International Journal of Computer
Trends and Technology

Research Article | Open Access | Download PDF
Volume 73 | Issue 10 | Year 2025 | Article Id. IJCTT-V73I10P102 | DOI : https://doi.org/10.14445/22312803/IJCTT-V73I10P102

DataOps Strategies for Automating HEDIS Compliance


Justin Pathrose James

Received Revised Accepted Published
21 Aug 2025 25 Sep 2025 10 Oct 2025 29 Nov 2025

Citation :

Justin Pathrose James, "DataOps Strategies for Automating HEDIS Compliance," International Journal of Computer Trends and Technology (IJCTT), vol. 73, no. 10, pp. 10-14, 2025. Crossref, https://doi.org/10.14445/22312803/IJCTT-V73I10P102

Abstract

This paper talks about how Data Ops concepts can be utilized in creating survey questions like HEDIS. The Data Ops principles, like Structured Data Pipeline, Automation, and Governance, are applied with the clinical rigor of HEDIS measures. Since DataOps can be applied to any business process or analytic solution that involves extracting, a time-consuming process like creating and collecting HEDIS data will have much scope for automation. 

Keywords

DataOps, Artificial Intelligence (AI), HealthCare, HEDIS, Data Analytics, NCQA.  

References

[1] NCQA, Improving HEDIS Data Quality in a Digital World, 2025. [Online]. Available: https://www.ncqa.org/blog/improving-hedis-data quality-in-a-digital-world/
[2] Databricks, Scalable, In-House Quality Measurement with an NCQA-Certified Engine. [Online]. Available: https://github.com/databricks industry-solutions/apollomed-ncqa-hedis
[3] NCQA, The Path to Digital HEDIS. [Online]. Available: https://github.com/databricks-industry-solutions/apollomed-ncqa-hedis
[4] NCQA, Health Plan Performance. [Online]. Available: https://www.ncqa.org/report-cards/health-plans/ 13 Justin Pathrose James / IJCTT, 73(10), 10-14, 2025
[5] AHRQ, Examples of Health Plan Quality Measures for Consumers. [Online]. Available: https://www.ahrq.gov/talkingquality/measures/setting/health-plan/examples.html
[6] Center for Care Innovations, Case Study: Sharing and Celebrating HEDIS Bright Spots at Community Health Center Network, 2019. [Online]. Available: https://www.careinnovations.org/resources/case-study-hedis-bright-spots-community-health-center-network/
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