Care Gap Identification | Metriport
Metriport raises $26 million to give clinicians insight at the point of care
Find proof of open and closed care gaps with an NCQA certified HEDIS engine.
HEDIS measures
| Measure | Status | |
|---|---|---|
| BP | Blood Pressure Control for Patients With Diabetes | Closed |
| EE | Eye Exam for Patients with Diabetes | Open |
| GS | Glycemic Status Assessment for Patients With Diabetes | Closed |
| KE | Kidney Health Evaluation for Patients With Diabetes | Open |
| CBP | Controlling High Blood Pressure | Closed |
| TRC | Transitions of Care | Open |
Join the teams running quality work on results with the math attached.
Care Gap Identification
Every result is a calculation you can open.
Documented HEDIS measures, evaluated on the record
Measure logic runs against the consolidated record after new data is processed: initial population, denominator and exclusions, numerator.
A FHIR bundle, not a score
Results return the Patient, the MeasureReport, and the supporting Parameters behind the calculation.
Closed gaps come back too
A MeasureReport records the numerator result either way, so satisfied gaps return with the same supporting calculation as open ones.
Re-evaluated as data lands
Evaluation runs on the analytics cycle after new Network Query results or real-time notification data is processed.
Benefits
Stop hunting for gaps the record already answers.
The measure engine reads the history so your quality team reads results.
Hours of chart-chasing, gone from the workflow.
Gap identification runs on the retrieved record, external history included, so the search that used to be manual arrives as a result list.
Color Health— "Metriport surfaces the patient data and care gaps we would have otherwise spent hours hunting down."
Outreach stops chasing work that is already done.
Closed gaps return with the same calculation as open ones, so a patient whose screening happened elsewhere leaves the call list before anyone dials.
Defensible numbers, patient by patient.
Every result carries its population math. When an auditor, a payer, or your own analyst asks why, the answer is in the MeasureReport rather than in a spreadsheet.
How it works
Every gap, with its math.
- Evaluate supported HEDIS measures
Measure logic applies after consolidated data is processed. The supported list lives in the docs. - Review the patient-level calculation
The result is a FHIR Bundle: the Patient, the MeasureReport, and the supporting Parameters. - Query the record behind the result
Gap results resolve into the same consolidated record everything else on the platform reads.
FAQs
Which measures are supported?
Metriport documents a current set of supported HEDIS measures. Review the care-gaps documentation for the supported measure list.
When does evaluation run after new data arrives?
Care-gap evaluation runs on the analytics cycle after new Network Query results or real-time notification data is processed.
What does a care-gap result contain?
The API returns a FHIR Bundle containing the Patient, MeasureReport, and supporting Parameters details for the calculation.
Do closed gaps come back too?
Yes. A MeasureReport records the numerator result either way, so a gap that has already been satisfied is returned with the same supporting calculation as an open one.