What We Do
Strategic Insight. Operational Discipline. Measurable Progress.
HEDIS Edge Solutions identifies the operational blind spots that constrain healthcare performance. We examine how leadership decisions translate into daily work, establish clear ownership, and guide implementation across practice operations, quality programs, and provider networks.
Healthcare Operations & Leadership
Build an Organization Equipped to Execute.
Support includes
- Operational assessments and workflow redesign
- Leadership accountability and decision-making responsibilities
- Scheduling, workload allocation, and protected follow-up time
- Standard operating procedures and implementation guidance
- Executive advisory and performance reporting
Typical deliverables
A prioritized operational roadmap, defined responsibilities, documented workflows, and a structured schedule for reviewing progress and resolving barriers.
Quality Improvement & Value-Based Care
Make Quality a Daily Operating Discipline.
Support includes
- HEDIS and Medicare Stars improvement operations
- Care-gap identification, tracking, and follow-through
- Risk adjustment documentation workflows
- Population health and chronic disease program operations
- Transitions of care and referral coordination
- PCMH transformation and recognition readiness
Quality Programs We Support
HEDIS and Medicare Stars
Care-gap tracking, follow-through, and quality workflow support.
PCMH (Patient-Centered Medical Home)
Practice transformation and NCQA recognition-readiness support.
Official resources:
NCQA's PCMH recognition program and CMS's MIPS program are separate programs with distinct requirements. These links are provided as reference resources. HEDIS Edge Solutions is not affiliated with, endorsed by, or registered with NCQA or CMS.
Typical deliverables
A defined care-gap management process, assigned responsibilities, escalation pathways, and a performance scorecard aligned with agreed priorities.
Quality outcomes, payer payments, and recognition or certification are not guaranteed.
Provider Network & IPA/MSO Development
Create the Structure Behind a Stronger Network.
Support includes
- Operational design for provider networks, IPAs, and MSOs
- Provider onboarding and engagement
- Leadership and committee responsibilities
- Coordination workflows and escalation pathways
- Provider performance reporting
- Expansion readiness and implementation planning
Typical deliverables
A network operating roadmap, standardized onboarding process, defined responsibilities, and a reporting framework to support coordinated growth.
IPA/MSO services address operational development; legal formation and legal advice remain with the client's counsel.
EMR Experience
Connect Your Technology to the Way Your Team Works.
An EMR's value depends on how effectively people use it. We assess documentation, task ownership, care-gap follow-up, and reporting workflows within your existing environment—then identify practical improvements that support consistent execution.
Our experience includes:
Working with another platform? We assess your system and workflow requirements during discovery.
EMR names describe platform experience and do not imply vendor affiliation, endorsement, or certified integration.
Staff Training
Focused Training for Defined Workflows
Focused training can support adoption when a team needs help with a defined workflow or quality topic. Workshops and custom training programs are separately scoped.
View Training OfferingBring Clarity to Your Next Operational Decision.
Start with a focused conversation about your organization's priorities, barriers, and the level of support required.
Request a Consultation