Our Certifications
We are on a mission to transform healthcare — see what certifications we've earned to enable client success.
The cornerstone of our commitment to you is our trusted brand. From the ingestion of health information to the delivery of analytics, our conformance to privacy and security standards coupled with proven usability provides the foundation for excellence in our platform. Explore our certifications to learn more about how we are providing a comprehensive technology platform to solve the most complex and demanding health care data needs.
NCQA eCQM Certification ™
NCQA’s eCQM Certification is precise, automated testing that verifies compliance with eCQM specifications and the ability to report eCQMs using the Quality Reporting Document Architecture (QRDA) Categories I and III. Automating testing logic increases the rigor of measure review and improves the accuracy of reporting measures that are based on complex software logic.
- Health plans can save time and money by using NCQA-certified logic to produce standard supplemental data for Health Effectiveness Data Information Set (HEDIS) reporting, a requirement of Health Plan Accreditation.
- Eligible providers and hospitals can use validated logic to use in reporting quality measures to CMS for the Quality Payment Program, as well as NCQA’s Patient-Centered Medical Home (PCMH).
2020 NCQA-Certified eCQMs
- CMS 122 Diabetes: Hemoglobin A1c (HbA1c) Poor Control
- CMS 124 Cervical Cancer Screening
- CMS 125 Breast Cancer Screening
- CMS 127 Pneumococcal Vaccination Status for Older Adults
- CMS 128 Anti-depressant Medication management
- CMS 130 Colorectal Cancer Screening
- CMS 131 Diabetes: Eye Exam
- CMS 134 Diabetes: Medical Attention for Nephropathy
- CMS 139 Falls: Screening for Future Fall Risk
- CMS 146 Appropriate Testing for Children with Pharyngitis
-
CMS 154 Appropriate Treatment for Children
with Upper Respiratory Infection (URI) -
CMS 155 Weight Assessment and Counseling for
Nutrition and Physical Activity for Children and Adolescents - CMS 159 Depression Remission at Twelve Months
- CMS 165 Controlling High Blood Pressure
- CMS 347 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
2019 NCQA-Certified eCQMs
- CMS 117 Childhood Immunization Status
- CMS 122 Diabetes: Hemoglobin A1c Poor Control
- CMS 124 Cervical Cancer Screening
- CMS 125 Breast Cancer Screening
-
CMS 127 Pneumonia Vaccination Status
for Older Adults - CMS 128 Anti-depressant Medication management
- CMS 130 Colorectal Cancer Screening
- CMS 131 Diabetes: Eye Exam
- CMS 134 Diabetes: Medical Attention for Nephropathy
-
CMS 137 Initiation and Engagement of Alcohol and
Other Drug Dependence Treatment
- CMS 139 Falls: Screening for Future Fall Risk
-
CMS 146 Appropriate Testing for Children
with Pharyngitis - CMS 153 Chlamydia Screening for Women
-
CMS 154 Appropriate Treatment for Children
with Upper Respiratory Infection (URI) -
CMS 155 Weight Assessment and Counseling for
Nutrition and Physical Activity for Children and Adolescents - CMS 159 Depression Remission at Twelve Months
- CMS 165 Controlling High Blood Pressure
NCQA Patient-Centered Medical Home Prevalidation
KPI Ninja’s Ninja Universe is prevalidated by NCQA for 22 PCMH Criteria areas totaling 29 transfer credit components plus practice support for an additional 19 components toward NCQA’s PCMH 2017 scoring.
NCQA’s PCMH Prevalidation includes a rigorous evaluation of a submitted health IT solution’s functionality including but not limited to, reporting functions, report examples, screen shots, live demonstrations and other relevant documentation. Based on the review of information submitted above, NCQA approves or declines autocredit based on PCMH factor-level requirements and designates for which factors a product is able to “support” practices.
"We are very excited to see our partner, KPI Ninja, achieve this recognition. Their analytics platform has allowed us to improve outcomes and efficiency by reducing the amount of manual abstraction required. Through this we have been able to build the trust of our providers and have focused on improving quality outcomes for our community. By achieving Prevalidation, KPI Ninja is further demonstrating their commitment to our value-based care journey and helping to improve our operations and ability to easily show the value we offer to our patients and communities."
Tyler Toline
President/CEO, Franciscan Care Services, Inc.
