1. What are Data Diagnostics®?
Data Diagnostics® is a suite of hundreds of patient-specific data analyses that can be ordered individually on demand by clinicians at the point of care within their existing workflow. The solution helps 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.
Data Diagnostics® will be at the center of patient care by giving medical personnel valuable insight into patients, which was previously unavailable. The instant access to historical patient information and the capability to allow clinicians to order advanced analytics for their patients on demand will allow medical staff and responders to make comprehensive decisions on patient care, empower medical personnel to more quickly assess the patient, and will enable more efficient and successful care.
The solution draws on 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 on more than 158 million patients.
Data Diagnostics® are also unique for providing seamless integration within Quest's more than 200,000 installations of Care360®, more than 600 supported EHR platforms, and lab ordering and connectivity platforms serving approximately half of the physicians and hospitals in the United States. This integration means physicians can readily order and access Data Diagnostics® reports within their existing clinical workflow, a functionality that is key to bringing the power of big data to the point of care in real time.
The launch includes several categories of analyses designed to assist health plans, accountable care organizations (ACOs), hospitals, integrated healthcare delivery systems, provider organizations, and individual physicians to achieve superior patient care, strong clinical and quality outcomes, utilization efficiency, and overall financial performance. Available through more than 200,000 Quest Care360® installations and more than 400 electronic health record (EHR) platforms that are interconnected with the Quest information platform, the national roll-out of Data Diagnostics® will bring real-time insights and analytics to the point of care inside of the existing clinical workflow at approximately 50% of all U.S. physician offices and 50% of all U.S. hospitals.
2. What are real-word examples of issues that are addressed by ordering Data Diagnostics®?
A physician's patient can't recall what medications have been prescribed for them, or is worried that there may be some confusion around different physicians ordering a potentially conflicting or dangerous combination of medications.
A physician wants to achieve high quality scores for their patients and they are part of an organization that is incentivized to achieve high quality scores. The problem is that the physician doesn't know specifically what the quality measures are to achieve a high score and what the patient has already achieved vs. still has outstanding to achieve a strong score.
A physician works in an ER and a patient comes in, who has been in a car accident, and is badly injured. They have never been to the hospital before.
A physician is trying to make sure that they are comprehensively paying attention to all of a patient's needs and thoroughly documenting all active conditions. They are part of a healthcare organization whose payments are adjusted for patient disease severity (known as risk-adjusted payments).
3. Who benefits from Data Diagnostics®?
Data Diagnostics® benefit all stakeholders across the health system. Specifics:
4. Why is this transformative for healthcare?
As the U.S. healthcare system transitions from consumption- and volume-based paradigms to quality- and value-based care models, each segment of the healthcare system is under pressure to deliver better care and financial performance.
 IOM report press release, 2012 - www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13444
 Source: Cited from HHS.gov January 26, 2015
 Source: cms.gov 2015 Medicare Advantage rate book and prescription drug information, HHS Final HHS Notice of Benefits and Payment Parameters for 2016, and various SDOH regulations
 Donald M. Berwick and Andrew D. Hackbarth, "Eliminating Waste in U.S Healthcare," JAMA 307, no. 14 (April 11, 2012): 1513-6.
5. What are the Data Diagnostics® Categories?
Data Diagnostics® allow clinicians to request analysis on specific patients on demand, and receive the answer back within seconds. Hundreds of Data Diagnostics® are organized into categories with examples below:
In addition, 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 custom formulary optimization analysis, custom quality and care measures, and many other examples.
6. Do physicians and clinicians need to use a separate platform to access Data Diagnostics®?
No. Physicians can order and receive Data Diagnostics® reports within their current workflow using the same Care360® platform and/or EHR that they use today to order a laboratory test. There is no different process change need.
7. How does an organization take advantage of Data Diagnostics®?
Any healthcare organization (health plan, accountable care organization (ACO), integrated care delivery system, hospital, physician organization, or government program) can become a "Participating Organization", so that the clinicians associated with their organizations can order Data Diagnostics® for the patients associated with their organization.
An organization wanting to become a Participating Organization simply contacts Quest Diagnostics or Inovalon. After completing necessary paperwork, data connectivity is setup and certain datasets pertaining to the organization are integrated with the Data Diagnostics® platform. Quest will provide user education and support so that the physicians associated with the organization will know how to order Data Diagnostics® within Care360® or an EHR platform that is connected to the Quest platform.
Once a Participating Organization is connected and paperwork is completed, physicians can then order Data Diagnostics® for any patient associated with the Participating Organization.
8. Does a physician need to sign up for Data Diagnostics®?
No. The ability to order Data Diagnostics® will automatically appear within a physicians' Care360 platform or interconnected EHR platform. As soon as an organization associated with a patient (e.g. a health plan, ACO, hospital system, etc.) becomes a Participating Organization, Data Diagnostics® can be ordered and paid for by the Participating Organization.
9. How does a clinician order a Data Diagnostics®?
Data Diagnostics® are ordered just like a Quest Diagnostics lab test would be ordered through Quest's connectivity platform - the difference is that a Data Diagnostic is analyzing data and returns an answer within seconds. The results also seamlessly appear within the Quest connectivity platform (i.e, Care360® or the associated EHR).
10. What are the costs associated with Data Diagnostics®?
Participating Organizations pay a small fee monthly to have their data connected to the Data Diagnostics® platform.
Each time a Data Diagnostic is ordered and a report is provided, a fee for the Data Diagnostic is charged to the relevant Participating Organization.
Pricing for a Data Diagnostic ranges depending on the analysis ordered. There are hundreds of different Data Diagnostics; however, the majority of their pricing falls between $15 and $50, depending upon the type of Data Diagnostic ordered.
The Participating Organization is motivated to pay the fee because of the expected savings as a result of more efficient care and improved outcomes and because of the associated financial incentives for meeting federal/state quality, risk and other metrics.
11. How does the privacy protection work? What kind of verification does the system require to assure that the patient consented to this information being shared, and to verify the requester is indeed a physician and treating this particular patient?
Quest Diagnostics and Inovalon take data security very seriously, and have robust processes in place to protect private health information at all stages of the process.
Data Diagnostics® can only be ordered by clinicians registered within Quest's Care360® or EHR connectivity platform. A physician would order an analysis much the same way they would order a lab test from Quest. In order for a Data Diagnostic to be provided, the Quest system or EHR system facilitates an eligibility check of the patient, in which the system validates the proper insurance information and that a payer has authorized the provision of the Data Diagnostic report. Only when this specific healthcare eligibility information is verified will a result be provided, and only to the clinician that ordered the Data Diagnostic. As with any other area of treatment, the physician validates the patient consent for such treatment at the time of service.
12. Do physicians pay per report or do they have to subscribe to this service?
Data Diagnostics® are ordered just like a specimen-based lab would be (the difference is that a Data Diagnostic is analyzing data and returns an answer within seconds). As such, physicians don't need to sign up for the service, as it will appear automatically in the lab compendium as it is rolled out across the nation. Most Data Diagnostics® are paid for by the health plan, ACO, provider organizations, or hospital within a shared-risk arrangement that covers a patient for whom a Data Diagnostic is ordered.
Data Diagnostics® are charged on a per order basis, much like a specimen-based lab, and will drive tremendous value for the health plans, ACOs, provider organizations, and hospital systems (and for physicians who share risk with them) in achieving successful outcomes in clinical and quality outcomes, and financial performance. Pricing for a Data Diagnostics® ranges depending on the analysis ordered.
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