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WISHIN Earns NCQA Data Aggregator Validation Status Again

Validated Data Flows Promote Trust, Support Value-Based Contracting, Ease Quality Measurement Burden for Payers and Providers

Once again, WISHIN has earned the Validated Data Stream designation in the National Committee for Quality Assurance (NCQA) Data Aggregator Validation (DAV) program. WISHIN was part of the first cohort of HIEs to voluntarily seek and earn the new NCQA validation in 2021. As part of the same cohort of organizations, WISHIN’s vendor KPI Ninja of Lincoln, Nebraska, received a Certified Data Partner designation from NCQA.

“WISHIN offers an alternative to the otherwise manual and inefficient ‘chart chase’ — NCQA DAV-certified supplemental data. Health plans can look to WISHIN as the trusted source of clinical information to meet their HEDIS® quality measures in an aggregated way. Certified provider sources don’t need to do anything more than continue to contribute data to WISHIN, it’s win-win! Becoming certified has been an extraordinary learning experience for our team, and we are pleased to be able to offer this solution to our participants.’-WISHIN CEO Steve Rottmann

The validation applies to a wide swath of data sources in the WISHIN network. Data streams that earn validation undergo a rigorous, end-to-end look at the quality and integrity of data and the procedures used to manage and safeguard it. WISHIN’s DAV designation verifies adherence to NCQA process, system and data standards. The DAV designation from NCQA means that health plans can use data from the WISHIN system in their HEDIS ® process, instead of accessing the data from individual providers.

“Utilizing the data (provided by WISHIN) increased our rates and reduced administrative time and expense.”

Mallory Mueller, Director of Quality and Health

WISHIN has achieved DAV certification for 34 ingestion sites across Wisconsin healthcare organizations, including 17 organizations that are receiving certification for the first time in 2026.

See the 2026 List of Sites

 

WISHIN Works to Reduce the HEDIS® Chart-Chase Burden

The process of collecting clinical data to document performance on HEDIS® measures is time-consuming and expensive for both health plans and providers. WISHIN can ease that burden for its participants. HEDIS®, the Healthcare Effectiveness Data and Information Set, is a set of performance measures developed and maintained by NCQA. Nearly 200 million people are enrolled in plans that report HEDIS® results. But health plans face challenges in collecting clinical data and documenting their HEDIS® performance. That’s where WISHIN can help. WISHIN has the clinical data health plans need, and the technical expertise to deliver it- reducing the time and money spent by payers and providers on the HEDIS® “chart chase.” It is another way WISHIN provides a unique and indispensable value to its participants.

“Utilizing the data (provided by WISHIN) increased our rates and reduced administrative time and expense.”- Mallory Mueller, director of quality and health integration at Network Health Another WISHIN participant said WISHIN “definitely made an impact” in the HEDIS® process. The company said WISHIN provided a substantial “bump” in the plan’s numerators for hemoglobin A1C and blood-pressure measures.

WISHIN LEADS THE WAY

WISHIN’s DAV status means HEDIS® auditors can consider clinical data sourced by WISHIN to be primary-source verified. As Nancy Lin, assistant director of product development for NCQA, noted, DAV status gives WISHIN’s participants more peace of mind and makes their data more valuable.

For more information on how WISHIN can reduce the HEDIS® chart-chase burden, contact Steve Rottmann at srottmann@wishin.org.