Data Diagnostics®, a Quanum solution: Insights organizations need to promote efficient coordination of quality care
Because your organization is committed to care and driven by data
Today’s healthcare environment demands a lot of your organization and clinicians when it comes to data. As Medicare and private payers shift to a reimbursement strategy that moves away from volume and instead emphasizes quality and outcomes, you must rely on your clinicians to deliver the kind of cost-efficient care that keeps patients well and meets reimbursement benchmarks. The challenges your health system face in staying stay up-to-date on data are numerous and significant.
Real-time, on-demand patient health analytics at the point of care
Data Diagnostics® is a suite of hundreds of patient-specific, real-time analytics that can be accessed on-demand and at the point of care. With Data Diagnostics, physicians can access five distinct data categories that will help them improve patient outcomes and help your organization as a whole to improve financial and operational outcomes. Data Diagnostics will help:
- Enable better clinical decisions for your organization
- Support your population health efforts
- Create opportunities for deeper patient engagement
Easy integration, quick turnaround
Data Diagnostics is easy to implement into your organization. It is seamlessly incorporated into your practice’s workflow through Quanum™ platform and integration with more than 400 supported EHR platforms. In addition, Data Diagnostics provides physicians with cost-effective way to get answers quickly—most requests for data will be fulfilled within seconds.
Data Diagnostics offers five distinct health analytics categories:
What it provides: A comprehensive picture of a patient's historical, current, or predicted clinical and quality status under models such as NCQA HEDIS®, Medicare Advantage 5-Star Quality bonus programs and a multitude of other quality performance programs.
What your organization gains: Information regarding precise quality measure status and insights that help facilitate improvements to quality measurements for the patient.
Historical Data-Related Analytics
What it provides: 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.
What your organization gains: Significant savings in encounter time, improvements in the targeted nature of exams, accurate information when patients are unable to do so or for patients a physician has never seen before, and reduced costs by avoiding unnecessary duplicative evaluations or tests.
Risk Score-Related Analytics
What it provides: Analytics on 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.
What your organization gains: Insight into how to support the achievement of patient risk score accuracy, accurate disease burden documentation of unaddressed or worsening conditions, and appropriate reimbursement accuracy.
Waste Avoidance-Related Analytics
What it provides: Analytics on factors impacting care costs, such as medication prescription formulary alternatives, back imaging, head imaging, and acute care utilization.
What your organization gains: Insight into how to avoid unnecessary duplication of tests, identify less expensive formulary alternatives and address high-cost patient behaviors.
What it provides: Insight into patient eligibility for payment and/or support programs related to care, support, rehabilitation and more.
What your organizations gains: A deeper understanding of 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).
Your organization can take advantage of additional key features
Business intelligence—Gain a view into utilization with visualization reporting that provides details on diagnostic ordering, demographics, results, geo-maps and more—all with drill-down capabilities and at no additional cost.
Custom configurations—Participating organizations can configure custom Data Diagnostics for specific initiatives that can be implemented into the clinical workflow and made available at the point of care, on-demand and in real time. These can include quality measures specific to your organization, formulary considerations, pre-approval or screening criteria initiatives and much more.
Find out more
If you’d like to learn more about Data Diagnostics, please contact your Quest Diagnostics Sales Representative or email us.