NCQA Patient-Centered Specialty Practice Prevalidation
NCQA’s PCSP Prevalidation evaluates Electronic Health Record systems, advanced registries, population health management tools, care coordination tools, patient engagement tools and other related health technology solutions providing functionality that completely meet or support factor-level requirements within applicable NCQA PCSP Standards.
If a health IT solution completely meets the functional requirements of a given factor, automatic credit, “autocredit” points are awarded. If the health IT solution provides significant functionality that aligns with the requirements of the PCMH standards for a given factor, but does not fully meet the factor level requirement, a “supporting” designation is awarded. Once a solution receives autocredit or a supporting designation for one or more factors, it is considered “Prevalidated.” Practices that use an NCQA Prevalidated system with autocredit awarded to a factor do not have to submit documentation for that associated factor within their PCSP Survey.
"Whether you are an independent provider or a large health plan, measuring and improving quality impacts all of us in health care. KPI Ninja is the only vendor to hold NCQA’s eCQM Certification as well as PCMH and PCSP Prevalidation status. This level of recognition communicates their deep commitment and robust capability to support value-based care and leave a footprint in the health care landscape."
Rick Moore
Former Chief Information Officer at NCQA
NCQA Measure Certification
NCQA’s HEDIS Health Plan Measure Certification℠ is precise, automated testing that verifies compliance with HEDIS Specifications.The program’s automated testing processes increase the rigor of a HEDIS measure review and improve measures’ accuracy. Certification helps health plans and other reporting organizations find vendors that can help them meet their reporting goals.
- “HEDIS Health Plan Certified Measures℠ is a service mark of the National Committee for Quality Assurance (NCQA)”
- “The Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of NCQA.”
MY2021 HEDIS Certified Measures
- ADV Annual Dental Visit
- AHU Acute Hospital Utilization
- AMM Antidepressant Medication Management
- BCS Breast Cancer Screening
- CBP Controlling High Blood Pressure
- CCS Cervical Cancer Screening
- CHL Chlamydia Screening in Women
- CIS Childhood Immunization Status
- COA Care for Older Adults
- COL Colorectal Cancer Screening
- CDC Comprehensive Diabetes Care
- EDU Emergency Department Utilization
- HPC Hospitalization for Potentially Preventable Complications
- HFS Hospitalization Following Discharge from a Skilled Nursing Facility
- IPU Inpatient Utilization – General Hospital/Acute Care
- MPT Mental Health Utilization
- OMW Osteoporosis Management in Women Who Had a Fracture
- PCR Plan All-Cause Readmissions
- SPC Statin Therapy for Patients with Cardiovascular Disease
- SPD Statin Therapy for Patients with Diabetes
- TRC Transitions of Care
- URI Transitions of Care
- WCV Child and Adolescents Well-Care Visits
MY2020 HEDIS Certified Measures
- ADV Annual Dental Visit
- AMM Antidepressant Medication Management
- ART Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis
- BCS Breast Cancer Screening
- CBP Controlling High Blood Pressure
- CDC Comprehensive Diabetes Care
- CHL Chlamydia Screening in Women
- COA Care for Older Adults
- COL Colorectal Cancer Screening
- EDU Emergency Department Utilization
- IPU Inpatient Utilization – General Hospital/Acute Care
- OMW Osteoporosis Management in Women Who Had a Fracture
- PCR Plan All-Cause Readmissions
- SPC Statin Therapy for Patients with Cardiovascular Disease
- SPD Statin Therapy for Patients with Diabetes
- TRC Transitions of Care
- WCV Child and Adolescents Well-Care Visits
ONC Health IT Certification
This Health IT Module is 2015 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.
Product Information
- Organization: KPI Ninja, Inc.
