Logo
HEALTH CHAIN INSIGHTS

Powering dQMs with Centaur™ – A FHIR-Native Health Data Platform

October 27, 2025 | 10-minute read

dqm

Introduction: The Data Challenge Behind Quality Reporting

For years, healthcare organizations have measured and reported quality to improve outcomes and meet regulatory expectations. Yet traditional quality reporting remains largely manual, fragmented, and retrospective. Data lives across EHRs, claims systems, labs, HIEs, and HEDIS engines - each with its own format and structure. The result is redundant efforts, inconsistent data, and delayed insights that arrive too late to actually impact care.

Digital Quality Measures (dQMs) built on HL7® FHIR® (Fast Healthcare Interoperability Resources) standards promise to change that. They bring standardization, automation, and the opportunity to improve quality performance in real-time. But dQMs are only as accurate as the data that feeds them - and most organizations still lack the unified, trustworthy data foundation required to make them work in practice.

That’s where Centaur™, Health Chain’s FHIR-native Health Data Management Platform (HDMP), comes in.
Centaur™ ingests, curates, and normalizes multi-format healthcare data into a single, governed, and measure-ready foundation - the FHIR engine that fuels accurate, auditable, and real-time Digital Quality Measures.

Why Data Quality and Normalization Matter for dQMs

Every digital measure depends on high-quality, standardized data. Without it:

  • Measures become incomplete or inaccurate.
  • Manual chart reviews and reconciliations persist.
  • Gaps remain between reported metrics and actual care.

With a unified, FHIR-native foundation, data from EHRs, claims, labs, and HIEs can be harmonized; dQM calculations become automated, transparent, and reliable; and compliance with NCQA, CMS, ONC FHIR, DEQM, and HEDIS Implementation Guides (IGs) is built in.

Centaur™ bridges the gap between raw healthcare data and measure-ready information - creating the single, governed foundation that every digital quality program can depend on as we transition to a digital future.

How Centaur™ Powers Digital Quality Measures

Centaur™ serves as the FHIR-native data foundation of Health Chain’s -platform, ensuring that all downstream quality tools operate on consistent, trusted data.

Multi-Source Data Ingestion & Normalization

Centaur™ ingests data from HL7 v2, X12, CCDA, FHIR, CSV, JSON, and proprietary systems, then standardizes it into FHIR R4 resources, aligned with QI-Core and DEQM profiles.

This removes the complexity of managing disparate data sources and delivers a unified, measure-ready data fabric.

Data Curation & Quality Validation

Built-in business rules and validation logic ensure data completeness, conformance, and consistency.
This dramatically reduces manual cleansing, reconciliation and calculation errors while giving quality teams real-time visibility into measure performance.

Terminology Mapping & Management

Centaur™ automatically maps local codes to standard vocabularies like SNOMED CT, LOINC, RxNorm, ICD-10, and CPT, ensuring uniform coding across systems and precise measure computation.

FHIR Conversion & Structuring

Legacy data is converted into FHIR-compliant resources optimized for interoperability via FHIR APIs.
This prepares data for seamless analytics, consumption and collaboration with Hyperion™ (analytics), HDIG™ (interoperability), third-party HEDIS measure engines, and NCQA Digital Content Services (DCS).

Provenance & Lineage Tracking

Every transformation is recorded - giving organizations full visibility into where data originated, how it was modified, and how it’s used.
This ensures auditability and compliance confidence for NCQA/CMS validations.

Continuous Data Refresh

Centaur™ supports both real-time and batch ingestion, keeping data current and enabling continuous performance monitoring and proactive quality interventions.

The Centaur™ Advantage

Centaur™ is more than a FHIR Converter - it’s a FHIR-native Health Data Management Platform built for the realities of digital-first quality measurement.

  • FHIR-Native from Day One: Purpose-built for FHIR R4, QI-Core, USCDI, and DEQM compliance, rather than retrofitted from legacy systems.
  • Canonical Data Model: Integrates clinical, claims, provider, and administrative data into one canonical structure for analytics and reporting - even beyond quality reporting.
  • Automation-Driven: Replaces manual mapping, reconciliation and spreadsheet workflows with cloud integrated, intelligent automation.
  • Compliance-Ready: Meets HEDIS IGs and NCQA DAV Certification standards for data validation and interoperability.

