Data platform · the foundation

The features don't matter if the data is wrong.

Ask any quality director why their last platform failed and the answer is rarely the features — it's that the data never mapped correctly to their EHR and programs, the measures quietly undercounted, and they stopped trusting the numbers. Quaility starts here: every source unified into one identity-matched record, with the mapping proven measure by measure before you rely on a single dashboard.

The architecture

Every source in. One record out. Everything else on top.

Sources land in a universal patient record built on an open healthcare data model. Measures, outreach, and analytics all compute on the same reconciled truth.

EHR clinical dataincl. eClinicalWorks
Claims & eligibilityplan files, ADT feeds
Payer portalsvia robotic process automation
Schedulingappointments, no-shows
Universal patient record open data model · identity-matched
encountersconditionslabsmedicationsclaimseligibilityimmunizationsreferralsvitalssocial history
39 quality measurescomputed nightly
AI outreachvoice + SMS agents
Dashboards & UDSself-serve analytics

Measure mapping validation

The difference between data that flows
and data that actually counts.

Connecting a feed is the easy part. The part that sinks most platforms: making sure your EHR's codes actually register against each quality program's logic. When a code isn't mapped, the measure doesn't error — it just silently undercounts, and you find out at reporting time. Quaility checks every measure against your live data and tells you, up front, exactly where the mapping holds and where it needs a fix.

  • Code-hit detection per program. For every measure, we test whether your EHR codes are landing against its numerator, denominator, and exclusion logic — or falling through.
  • Gaps flagged, never hidden. An unmapped code or unlinked feed surfaces as “needs mapping,” with the measure and the missing volume named — not as a quietly low rate.
  • Mapping intervention, then re-validation. Our team maps the gap, and the same check confirms the events now land. Coverage is something you can see, measure by measure.
  • So the numbers earn trust. You reach a record you believe — instead of acknowledging the tool is off and reconciling by hand forever.
Quaility · measure mapping coverage
Colorectal cancer screening✓ mapped · 98% captured
Diabetes: HbA1c control✓ mapped · 96% captured
Depression screening + follow-up⚠ 2 codes unmapped · 34% missing
Childhood immunization⚠ registry feed not linked
Blood-pressure control✓ mapped · 99% captured
2 measures queued for mapping intervention

Illustrative coverage view — the unmapped depression codes would otherwise have undercounted that measure by a third.

The record

20+ clinical entity types, one shape

Every source maps into the same open model — so a lab is a lab whether it came from your EHR, a claim, or a payer file.

Patients & demographics Encounters Conditions Procedures Labs & results Medications Pharmacy fills Immunizations Allergies Vitals Observations Medical claims Eligibility & coverage Referrals Appointments Providers Locations Social history Care-gap status Outreach outcomes …and more

Identity matching

One patient, five spellings, zero double-counting

Probabilistic identity matching (EMPI) links the same person across your EHR, claims, and payer files — even when names, addresses, and IDs disagree.

  • Confidence thresholds. High-confidence matches link automatically; borderline ones never link silently.
  • Human review queue. Judgment calls go to a person, with both records side by side.
  • Audit trail. Every link and unlink is logged — who, when, and on what evidence.
Maria Rodriguez EHR · chart #48211
DOB03/14/1987
Phone(213) 555-0164
Address1042 W 54th St
VS
M. Rodriguez-Lopez Payer eligibility file
DOB03/14/1987
Phone(213) 555-0164
Address1042 West 54th Street
87% match · queued for human review Decision logged to audit trail

Where APIs end

No export button? We built one.

Some payer portals offer the data you’re entitled to — care-gap rosters, quality reports — with no export and no API. Robotic process automation retrieves it on a schedule, the way a very patient staff member would, with every step logged.

  • Scheduled, not heroic. Runs nightly instead of someone’s Friday afternoon downloads.
  • Your data, your right. It only retrieves what your contracts already entitle you to see.
  • Fully logged. Each run is recorded end to end, so retrieval is auditable like any other pipeline.

Automation run · payer portal

02:00Scheduled run started
02:00Portal session established
02:01Quality roster located · 3 files
02:02Care-gap file parsed → universal record
02:02Run completed · full log archived
✓ Completed Nightly schedule Every step logged

Data quality

Your dashboards never quietly lie

The most dangerous data problem is the one nobody notices. Every pipeline run gets checked — and when something’s off, your team hears about it before the dashboards mislead anyone.

Anomaly alerts

If patient counts spike, drop, or drift outside expected variance on a pipeline run, the platform flags it. A duplicate file or a truncated feed shows up as an alert — not as a mysteriously great quarter.

Pipeline freshness

Every feed carries a last-loaded timestamp, and stale feeds are surfaced explicitly. “When was this data refreshed?” has an answer on the page, not in a support ticket.

Checks on every run

Data-quality validation runs with every pipeline execution, not as a quarterly cleanup project. Problems get caught the night they happen, while the cause is still fresh.

Onboarding

From connected to trusted — not “connected, then resigned”

The usual rollout: a long integration, a launch, and a slow realization that the numbers are off — so the team keeps a spreadsheet on the side and never quite trusts the platform. Quaility's onboarding is built to reach trust quickly, by making coverage visible instead of asking you to take it on faith.

1 · Connect your sources

EHR, claims, eligibility, scheduling, and payer portals land in the universal record — including the feeds with no export, via robotic process automation.

2 · Validate the mapping

Every measure is tested against your live data. You get a coverage view: what's landing, what isn't, and the exact volume at stake — before anyone relies on a dashboard.

3 · Close the gaps

We map the unmapped codes and link the missing feeds, then re-run the same check until the measures you care about land. No silent undercounting carried into go-live.

4 · Go live on numbers you believe

Outreach, worklists, and reporting switch on over a record you've already seen validated — so the platform earns trust on day one instead of losing it by month three.

Measures

39 quality measures, computed nightly on the unified record

Screenings, chronic disease control, behavioral health, maternal health, immunizations, medication safety — with transparent numerator, denominator, and exclusion logic. Custom and state-specific measures run on the same engine.

State program with an unusual denominator? Internal measure no vendor supports? Custom measures run on the same engine.

No black box

Built on an open-source healthcare data model

Your record lives in an open, documented model — not a proprietary schema you can’t inspect. You can see how every table is shaped, verify how every measure is computed, and export your data in a form other tools understand. If you ever leave, your data leaves with you.

Why the data layer is the difference

The federal data says it too: the EHR is not the ceiling.

We analyzed HRSA's 2024 quality data for all 1,510 federally funded health centers against the EHR vendor each one reports. The gaps between vendors are real — and the spread within every vendor is three times bigger. What separates the top decile isn't the EHR. It's the layer on top of it.

14 ptslargest gap between EHR vendors' median cervical screening rates (Epic direct 60.6% vs NextGen 46.3%)
33–47 ptsspread between the 10th and 90th percentile of centers on the same EHR
67.8%top-decile eClinicalWorks centers' cervical screening — beating the median Epic center (60.6%)

Source: HRSA UDS 2024, all Health Center Program awardees + look-alikes; medians, denominator ≥ 30. Full methodology, charts, and file hashes in the EHR Quality Gap report.

The platform in numbers

What the foundation carries

20+clinical entity types in the universal patient record
39quality measures computed nightly
3+source systems unified at our first deployment
Nightlyfull refresh, with data-quality checks on every run

Measured at our first deployment — a Los Angeles community health center.

See it on your own data

Watch our AI call a patient.
Then imagine it calling thousands of yours.

A 30-minute demo: live AI outreach, your quality measures on a unified record, and an honest conversation about what we'd build for your workflows.