- Product: Ninja Universe, 15.1
- Certification Number: 15.99.04.3078.Ninj.01.00.0.200629
- Certification Date: 06/29/2020
- Additional Software Used: None
Certification Criteria
- c.3: Clinical Quality Measures - Report
- d.1: Authentication, Access Control, Authorization
- d.2: Auditable Events and Tamper Resistant
- d.3: Audit Reports
- d.5: Automatic Access Time-Out
- d.12: Encrypt Authentication Credentials
- d.13: Multi-Factor Authentication
- g.4: Quality Management System
- g.5: Accessibility-Centered Design
Clinical Quality Measures Certified
- CMS 117 Childhood Immunization Status
- CMS 122 Diabetes: Hemoglobin A1c Poor Control
- CMS 124 Cervical Cancer Screening
- CMS 125 Breast Cancer Screening
-
CMS 127 Pneumonia Vaccination Status
for Older Adults - CMS 128 Anti-depressant Medication management
- CMS 130 Colorectal Cancer Screening
- CMS 131 Diabetes: Eye Exam
- CMS 134 Diabetes: Medical Attention for Nephropathy
-
CMS 137 Initiation and Engagement of Alcohol and
Other Drug Dependence Treatment
- CMS 139 Falls: Screening for Future Fall Risk
-
CMS 146 Appropriate Testing for Children
with Pharyngitis - CMS 153 Chlamydia Screening for Women
-
CMS 154 Appropriate Treatment for Children
with Upper Respiratory Infection (URI) -
CMS 155 Weight Assessment and Counseling for
Nutrition and Physical Activity for Children and Adolescents - CMS 159 Depression Remission at Twelve Months
- CMS 165 Controlling High Blood Pressure
updated August 2020
Costs and Disclosures
- This certified product-version may require one-time and monthly costs to establish interfaces for importing, calculating, filtering, recording, exporting and reporting clinical quality measures (c.1, c.2, c.3, c.4). The one-time costs are required for initial integration of the existing data sources into KPI Ninja’s Ninja Universe platform. The monthly costs are to support the following activities: analytics as a service offering, support, ongoing product maintenance and enhancements. There may be additional costs for integrations or statement of work outside the typical scope of the project or service, as identified in the Master Services Agreement.
- Contractually, the provider must sign a contract and the limitations are generally described in the Master Services Agreement.
- KPI Ninja supports Multi-factor Authentication (MFA) within the Ninja Universe platform for all user roles, if desired, for remote access. Users have a password and will get a code via the user’s phone or email address for validation purposes.
For more information about how Ninja Universe demonstrates functionality of its certified criteria in real world settings and scenarios, please refer to our Real World Testing plan or visit the Certified Health IT Product List.
eHealth Exchange Validated Product
- The eHealth Exchange Product Testing Program was developed to provide a high degree of assurance that systems developed for use by eHealth Exchange participants conform to the eHealth Exchange Performance Specifications and underlying standards and interoperate with other systems without error or further customization, while remaining conformant.
- Vendors that successfully pass a rigorous set of required conformance tests help significantly reduce the level of effort and cost to any organization that onboards using an eHealth Exchange Validated Product.
"Providers and teams in every health care setting are focused on value-based care and how the seamless exchange of patient information can be the enabler of better outcomes and contract success. Becoming an eHealth Exchange Validated Product expands upon and reinforces our commitment to support our clients as they look to improve outcomes with technology and analytics built on the most comprehensive, up-to-date health information."
Naren Parimi
Chief Technology Officer KPI Ninja
NCQA Data Aggregator Validation (DAV) Certified Data Partner
NCQA’s Data Aggregator Validation program evaluates clinical data streams to help ensure that health plans, providers, government organizations and others can trust the accuracy of aggregated clinical data for use in Healthcare Effectiveness Data and Information Set (HEDIS®) reporting and other quality programs.
- A Certified Data Partner is an organization that does not have legal access to data to conduct primary source verification but may meet other DAV standards and supports DAV Aggregators (Responsible Parties) for validation of the data stream.
- KPI Ninja is certified for certain standards within the program, showing that we are a good partner to support organizations that want to get data streams validated by NCQA. The standards for which KPI Ninja are certified on are portable, which means customers of KPI Ninja wishing to get data streams validated will have a reduced lift during the Data Aggregator Validation process.
"KPI Ninja brings technical expertise and innovation that directly supported our success in achieving DAV status for WISHIN. KPI Ninja is a leader in advancing value-based care, and we are proud to partner with KPI to enable better health outcomes."
Joe Kachelski
CEO, WISHINAbout Us
KPI Ninja is a mission-driven company that offers technology solutions that enable and empower those that work in the health care enterprise. Our innovative products are renowned for their powerful capabilities, flexible configurations, and comprehensive applications to truly fulfill the promise of data-driven health care.
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2900 S. 70th St. Suite 260,
Lincoln, NE 68506