AT THE POINT OF CARE
WHAT are Data Diagnostics®?
Data Diagnostics® is a suite of hundreds of real-time patient-specific data analyses that clinicians can order individually on demand at the point of care within their existing workflow to identify and address gaps in quality, risk, utilization and medical history insights. Unseen in the industry today, the solution supports the healthcare industry's transition from volume- to value-based healthcare by providing actionable insight for improving clinical and quality outcomes as well as financial performance for practices, health plans, ACOs, hospitals and other providers across the healthcare community in real time.
Data Diagnostics® HELP?
Data Diagnostics® are transformative, bringing the benefits of big data, and real time speeds to the point of care - delivering tremendously valuable insights precisely when and where clinicians need them.
Unseen in healthcare today, Data Diagnostics® help clinicians identify and address gaps in quality, risk, utilization and medical history insights, supporting improvement in clinical and quality outcomes and financial performance across the healthcare community in real time.
Each of the cases below illustrates how Data Diagnostics® deliver on real-time insights at the point of care.
Quality-Related Data Diagnostics® allow clinicians to gain on-demand insight into patient's historical, current, or predicted clinical and quality status under models such as NCQA HEDIS®, Medicare Advantage 5-Star Quality bonus programs, managed Medicaid quality incentive programs such as New York's QARR program, the Affordable Care Act's commercial Quality Reporting System (QRS), and Accountable Care Organization (ACO) quality performance hurdles for shared savings, and a multitude of other quality performance programs that now are used to measure quality and dictate billions of dollars of annual incentive bonuses. The results of quality-related Data Diagnostics® inform clinicians on precise quality measure status and provide insight to facilitate improvements to quality measurements for the patient.
Historical Data-Related Data Diagnostics® allow clinicians to gain on-demand insight into historical disease progression, laboratory results, medication adherence, cardiac tests, vaccination histories, surgical procedures, and other factors, which can materially aid in the clinician's evaluation of the acutely ill and previously unknown patient, new patient intakes, specialty consultations, and other valuable patient assessments. The results of Historical Data-Related Data Diagnostics® can save significant amounts of encounter time, improve the targeted nature of exams, save lives when patients are unable to provide data accurately or are previously unknown to a physician or emergency department, and save costs by avoiding unnecessary duplicative evaluations or tests.
Risk Score-Related Data Diagnostics® allow clinicians to gain on-demand insight into historical risk score status, progression, diagnosis contributors and predicted future progression across all major risk score models, including Medicare Advantage, state-specific managed Medicaid, commercial Affordable Care Act, and Accountable Care Organization (ACO) models. The results of Risk Score-Related Data Diagnostics® provide insight to support the achievement of patient risk score accuracy, supporting accurate disease burden documentation of unaddressed or worsening conditions, and appropriate reimbursement accuracy.
Data Diagnostics® are transformative, bringing the benefits of big data, and real time speeds to the point of care - delivering valuable insights precisely when and where clinicians need them. Leveraging two of the world's largest datasets of clinical, claims, quality and laboratory data, including Quest's 20 billion clinical laboratory test results and Inovalon's clinical datasets of more than 137 million patients, with Inovalon's advanced analytical breadth and speed, Data Diagnostics® are seamlessly integrated within Quest's more than 200,000 Quest Care360® installations and nearly 600 electronic health record (EHR) platforms, serving over half of the physicians and hospitals in the United States. This solution enables clinicians to order and access high-value analytical reports within their existing clinical workflow, receiving results in seconds, a functionality that is integral to bringing the power of big data to the point of care in real time.
Waste Avoidance-Related Data Diagnostics® allow clinicians to gain on-demand insight into factors impacting care costs, such as medication prescription formulary alternatives, back imaging, head imaging, and acute care utilization. The results of Waste Avoidance-Related Data Diagnostics® provide insight into the how unnecessary duplication of tests can be avoided, less expensive formulary alternatives can be identified, and high-cost patient behaviors can be addressed.
Eligibility-Related Data Diagnostics® allow clinicians to gain on-demand insight into patient eligibility for payment and/or support programs related to care, support, rehabilitation and more. The results of Eligibility-Related Data Diagnostics® provide insight for clinicians, administrators and patients to determine payer eligibility (e.g. Medicaid eligibility status), state-specific program eligibility (e.g. NY DSRIP), and patient-specific support eligibility (e.g. a local Diabetes Support Program or Cystic Fibrosis Home Care Nurse Support Program).
Custom Data Diagnostics®
Custom Data Diagnostics®
Healthcare organizations participating with the Data Diagnostics® platform can request custom analytics to be developed for clinicians to order on demand; receiving responses back in real time directly within their existing clinical workflow. Examples would include analysis to provide insight into custom formulary optimization, custom quality and care measures, custom state-specific or organization-specific pay-for-performance (P4P) measurements, custom pre-approval or screening criteria, custom patient eligibility indicators for specific support programs such as diabetes support or asthma support programs, and many other examples.
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