The healthcare industry has always measured and reported on care quality in an effort to improve outcomes. However, the traditional quality reporting approach has significant limitations:

• Manual processes that are time-intensive and error-prone
• Retrospective analysis that occurs long after treatment delivery
• Fragmented data collection across multiple systems & file formats
• Delayed insights that arrive too late to impact patient care in real time

The result? Quality improvement becomes a backward-looking exercise rather than a proactive strategy.

The healthcare industry is experiencing a fundamental transformation. Digital Quality Measures built on HL7® FHIR® (Fast Healthcare Interoperability Resources) standards represent the next evolution in quality measurement - offering automation, transparency, and flexibility.

dQMs enable payers, providers, and stakeholders to:

• Standardize quality data across key domains to improve reporting accuracy and eliminate manual, redundant, and spreadsheet-based workflows.
• Monitor performance continuously rather than periodically

The Critical Missing Piece: Interoperability

While FHIR standards exist, many organizations still struggle with seamless data exchange. The current landscape is characterized by:

• Quality vendors and payers relying on manual integrations and custom file transfers
• Providers navigating multiple portals and responding to redundant data requests
• Members experiencing little visible improvement in their care journeys

Without true interoperability in the form of digital quality measures, data remains siloed - creating duplication, delays, and misalignments that undermine the promise of real improvements to the quality of care being delivered.

Health Chain's HDIG™ is a FHIR-native platform purpose-built to make dQMs feasible, scalable, and operational in real time. Rather than simply facilitating batch file sharing, HDIG™ establishes secure, standardized FHIR APIs that enable all stakeholders - payers, providers, members, and solution partners - to access a shared, live source of truth via industry-standard API connections.

This approach transforms quality reporting activities into continuous feedback loops that drive measurable improvement across the entire healthcare ecosystem.

A Foundation Built for Interoperability

HDIG simplifies FHIR-based data sharing. From managing FHIR APIs, to providing a developer portal with a robust sandbox environment and consent management capabilities, it offers a streamlined experience for API deployment, management, access and monitoring. Using standard APIs, it connects the entire quality ecosystem, enabling data to flow in near real-time – driving real-time collaboration across the care continuum to improve care quality.

Benefits for Each Stakeholder

For Payers:

• Payers can share and receive dQM data instantly with providers and quality vendors via FHIR APIs, enabling near real-time visibility into care gap closure, and measure completion
• Seamless integration with quality reporting & submission engines
• Simplified compliance with NCQA and CMS requirements
• Elimination of complex, manual data sharing procedures

For Providers:

• Quality data embedded directly into clinical workflows
• Reduced administrative burden from redundant data requests
• Standardized quality reporting data across Payers and Vendor Partners
• Real-time visibility into quality performance

For Solution Partners:

• Access to secure FHIR endpoints
• Ability to build dashboards and tools that extend quality data throughout care delivery
• Standardized integration point that scales across multiple programs

For Members:

• Timely interventions based on current data
• Personalized care driven by accurate, real-time information

Beyond Current Measures

By automating data exchange, HDIG™ replaces manual, point-to-point integrations with a single, scalable foundation that supports not only dQMs but also, CAHPS surveys, SDoH and future quality programs.

Purpose-Built, Not Retrofitted

Unlike legacy systems adapted for interoperability, HDIG™ was designed from the ground up as a digital-first platform. Key architectural features include:

• FHIR-native architecture ensuring seamless data exchange
• Configurable adapters that bridge modern and legacy environments
• Embedded measure logic through Clinical Quality Language (CQL) integration
• Version management that keeps calculations accurate and current
• Workflow integration making data exchange invisible rather than burdensome

Enterprise-Grade Performance

HDIG™ delivers:

• Faster time-to-value
• Reusable connectivity across multiple programs
• Secure, efficient handling of millions of quality events at scale

The true value of HDIG™ extends beyond data movement - it transforms how quality is measured and improved.

Driving Efficiency

Automation and standardization dramatically reduce manual effort and administrative overhead:

• Payers retire custom feeds and redundant workflows
• Providers shift focus from documentation to patient care
• Solution partners integrate once and scale across multiple programs

Enabling Actionable Insights

Real-time data becomes immediately actionable:

• Payers gain continuous visibility into quality performance before ratings are finalized
• Providers receive immediate feedback integrated into clinical workflows
• Care gaps are identified and addressed in days rather than months
• Quality teams track mid-cycle progress rather than waiting for year-end reports

Building Collaboration and Trust

When all stakeholders work from the same FHIR-native data model, shared accountability replaces fragmented systems. Every transaction meets security, consent, and audit requirements aligned with NCQA, CMS, and ONC FHIR mandates.

Measurable Outcomes

Organizations using HDIG™ experience:

• Faster care gap closure
• Enhanced clinical analytics
• Improved HEDIS reporting accuracy
• Greater alignment across the care continuum

With HDIG™, interoperability becomes a strategic advantage, not just a technical requirement.

Digital Quality Measures represent more than a compliance update - they signal a fundamental shift toward data-driven, continuous quality improvement. However, this transformation requires the right interoperability foundation.

HDIG™ provides that foundation, transforming dQMs from static, retrospective reports into real-time, shared, collaborative processes that actively improve patient outcomes.

With Health Chain's HDIG™, quality isn't just measured - it's continuously improved.

Ready to transform your quality measurement programs?

Partner with Health Chain to turn your dQMs into a driver of performance, collaboration, and care excellence.

Learn more about how HDIG™ can power your digital quality journey.