challenges can hinder accurate quality reporting, impact performance-based reimbursement, and delay insights into care improvement opportunities.
Addressing the Data Challenges for Clinical Quality

Muspell Archive: Your Foundation for Quality Measurement

Muspell Archive is a cloud-based, FHIR-native healthcare data archiving solution that securely stores and retrieves legacy data from over 30+ EHR applications. It acts as a central repository, providing the rich, standardized data needed for robust clinical quality measurement.

FHIR-Native Data for Standardized Quality Insights

Muspell Archive is built from the ground up using FHIR (Fast Healthcare Interoperability Resources). This means:

Standardized & Consistent Data

Standardized & Consistent Data

Every archived data element is stored in FHIR format, ensuring consistency, usability, and long-term accessibility – crucial for reliable quality metric calculations.

Interoperability & Analytics Readiness

Interoperability & Analytics Readiness

FHIR-native data is easily shareable across diverse healthcare systems and analytics platforms, enabling ‘plug-and-play’ integrations with CQM reporting tools and advanced analytics solutions. This supports the use of unified data for AI and Machine Learning applications, as demonstrated in projects like Tufts Medicine’s FHIR-based Lakehouse.

Regulatory Alignment

Regulatory Alignment

The platform is fully aligned with the ONC’s 21st Century Cures Act, promoting data transparency and patient access, which are integral to modern quality frameworks.

Comprehensive Clinical Data Access for CQM Inputs

Muspell Archive provides access to a wide range of clinical data from numerous legacy EHRs, which are essential inputs for CQMs. This includes:

  • Problems, Allergies, Medications, Immunizations (PAMI).
  • Encounters, Vitals, Lab Results, Imaging Results, Procedures, Notes, and Assessments.
  • Ability to create custom screens for specialized views of clinical data, such as Anesthesia, Assessment, and Clinical Info, displaying discrete data documented via ancillary and nursing workflows.
  • Expertise in extracting and converting data from major legacy systems like Cerner Millennium, MEDITECH (Magic, Client/Server, Expanse), and eClinicalWorks (eCW). This ensures that historical data, regardless of its original source, contributes to a complete patient record for quality analysis. For instance, 314e’s technique allows 100% of discrete data from Cerner to be archived and available in Epic HyperDrive on Day 1.
Comprehensive Clinical Data Access for CQM Inputs

ValueSets for Precise Measure Definition

Muspell Archive leverages FHIR’s ValueSet resource to define sets of codes crucial for CQM calculations.

Standardizing Codes

Standardizing Codes

ValueSets define specific codes for particular uses, such as diagnoses, procedures, medications, and revenue codes. This is critical for ensuring that CQMs consistently identify relevant clinical events.

Standard and Custom ValueSets

Standard and Custom ValueSets

The system can effectively store and manage both standard value sets (published by recognized bodies like NLM, LOINC, SNOMED) and custom value sets specific to local needs, exposing all relevant codes in ValueSet.expansion.contains.

Contextual Use

Contextual Use

The ValueSet.useContext element clarifies how codes are intended to be used (e.g., ‘diagnosis,’ ‘procedure,’ ‘medication’), ensuring that quality measures are built upon precisely defined clinical concepts. The ValueSet.purpose element directly aligns with QDM Clinical Concepts, vital for measure definitions.

Centralized Management

Centralized Management

Muspell Archive’s backend architecture centrally manages standard ValueSets that cannot be edited by tenants, while allowing each tenant to customize or extend ValueSets for their specific measure logic. Measures reference these ValueSet IDs, simplifying management and updates.

Out-of-the-Box Analytics for Quality Reporting

For advanced analytics and quality reporting, 314e offers Muspell HDP (Healthcare Data Platform), a cloud-native modern data warehouse built on the FHIR standard.

Ready-to-use Analytics

Ready-to-use Analytics

Muspell HDP provides ‘out-of-the-box’ dashboards and metrics specifically for HEDIS, eCQM, and California QIP programs, complete with audit trails to ensure accuracy and compliance. This capability is immediately available from day one.

Leveraging Data for Quality

Leveraging Data for Quality

314e’s work with Tufts Medicine demonstrates building a FHIR-based Lakehouse to create a unified view of all patient and health system data, enabling data science for detecting and preventing disease and supporting ‘Clinical quality reporting’.

Self-Service Interface

Self-Service Interface

The platform offers a no-code, self-service interface for building dashboards, reports, and queries, empowering quality analysts without requiring extensive data engineering support.

Robust Security, Compliance, and Auditability

Maintaining data integrity and security is paramount for quality reporting:

HIPAA & 21st Century Cures Act Compliant
HIPAA & 21st Century Cures Act Compliant

Muspell Archive is fully compliant with HIPAA for secure data storage and access, and aligns with the ONC’s 21st Century Cures Act.

SOC 2 Type II Certified
SOC 2 Type II Certified

314e is a SOC 2 Type II certified company, demonstrating a strong commitment to managing customer data securely through annual external audits.

Comprehensive Audit Trails
Comprehensive Audit Trails

Detailed user-level audit logging tracks all activity, including who accessed what data and when, providing transparency and accountability crucial for quality audits and regulatory reporting.

Data Quality Checks
Data Quality Checks

314e performs systematic data quality checks to ensure accurate, complete, and consistent stored health information, maintaining its reliability for future reference and analysis.

Key Benefits for Clinical Quality Teams

Protecting sensitive patient data is paramount for ethical and compliant research. Muspell Archive ensures stringent adherence to regulatory standards:

Enhanced Reporting Accuracy
Enhanced Reporting Accuracy

Access to comprehensive, standardized FHIR-native data ensures more precise and reliable CQM calculations.

Streamlined Workflows
Streamlined Workflows

Eliminate manual data compilation and gain instant access to historical patient information from disparate sources, reducing the burden on quality staff.

Improved Compliance
Improved Compliance

Adherence to FHIR, HIPAA, and Cures Act standards simplifies regulatory compliance for quality reporting.

Accelerated Insights
Accelerated Insights

Leverage Muspell HDP’s analytics capabilities for faster identification of quality improvement opportunities and real-time disease surveillance.

Cost Efficiency
Cost Efficiency

Decommission legacy systems and consolidate data, reducing the operational costs associated with maintaining fragmented data infrastructure.

Contact 314e Today!

Empower your Clinical Quality Measures team with accurate, standardized, and accessible data for superior reporting and care improvement. Visit: www.314e.com Email: info@314e.com Phone: +1-510-371-6736.

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