Health Information Sharing
and Clinical Reporting

Health information exchange and quality measures reporting are complex.
SSI and Konza are here to make it easier.

Konza logo

Healthcare is complex enough without adding the intricacies of health information exchange to the mix. This is why the U.S. Department of Health and Human Services (HHS), through the Office of the National Coordinator (ONC), is working with organizations such as KONZA, a QHIN™, and their technology partner, The SSI Group, LLC (SSI), to help simplify, streamline, and scale the exchange of patient information on a federal level through the Trusted Exchange Framework and Common Agreement℠ (TEFCA℠).

Central to this initiative are Qualified Health Information Networks™ or QHINs for short. QHINs will serve as the brokers of national data interchange, representing networks of participants while working together, QHIN to QHIN, to ensure improved interoperability. Optimizing the exchange of patient information nationwide is a critical step in facilitating clinical decision-making, lowering costs, and improving outcomes.

Diana Allen, CEO
The SSI Group, LLC

“Access to comprehensive clinical and claim data is fundamental for delivering safe, timely, and patient-centered care. In the current landscape without QHINs, achieving consistent data sharing both within and outside of networks is not only challenging but sometimes unattainable. SSI’s longstanding collaboration with KONZA–spanning over 14 years–positions us as pioneers in this space. Our shared vision and combined strengths facilitate a streamlined approach to data exchange, ensuring claims and clinical data meld seamlessly for enhanced reporting and decision making.

Services and Reporting

What next? Learn more about the unmatched experience we provide for providers and payers.

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Provider

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Payer

QHIN Services and Reporting for Providers

As one of the country’s first organizations selected as a Qualified Health Information Network, KONZA and its technology partner, SSI, are poised to deliver top-tier data exchange services, complemented by a range of additional offerings, including:

QHIN Services

  • Eliminating the burden providers will face trying to manage millions of daily medical record inquiries. The KONZA QHIN, along with SSI as its technology provider, will handle all of those requests for you, delivering a concise, deduplicated, and consolidated document.

Quality Measures Reporting

  • Medical record data retrieval via FHIR to enable providers to respond with minimal data elements necessary for risk adjustment, HEDIS and other payer payment and healthcare operations use cases permitted under HIPAA
  • Clinical documentation retrieval associated with payer audits
  • Clinical and claims data aggregation
  • Public Health Department and CDC reporting (Pandemic/Syndromic surveillance management,
    Immunization Rates, Vital Statistics, Population Health, etc.)

Event Notifications

  • Direct messaging to providers/payers and patients using clinical and claims data of critical public health events that require near real-time notifications such as admit of patient with MDRO who needs immediate isolation
  • Direct messaging for notifications to providers, patients and payers of key medical events using claims and clinical data. Examples include the birth of a baby, death of a patient, public health alert, unfilled medication for their patient, patient admission to ED/Inpatient, etc.

QHIN Services and Reporting for Payers

As one of the first organizations selected as a Qualified Health Information NetworkTM, KONZA and its technology partner, SSI, are poised to deliver top-tier data exchange services.

We understand the importance of keeping your member community healthy, and the ability to do so includes quick and easy access to data. With SSI and KONZA, payers can access member clinical data at scale.

Quality Measures Reporting

  • Medical record data retrieval via FHIR will enable payers to quickly gather the data needed to respond to risk adjustment, quality measures such as HEDIS, treatment, payment, and other healthcare operations use cases permitted under HIPAA
  • Clinical documentation retrieval provided in a concise, deduplicated, and consolidated document
  • Our service supports payer risks assessment and adjustment efforts by tapping into our ability to collect and deliver patient clinical data in mass from all needed sources thereby increasing the potential to increase reimbursement
  • Direct messaging using clinical and claims data of key health events that payers may want to receive