{"id":45053,"date":"2025-07-30T17:20:01","date_gmt":"2025-07-30T21:20:01","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=45053"},"modified":"2025-11-20T09:24:53","modified_gmt":"2025-11-20T14:24:53","slug":"the-path-to-digital-hedis","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/","title":{"rendered":"The Path to Digital HEDIS"},"content":{"rendered":"<h2>Milestones on the Path to Digital HEDIS<\/h2>\n<p>As the healthcare industry rapidly evolves, so too does the way we measure its quality. For decades, health plans have relied on the traditional HEDIS submission process \u2014manual chart abstraction, clinical review, and coding\u2014 to report on care quality. To ensure consistency and accuracy, HEDIS vendors have participated in NCQA\u2019s Measure Certification program, which validates that the logic used to calculate measure results meets NCQA standards and produces reliable, comparable outputs.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>With the transition to digital measurement and the adoption of digital HEDIS, the era is shifting to one of great interoperability, automation, and real-time insights. Customers utilizing Digital Content Services participate in alternative validation efforts. NCQA offers a progressive validation pathway, and customers can publicly share their achievements based on key milestones in this journey.<\/p>\n<h2>Milestone 1: Contracting with NCQA<\/h2>\n<p>The journey begins when an organization licenses NCQA\u2019s Digital Content Services. At this stage, organizations may publicly state that they:<\/p>\n<ul>\n<li><b><\/b>Have contracted with NCQA, and<\/li>\n<li><b><\/b>Are officially using Digital Content Services.<\/li>\n<\/ul>\n<p>This milestone signals a formal commitment to digital transformation and alignment with NCQA\u2019s digital standards.<\/p>\n<h2>Milestone 2: Validation Through Test Executions<\/h2>\n<p>Once implementation is underway, organizations must pass NCQA\u2019s test executions. These tests validate that the digital measures are functioning as intended. Upon successful completion, organizations may:<\/p>\n<ul>\n<li><b><\/b>Claim they use NCQA-Certified Digital HEDIS measures, and<\/li>\n<li><b><\/b>Display the NCQA-Certified Digital HEDIS seal.<\/li>\n<\/ul>\n<p>Implementation steps and validation criteria are detailed in the <a href=\"https:\/\/wpcdn.ncqa.org\/www-prod\/NCQA1289-0425-Digital-Content-Services-Customer-Handbook.pdf\">Digital Content Services Handbook<\/a>, which guides organizations through this critical phase.<\/p>\n<h2>Milestone 3: Public Reporting of HEDIS Measure Outputs<\/h2>\n<p>After achieving successful implementation and completing one measurement year of parallel testing, organizations may begin using data generated by Digital Content Services for official reporting programs.<\/p>\n<h3>What is Parallel Testing?<\/h3>\n<p>Parallel testing is a required step to validate accuracy during NCQA\u2019s transition to digital HEDIS reporting. Learn how the process of <a href=\"https:\/\/www.ncqa.org\/resources\/what-is-parallel-testing\/\">parallel testing<\/a> works and explore answers to the most commonly asked questions.<\/p>\n<h2>From Measure Certification to Digital HEDIS<\/h2>\n<p>Whether your organization is a long-standing Measure Certification vendor, partners with one, or is just beginning to explore the digital future of HEDIS, now is the time to act. Understanding the digital path forward means embracing new standards like FHIR\u00ae and CQL, navigating validation milestones with NCQA, and planning for parallel testing as a bridge to fully digital submissions.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Now is the time to assess your readiness, elevate your data strategy, and build systems that deliver real-time insights and measurable value.<\/p>\n<div class=\"ncqa-table dqt-style\">\n<table>\n<thead>\n<tr>\n<th>LICENSED<\/th>\n<th>VALIDATED<\/th>\n<th>VALIDATED AND REPORTED<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>The customer has signed a contract licensing Digital Content Services.<\/td>\n<td>The customer has successfully implemented Digital Content Services.<\/td>\n<td>Customers have completed all steps required for Successful Implementation AND 1 measurement year of parallel testing through HEDIS health plan reporting.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Milestones on the Path to Digital HEDIS As the healthcare industry rapidly evolves, so too does the way we measure its quality. For decades, health plans have relied on the traditional HEDIS submission process \u2014manual chart abstraction, clinical review, and coding\u2014 to report on care quality. To ensure consistency and accuracy, HEDIS vendors have participated [&hellip;]<\/p>\n","protected":false},"author":116,"featured_media":0,"parent":33461,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-45053","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Path to Digital HEDIS - NCQA<\/title>\n<meta name=\"description\" content=\"As the healthcare industry rapidly evolves, so too does the way we measure its quality.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Path to Digital HEDIS - NCQA\" \/>\n<meta property=\"og:description\" content=\"As the healthcare industry rapidly evolves, so too does the way we measure its quality.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-20T14:24:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/\",\"url\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/\",\"name\":\"The Path to Digital HEDIS - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2025-07-30T21:20:01+00:00\",\"dateModified\":\"2025-11-20T14:24:53+00:00\",\"description\":\"As the healthcare industry rapidly evolves, so too does the way we measure its quality.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/the-path-to-digital-hedis\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Our Programs\",\"item\":\"https:\/\/www.ncqa.org\/programs\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Data and Information Technology\",\"item\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Digital HEDIS\",\"item\":\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/digital-hedis\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"The Path to Digital HEDIS\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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