Alternatives to Netsmart KPI Dashboards

Utilize analytical insights to minimize variation, enhance the quality of care, streamline care coordination, and manage financial outcomes effectively. Regardless of whether you're functioning within a fee-for-service or a risk-based model, the unparalleled data and analytics capabilities, combined with expert support from Optum® Performance Analytics, can help your organization thrive in the dynamic health care environment. Optum Performance Analytics provides comprehensive clinical and financial longitudinal perspectives on your patients, healthcare providers, facilities, and networks. By merging your varied clinical and claims data with an expanding array of sociodemographic, behavioral, and patient-reported information, you gain a deeper understanding and context. Additionally, Optum Performance Analytics is designed with the adaptability to align with the objectives of any healthcare system. Organizations that need focused guidance can take advantage of pre-built dashboards and opportunity reports that identify ways to improve care and cut costs, ultimately paving the way for more effective health management strategies. As such, adopting these analytics tools not only fosters better patient outcomes but also strengthens the overall operational efficiency of healthcare providers.

Our identity management solutions integrate the healthcare ecosystem, ensuring a thorough care record throughout the entire organization. By utilizing our premier Enterprise Master Patient Index (EMPI), we assist organizations in navigating the clinical, operational, and financial obstacles posed by duplicate records and isolated systems, which leads to improved data sharing, better clinical decision-making, and enhanced patient care. With our top-tier EMPI, your organization can provide superior and more efficient care by creating a single, definitive record that associates the correct patient with the appropriate data. AUGMENT capitalizes on newly accessible data streams that transcend traditional referential matching, significantly improving patient matching accuracy and streamlining workflow automation. Furthermore, achieve operational efficiencies by consolidating information regarding healthcare providers within your organization into a centralized hub. This holistic approach not only enhances patient outcomes but also fosters a more interconnected healthcare environment.

Jvion transcends conventional predictive analytics by uncovering concealed patient risks associated with various diseases and clinical scenarios while also assessing whether those risk patterns can be redirected toward more favorable outcomes. Utilizing our prescriptive AI, we offer tailored recommendations for individual patients by considering a range of factors, including clinical, socioeconomic, and behavioral data, along with established best practices. With this insightful information, healthcare organizations are empowered to enhance quality, reduce costs, and elevate the overall patient experience. We analyze a wide array of clinical, socioeconomic, environmental, and behavioral data to uncover hidden health and financial vulnerabilities. By evaluating modifiable patient characteristics, we can formulate targeted action plans for each individual. Our approach delivers evidence-backed, prioritized, and patient-specific recommendations that seamlessly align with existing workflows. In light of the ongoing pandemic, the concept of home care has gained renewed significance, as many patients now prefer to seek treatment at home to minimize the risk of exposure to Covid-19 and other illnesses. This shift underscores the necessity for innovative healthcare solutions that cater to the evolving needs of patients in a post-pandemic world.

Facilitate connections between healthcare entities such as hospitals, clinics, health plans, and life sciences with app developers and health data partners to create innovative digital services based on FHIR APIs. Enhance both the efficiency and safety of transitions throughout the continuum of care, whether in-patient or out-patient. Offer personalized wellness and prevention strategies tailored to at-risk individuals, fostering proactive health management. Encourage collaboration among patients, healthcare providers, and physicians to effectively address chronic conditions, leading to better management outcomes. Focus on patient-centered digital services that prioritize user experience and safety, while minimizing risks during care transitions. Utilize an enterprise-grade platform capable of managing, securing, and scaling APIs that remain agnostic to FHIR servers. Seamlessly integrate healthcare data from various sources, including internal systems, external partners, or open-source FHIR-ready resources. By swiftly launching digital services like mobile applications, advance the vision of patient-centric healthcare and enhance data interoperability, ultimately improving healthcare delivery for all. This approach not only enhances patient engagement but also drives innovation across the healthcare landscape.

Value-driven care relies heavily on timely, precise, and trustworthy information. Utilize the Minerva Healthcare Data Platform to consolidate both clinical and claims information from various systems into a centralized FHIR® repository. With its foundational design based on FHIR® and a commitment to being vendor-neutral, Minerva compiles data from your care delivery network, facilitating data exchange, enhancing analytical capabilities, and ensuring compliance with Cures Act requirements. The platform offers a suite of ready-to-use data connectors that enable swift data ingestion from diverse clinical and claims sources. Take advantage of established healthcare standards and tailor-made data formats to incorporate information in real-time or through batch processing. By integrating data from your clinical network alongside that from your payers, you can create a comprehensive view of your patients' information, ultimately leading to improved care outcomes. This holistic approach not only streamlines operations but also fosters a deeper understanding of patient needs.

