Finding the right solution
The best value-based care enablement solution offers risk analytics, quality measures management, risk scoring and financials that can be accessed from a single-source, cloud-based platform and combined with advanced clinical connectivity. This not only helps stakeholders close gaps in care, but also enables them to recapture hierarchical condition category codes (HCCs) and manage utilization to reduce the cost of care.
Look for a solution that is meaningful use-certified and offers a robust Healthcare Effectiveness Data and Information Set (HEDIS) engine that is National Committee for Quality Assurance (NCQA)-certified for all measures. This meets the need for a complete interoperable solution that aligns the payer, provider and patient with one view.
The right solution also offers real-time data insights captured from disparate sources, allowing 360-degree visibility into the patient’s health status based on information from EHRs, HIEs, claims, labs, pharmacy and hospital sources. The aggregation of data from these sources gives users real-time data transparency and patient-level drill-down dashboards. This improves workflow and collaboration opportunities and breaks down departmental silos across the organization.
Look for these important solution capabilities:
• Connects data sources and bi-directional data feeds between systems
• Extracts continuity of care document (CCD) data
• Enables providers to receive real-time insights while the patient is in office
• Offers FHIR-enabled API standards for EHR connectivity and seamless data exchange at the point of care
Now more than ever, hospitals and health systems must be able to tap into the power of fully interoperable digital health records. This level of information at the point of care promotes accountability to patients and serves as a solid foundation for value-based care by allowing healthcare providers to share data, measure outcomes and improve (and be rewarded) for the quality of care and improved outcomes.
About the author: Josh Hetler is the executive vice president for business intelligence at DataLink.Back to HCB News