Modular CQL Engine Compatibility

Centaur™ includes a modular Clinical Quality Language (CQL) Engine - the same engine that powers Health Chain’s Prior Authorization Suite - designed to interpret and apply standardized digital measure logic directly within the platform.

Aligned with NCQA’s Digital Content Services (DCS) model, the CQL Engine enables FHIR-based evaluation of quality measures using standardized logic in CQL format. It produces patient-level, FHIR-native JSON outputs that can be integrated into analytics, reporting, and care management workflows.

This allows organizations to align with NCQA-certified digital HEDIS logic while ensuring transparency, reusability, and consistency across quality and authorization workflows.

Much like NCQA’s Digital Content Services (DCS), the CQL Engine enables FHIR-based, standards-aligned measure execution using official logic in CQL format. It delivers patient-level JSON results that can be integrated into analytics, reporting, and care management workflows.

This capability allows organizations to:

  • Evaluate digital HEDIS measures natively within Centaur™.
  • Gain deep, patient-level insights into outcomes and care gaps.
  • Support real-time quality improvement by embedding results into existing workflows.

By running digital measures within the same FHIR data foundation, Centaur™ makes measure execution faster, more transparent, and more consistent with NCQA digital standards.

Connected Ecosystem

Centaur™ feeds standardized, trusted data directly into Hyperion™ (analytics), HDIG™ (exchange), and external quality reporting tools and measure engines, enabling end-to-end quality reporting & performance improvement workflows.

Scalable by Design

The platform handles billions of records across multiple payers and programs with secure, high-performance scalability - ensuring reliability for even the largest quality operations.

The Value of Centaur™ for Digital Quality Measures

For Payers:
Centaur™ delivers a unified, validated data foundation that accelerates measure readiness, shortens reporting cycles, and reduces operational overhead.
By transforming fragmented clinical, claims, administrative, and provider data into a single, auditable FHIR asset, payers can align dQM-based HEDIS programs with greater accuracy and speed.

Centaur™ also ensures data accuracy, completeness, and traceability, enabling reliable measure computation and real-time analytics.
It empowers teams to move from reactive reporting to continuous quality improvement.

For Providers:
By standardizing data into FHIR and ensuring code-set consistency, Centaur™ simplifies interoperability with payer systems, enables faster data submission, and reduces manual reconciliation. Providers gain clarity on performance and confidence in their data to support timely care improvement and accurate reimbursements.

For Solution Partners and HEDIS Engines:
Third-party vendors gain access to standardized, high-quality FHIR data feeds that simplify integration and improve measure accuracy.
Centaur™ provides a consistent foundation for executing, validating, and reporting digital measures across multiple payers and programs.

System-Wide Impact:

  • Improves care quality with stronger cross-continuum collaboration
  • Drives down the overall cost of care
  • Reduces redundant data flows and reconciliation cycles
  • Increases data confidence and transparency
  • Enhances accuracy of digital measure outcomes
  • Strengthens audit readiness and compliance posture

Conclusion: Building the Foundation for Real-Time Quality

Digital Quality Measures represent the future of quality performance improvement - but their success depends entirely on the integrity of the data behind them.

Centaur™ provides that integrity.
It’s the foundational layer that transforms fragmented healthcare data into a cloud native, clean, standardized, FHIR-native asset, enabling accurate, transparent, interoperable and real-time measurement.

By integrating a modular CQL Engine, automated normalization, and FHIR-based interoperability, Centaur™ empowers payers, providers, and partners to achieve true digital measure readiness.

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

Partner with Health Chain to build your Digital Quality Measure foundation on Centaur™ - the FHIR-native platform powering the next generation of quality improvement.

Featured Analyst Insight
Gartner-Press-Release

Emergence of Health Data Management Platforms Signal a New Generation of Capabilities

HC in the Press
Go to Top