WISHIN Continues Its NCQA Data Aggregator Validation Status
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WISHIN Continues Its NCQA Data Aggregator Validation Status

WISHIN has renewed its National Committee for Quality Assurance (NCQA) Data Aggregator Validation (DAV) status as a data aggregator effective December 2023 through December 2025. The 24-month validation involved a meticulous review of WISHIN’s data collection processes and an audit which validated the existence of data in the network to the data that originates from the source EHR/EMR. As a result, 43 sources of hospital, clinic, and diagnostic data have been certified to be used by health plans as supplemental data which has been primary source verified.

The NCQA validation means that health plans can use data from the WISHIN system from the certified data sources, below, as standard supplemental data during a HEDIS® audit, instead of accessing the data from individual providers. More information about the NCQA DAV program is available on NCQA’s website.

“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.” said WISHIN CEO, Steve Rottmann

“The DAV certification process allowed Network Health to bypass the primary source verification process and utilize data from non-contracted facilities in a streamlined process.  WISHIN and KPI Ninja were able to offer the data in the format Network Health could easily ingest.  Overall utilizing this data increased our rates and reduced administrative time and expense, which was our ultimate goal,” said Mallory Mueller, Director Quality Health Integration, Network Health

For more information about how to access DAV-certified supplemental data from WISHIN, contact us.

These are the certified sources (ingestion sites) available through WISHIN:

Certified Sources Care Setting EHR Vendor
AdvocateAurora Health Diagnostic – Lab Epic
AdvocateAurora Health Hospital-based Care Epic
AdvocateAurora Health Outpatient Care Epic
Ascension Medical Group and Ascension Wisconsin Outpatient Care Epic
Ascension Wisconsin Hospital-based Care Epic
Ascension Wisconsin Diagnostic Diagnostic – Lab & Imaging Epic
Aspen Orthopedic Specialists Specialty Care eClinicalWorks
Black River Memorial Hospital Hospital-based Care Cerner CommunityWorks
Black River Memorial Hospital Outpatient Care Cerner CommunityWorks
Black River Memorial Hospital Diagnostic Diagnostic – Lab & Imaging Cerner CommunityWorks
Children’s Hospital of Wisconsin Hospital-based Care Epic
Children’s Hospital of Wisconsin Outpatient Care Epic
Children’s Hospital of Wisconsin Laboratory Diagnostic –
Lab
Epic
Door County Medical Center Hospital-based Care MEDITECH Expanse
Door County Medical Center Outpatient Care MEDITECH Expanse
Door County Medical Center Diagnostic Diagnostic – Lab & Imaging MEDITECH Expanse
Family Health/La Clinica Outpatient Care Epic
Froedtert Health and Medical College of Wisconsin Laboratory Hospital-based Care Epic
Froedtert Health and Medical College of Wisconsin Laboratory Outpatient Care Epic
Froedtert Health and Medical College of Wisconsin Laboratory Diagnostic – Lab Epic
Mile Bluff Medical Center Hospital-based Care MEDITECH Expanse
Orthopaedic Hospital of Wisconsin Specialty Care MEDITECH Expanse
Orthopaedic Hospital of Wisconsin Hospital-based Care MEDITECH Expanse
Prairie Clinic Primary Care NextGen
ProHealth Care Hospital-based Care Epic
ProHealth Care Outpatient
Care
Epic
Sauk Prairie Healthcare Hospital-based Care MEDITECH Expanse
Sauk Prairie Healthcare Outpatient Care MEDITECH Expanse
Sauk Prairie Healthcare Diagnostic Diagnostic – Lab & Imaging MEDITECH Expanse
Spooner Health Diagnostic Diagnostic – Lab & Imaging Epic
SSM Health Hospital-based Care Epic
SSM Health Outpatient Care Epic
SSM Health Diagnostic Diagnostic – Lab & Imaging Epic
ThedaCare Hospital-based Care Epic
ThedaCare Outpatient Care Epic
ThedaCare Laboratory Diagnostic – Lab Epic
UW Hospitals and Clinics Hospital-based Care Epic
UW Hospitals and Clinics Outpatient Care Epic
Watertown Regional Medical Center Hospital-based Care MEDITECH CS
Watertown Regional Medical Center Outpatient Care MEDITECH CS
Watertown Regional Medical Center Diagnostic Diagnostic – Lab & Imaging MEDITECH CS