The rest of the measures are tallies of such things as ER visits or vaginal births. That is hard to do with a limited number of people. You can't staff-up for four months, so you end up having to pull knowledgeable staff members off other projects during this period to address the increasing demands. Now, it's much more than a matter of 'just getting something out' and reporting is significantly more complex. Oh, those specs.
Most measures require that.
But that takes interpretation, and even for people who know their data, it would take a long time to come up with NCQA's view of continuous enrollment. You've got to work with it during the reporting year, look for ways to improve your methods and procedures and let your data work for you. This product gathers the information, and including time needed to learn the process, it takes maybe an hour per measure. I'm glad to report that their subsequent audits have been considerably better. They have learned a tremendous amount from going through the audit process.