Methods for quality data extraction, alignment, and reporting

A method according to a set of instructions stored on a memory of a computing device, the method comprising:

• receiving from a plurality of electrical health record systems, at a quality data processing system, a plurality of measures pertaining to a plurality of patients and a same clinical measure of the plurality of patients, wherein each measure of the plurality of measures is:
• received from a respective one of the plurality of electrical health record systems;
• and
• generated by a respective one of a plurality of healthcare providers that is associated with the respective one of the plurality of electrical health record systems for the same clinical measure of a respective one of the plurality of patients during a visit by the respective patient to the respective healthcare provider;
• extracting, at the quality data processing system and using an active care relationship service, a common key service, and a healthcare provider directory tracking which health record systems of the plurality of health record systems are associated with each healthcare provider of the plurality of healthcare providers, a subset of the plurality of measures associated with a subset of the plurality of healthcare providers with respect to the plurality of patients and the same clinical measure, wherein the active care relationship service is used to keep track of information relating to the plurality of patients, wherein the common key service is used to identify a patient out of the plurality of patients anonymously and uniquely;
• calculating, based on the extracted subset of the plurality of measures, a population-centered quality measure indicating quality across the subset of the plurality of healthcare providers with respect to the plurality of patients and the same clinical measure;
• and
• transmitting from the quality data processing system to at least one payer device via a computer network, the population-centered quality.

An apparatus comprising:

• a memory;
• a hardware processor coupled to the memory;
• and
• a set of instructions stored on the memory and configured to be executed by the hardware processor, wherein the hardware processor is configured to:
• receive from a plurality of electrical health record systems, at a quality data processing system, a plurality of measures, wherein each measure of the plurality of measures pertains to a same patient and a same clinical measure, and wherein each measure of the plurality of measures is:
• received from a respective one of the plurality of electrical health record systems;
• and
• generated by a respective one of a plurality of healthcare providers that is associated with the respective one of the plurality of electrical health record systems for the same clinical measure of that same patient during a visit by the same patient to the respective healthcare provider;
• extract, at the quality data processing system and using an active care relationship service, a common key service, and a healthcare provider directory tracking respective health record systems of the plurality of health record systems are associated with each healthcare provider of the plurality of healthcare providers, a subset of the plurality of measures associated with a subset of the plurality of healthcare providers with respect to the same patient and the same clinical measure, wherein the active care relationship service is used to keep track of information relating to a plurality of patients, and wherein the common key service is used to identify the patient out of the plurality of patients anonymously and uniquely;
• calculate, based on the extracted subset of the plurality of measures, a patient-centered quality measure indicating quality across the subset of the plurality of healthcare providers with respect to the same patient and the same clinical measure of that patient;
• and
• transmit, from the quality data processing system to at least one payer device via a computer network, the patient-centered quality measure.