OmniQ™
The Unified Source of Quality
The OmniQ layer of Smile Omni is focused on clinical quality measurement and intelligence. It enables organizations to aggregate , calculate, analyze, and operationalize quality measures using FHIR®-native, computable logic (CQL), transforming quality programs from retrospective reporting into proactive insight and action.
Healthcare experience delayed, retrospective quality reports and analytics based on data from disjointed systems. OmniQ solutions operate on governed data foundations provided by OmniVera to operationalize quality programs across payers, providers, and regulators.
Computable data foundation ensures quality intelligence remains predictable, reproducible, and trusted across the enterprise. With a unified source of quality data, organization experience:
Consistent Interpretation
Consistent proactive quality measures executed across programs, departments and populations.
On-time Insights
Continuous insights surface close to the point of action, not ~18 months later.
Ease of Scale and Upgrades
Updates to measures and logic once applied can scale and propagate consistently.
Trust through Auditability
Quality measurement results are accurate, explainable, comprehensive, audit-ready and actionable.
Ecosystem Consistency
Payers and providers see the same gaps using shared data and logic, which reduces friction.
OmniQ has proven success aligned with value-based care initiatives in the most demanding healthcare settings
Powers digital quality programs like HEDIS®, MIPS, Star Ratings, Medicare, Medicaid, and custom quality initiatives.
Mega-volume population data for over 16M people processed against measure logic in under 2 hours.
Trust in quality outcomes, with minimal variation between traditional or hybrid methods compared to fully digital.
Delivers near-real-time scoring and continuous population monitoring.
Explainable and traceable insights essential for confident decision making, audits and quality compliance.
The True Cost of Delayed Quality
Many quality reports in healthcare are generated more than 18 months after an incident. The delay is caused by fragmentated, unstructured and low-quality data locked in rigid IT systems. That delay carries hidden costs: opportunities for early intervention are lost, avoidable clinical and administrative effort, and quality programs that remain reactive.
Smile OmniQ solutions are a unified quality layer atop the OmniVera foundation that shift organizations from retrospective reporting to proactive improvement. By aligning data, logic, and insight, OmniQ reduces operational friction and creates a reliable foundation for continuous quality performance that can scale.
By executing standards-based logic directly on computable data, OmniQ solutions deliver accurate, explainable insight that surfaces care gaps, member and population trends, and quality signals at the moment they matter, supporting operational, clinical, and quality decisions in real time. Rather than treating intelligence as an end state, Payers now have the capability to continuously embed quality into everyday operational workflows.
Real-time Intelligence Powered by Computable Data Has Many Benefits, Including
Action clinical data insights with FHIR-native data models and CQL logic.
Reducing quality measurement cycles from years into minutes, saving operational costs and admin burden.
Continuous quality measurements monitoring, boosts quality scores and reduces administrative burden.
Confidence with real-world Digital HEDIS® measure transformation, aligned with NCQA.
Preemptive operational alerts like care gaps improve care outcomes.
Deliver Clinical Decision Support at the point of care, reducing provider burden.
License and Deploy Quality and Intelligence Solutions to Transform Your Quality Landscape
OmniQ solutions span regulated quality measures, custom measures and operationalized intelligence that brings insights into everyday workflows. Each solution operates on the same shared, computable foundation to ensure consistent results across programs.
dQM - Measures for HEDIS®
NCQA-led Transformation to Fully Digital HEDIS by 2030
dQM - Measures for HEDIS is a fully NCQA-validated solution that delivers standards-based digital quality measurement using FHIR and CQL. It executes regulated quality measures directly on aligned, computable data to produce accurate, explainable results that support payer and provider programs.
Who it’s for
Organizations participating in regulated digital quality programs.
Why it matters
Aligned with NCQA, it transforms the quality lifecycle with computable data and traceable logic. Increases member and provider satisfaction and significantly reduce admin burden.
dQM - Custom Measures
Extend Computable Data to Unique Custom Measures
dQM - Custom Measures enables organizations to author and execute custom digital measures using the same FHIR standards-based approach, beyond fixed quality programs. It supports internal initiatives, state-specific measures, and emerging programs (using aligned data and reusable logic) without reinventing workflows and logic.
Who it’s for
Organizations extending digital measurement beyond fixed regulatory programs.
Why it matters
It provides flexibility without sacrificing consistency, traceability, or trust.
Intelligence Hub
Operationalize Quality Intelligence
Intelligence Hub transforms aligned, computable data into near-real-time quality intelligence that supports operational action at the moment decisions are made. It surfaces care gaps, population trends, attribution and risk signals, and quality performance indicators preemptively and continuously, using FHIR and CQL-based logic executed directly on computable data.
Who it’s for
Teams responsible for quality improvement, population health, and operational decision‑making.
Why it matters
Embedding intelligence into workflows teams can move from insight generation to measurable improvement in near real-time.
Real-time Quality Intelligence
OmniQ operates on the trusted data foundation provided by OmniVera and works alongside OmniCompli and OmniConcierge to ensure quality measurement and intelligence are consistent, explainable, and operational across the enterprise.
Speak with Our Team
See how OmniQ powers your modernization strategy with clarity,
consistency, and confidence.