FHIR Services

In terms of FHIR implementation guides, CMS requires providers to use the following FHIR Implementation Guides:

1. FHIR R4: This is the current version of FHIR, which CMS requires providers to use for all data exchanges.

2. US Core Implementation Guide: This guide defines a common set of data elements and value sets that must be implemented by healthcare providers to facilitate the exchange of patient health data between different healthcare systems.

3. Da Vinci Implementation Guides: These guides provide additional implementation guidance for specific use cases, such as prior authorization and clinical data exchange.

The National Committee for Quality Assurance (NCQA) produces several important reports that are widely used in the healthcare industry, including:

1. HEDIS (Healthcare Effectiveness Data and Information Set) Report: This report contains the results of the HEDIS performance measures for health plans and organizations. It provides valuable information about the quality of care provided by managed care organizations, which can be used by healthcare purchasers to make informed decisions about which health plans to offer to their employees or constituents.

2. State of Healthcare Quality Report: This report provides an overview of the state of healthcare quality in the United States, based on data collected through the HEDIS performance measures. It highlights areas of strength and weakness in the healthcare system, and provides insights into the progress being made in improving the quality of care.

3. Quality Compass: This is a database that contains HEDIS performance measure results for health plans and organizations, which can be used by purchasers, providers, and researchers to compare and evaluate the quality of care provided by different health plans and organizations.

4. Accreditation Report: This report provides information about the accreditation status of health plans and organizations, based on NCQA's accreditation standards. It provides valuable information for healthcare purchasers and consumers who are evaluating health plans and organizations.

5. Patient-Centered Medical Home (PCMH) Recognition Report: This report provides information about healthcare organizations that have achieved NCQA's PCMH recognition, which is a model of primary care that emphasizes coordinated, patient-centered care. The report provides valuable information for patients and purchasers who are looking for high-quality primary care.