Building Trust: Foundations for Measuring Clinical Data Quality

Tuesday, April 18 at 4:15 PM - 5:15 PM CT
South Building, Level 1 | S103

Do you run a data-driven organization? If so, how do you ensure the quality of that data and the decisions, suggestions, and payments generated from them? According to Dr. Brad Ryan, Chief Product Officer at the NCQA, "Lack of trust and transparency in the data and computations that score and drive payments" is one of the largest barriers to the adoption of value-based contracts. FHIR adoption alone does not mean the data are good; data quality most go beyond schema conformance. The Data Quality Index is a novel method for measuring quality and building trust in double-blind interoperable health data in the FHIR format. The Index leans towards a machine-learning based, rather than rules-based, approach to quantify dimensions such as conformance, completeness, plausibility, and ultimately, fitness for use. This session will introduce the concept of the Index, lessons from its development, and seek feedback for future use cases. While statistical frameworks may be discussed, we lean on visualizations and explainable AI principles to make the framework as intuitive as possible, and no technical expertise is required. After all, the goal is for humans to trust the data, with some help from machines.

Learning Objectives

  • Identify the role of trust in data quality to the adoption of value-based contracts
  • Differentiate "rule based" vs. "machine-learning based" frameworks for data quality
  • Assess opportunities, challenges of measuring data quality with FHIR
Credits
ACPE, CAHIMS, CPHIMS, CME, CNE
Status
Active
Audience
Chief Data Officer, Chief Quality Officer and Chief Clinical Transformation Officer, Clinical Informaticist
ID
87

Speakers

Brad Ryan, MD
Chief Product Officer
National Committee for Quality Assurance (NCQA)
J. Marc Overhage, MD, PhD
Chief Medical Informatics Officer
Elevance Health
Parker Holcomb
Chief AI Engineer
Elevance Health