HEDIS Abstraction Software for Structured, Submission-Ready Quality Programs
A HEDIS abstraction tool for chart retrieval, measure-specific workflows, gap identification, and reporting.
Overview
Built for the Operational Reality of HEDIS Abstraction
HEDIS abstraction is slowed down by disorganized chart retrieval, inconsistent criteria application, and manual gap tracking. Teams end up working across disconnected tools, losing time on coordination instead of clinical review.
This tool centralizes the abstraction workflow so reviewers, quality leads, and operations managers can work from the same structured system with full visibility into measure progress and submission readiness.
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Unified Abstraction Layer
Bring measure workflows, chart retrieval, and gap tracking into a single operational system.
100%
Measure Visibility
Track completion status, reviewer progress, and gap closure across all active HEDIS programs.
Faster
Reviewer Throughput
Give abstractors structured templates, built-in criteria, and clear queues to move through charts efficiently.
Submission
Ready Reporting
Support HEDIS reporting with clean, exportable outputs and documented abstraction decisions.
Core Capabilities
What the HEDIS Abstraction Tool Needs to Do Well
Measure-Specific Abstraction Workflows
Run structured abstraction workflows tailored to individual HEDIS measures, so abstractors work with the right templates, criteria, and data fields for each quality program.
Clinical Gap Identification
Surface care gaps across member populations and datasets so quality teams can prioritize outreach, close gaps before submission windows close, and improve measure performance.
Reviewer Dashboards and Reporting
Give quality leaders visibility into abstraction progress, reviewer workloads, measure completion rates, and exportable reports for internal review and submission preparation.
Product Screens
Replace These Placeholder Panels with Real Product Screenshots
Visual placeholders are included where product UI will matter most. Swap these out with dashboard, abstraction workflow, gap tracking, or reporting screenshots from the actual application.
Screenshot Placeholder 01
Quality Program Dashboard
Suggested image: a dashboard showing measure completion rates, abstraction progress by reviewer, open gaps, and submission window status.
Recommended size: wide desktop screenshot with measure-level KPIs, queue counts, and reviewer assignments.
Screenshot Placeholder 02
Abstraction Workflow View
Suggested image: a measure-specific abstraction screen with clinical criteria checklist, chart viewer, evidence fields, and reviewer notes.
Recommended size: focused abstraction screen with criteria, documentation, and decision capture.
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Gap Tracking and Member View
Suggested image: member-level gap list with measure, gap status, outreach assignment, and closure documentation.
Screenshot Placeholder 04
Reporting and Export View
Suggested image: measure summary report with abstraction results, gap rates, and export controls for submission preparation.
Workflow
A Better Abstraction Workflow from Chart to Submission
The tool is designed around the full abstraction cycle, not isolated features. That is what lets quality teams move faster through charts while keeping criteria compliance, gap tracking, and reporting intact.
Retrieve and prepare charts
Charts are pulled from connected sources and organized by measure, member, and review status so abstractors can begin work without manual sorting or hunting for records.
Abstract against measure criteria
Reviewers work through measure-specific templates with clinical criteria, supporting documentation prompts, and compliance checks built directly into the workflow.
Track gaps and finalize reporting
Identified gaps are logged with evidence, assigned for outreach or escalation, and rolled up into measure-level reporting for submission and performance tracking.
Expected Outcomes
What Teams Gain from a Structured HEDIS Tool
Reduce manual coordination and spreadsheet-based abstraction tracking
Improve measure performance through structured gap identification and closure
Give quality leaders real-time visibility into abstraction progress and workloads
Support HEDIS submission readiness with cleaner workflows and reliable reporting
Plan Your HEDIS Abstraction Tool
Need a HEDIS abstraction product tailored to your quality program?
We can help define the product strategy, measure workflows, integrations, and roadmap for an abstraction tool built around your quality team's needs.
Vervelo is a digital-health software partner blending deep clinical insight with world-class engineering to build tailored, secure, interoperable healthcare platforms.
Benefits of custom software solutions
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You fully own IT consulting and software delivered
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You get a highly personalized solution
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Customize and integrate seamlessly
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On-demand scalability is always possible
