The challenge This health system understood the importance of creating a hierarchical condition category (HCC) capture program. The organization invested time, training, education and resources to help develop a comprehensive process. The initial process would: • Optimize the workflow and data from the electronic health record (EHR) as much as possible • Build and share practice advisories that work closely with the clinicians • Educate key stakeholders across the organization • Create and share reports and data based on reviewed claims and dropped opportunities • Provide ongoing education and feedback However, even with this investment and focus, the health system was unable to generate meaningful, real time data due to the claims adjudication timeline. This delay created a lag time

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