The Innovaccer Health Cloud will accelerate your transformation. You can unify patient data, create comprehensive financial and clinical insights, and innovate faster. We help providers integrate disparate patient information to provide actionable insights at point of care, collaborate across care teams and achieve better outcomes. We facilitate connectivity and collaboration among payers, providers, members, and members to manage risk and compliance as well as rising member expectations. We assist medtech and biopharma companies to build digital solutions at the intersection of healthcare and better use real-world data throughout the value chain. Transform from silos to an open platform that unifies healthcare data into one longitudinal patient record that allows for whole-person care.

Effectively managing large volumes of data is essential for both the well-being of your organization and the patients it serves. However, undertaking such initiatives can often lead to significant demands on both time and resources. Fortunately, Business & Clinical Analytics (BCA) takes on the challenging aspects for you. This web-based data visualization platform is designed to enhance organizational efficiency, track progress, and boost overall performance. Its implementation is straightforward, it's user-friendly, and it seamlessly integrates with MEDITECH's EHR, allowing you to leverage your clinical, financial, and operational data effectively to guide your organization toward success. Given the extensive information you handle, it necessitates meticulous care and ongoing maintenance. To simplify this process, BCA is equipped with standard dashboards that help visualize your organization's data, ensuring you can swiftly activate your big data initiatives. Moreover, MEDITECH regularly updates your dashboard library, continually introducing new dashboards and analytical tools that include a range of selectors to filter data by various criteria such as time frames, providers, payers, and patient categories, thus further enhancing your analytical capabilities. This ongoing commitment to innovation ensures that your organization remains agile in the ever-evolving landscape of healthcare data management.

SapphireVantage is a comprehensive health analytics and performance management platform powered by AI, designed specifically for healthcare payors, providers, and large programs that require a complete overview of performance and actionable insights across clinical, financial, and operational sectors. By leveraging cutting-edge data analytics and artificial intelligence, it seamlessly integrates and analyzes a wide range of healthcare data in real time, providing functionalities such as claims analytics, utilization analytics, risk and program integrity assessment, provider performance evaluation, consumer engagement metrics, care analytics, denial trends and prevention strategies, contract performance analysis, revenue cycle optimization, and fraud/waste/abuse detection. This suite of tools enables organizations to enhance quality, manage costs, increase efficiency, and improve patient outcomes significantly. Moreover, it facilitates self-service analytics, real-time dashboards, predictive insights, and tools for performance monitoring, equipping users with the resources needed for data-driven decision-making while uncovering hidden patterns and anomalies within the data. Ultimately, SapphireVantage empowers healthcare organizations to transform their operations and achieve better results for both patients and providers alike.

Pareto Intelligence is an innovative platform specializing in healthcare analytics and technology aimed at enhancing the financial performance and compliance of health plans and risk-bearing provider organizations while also improving clinical communication and outcomes in value-based care. At its foundation lies a centralized healthcare data environment that assimilates, normalizes, and enriches a variety of clinical, claims, and social determinants of health data, enabling comprehensive views of patients and programs that facilitate advanced analytics and reporting. Among its offerings are tools for risk adjustment and revenue integrity that reveal undocumented risk gaps, enhance risk scores, aid in RADV audit preparedness, reconcile premiums, and guarantee complete and compliant revenue capture. Additionally, Pareto provides payment integrity solutions designed to identify both under- and overpaid claims, thereby enhancing Section 111 reporting and the coordination of benefits. By leveraging these capabilities, healthcare organizations can make informed decisions that lead to improved patient outcomes and operational efficiency.

Unlock and integrate your information through our secure, connected healthcare platform designed to elevate your medical practices. Utilizing advanced APIs, robust data integration features, and a comprehensive array of platform services along with interoperable tools, we aim to enhance your current applications and care delivery processes. By activating all your data today, you can construct a cohesive health platform. DataMedx develops a Health Data Mesh (HDM) tailored to your organization, leveraging APIs and data integration capabilities alongside a suite of platform services and interoperable tools to optimize your existing applications and workflows. Our solution consolidates and standardizes information from various sources, including claims, clinical data, laboratories, and sensors, into a singular, unified patient record. Access to entire populations from diverse applications is now simplified with a single data visualization layer, leading to improved patient outcomes and operational efficiency. By embracing this innovative approach, your organization can achieve a new level of care and connectivity in healthcare delivery.

The Amadeus Digital Care Record (DCR) offers a thorough solution that aims to give healthcare professionals a consolidated perspective of patient data right when it is needed. By merging information from various healthcare systems into a Health Information Exchange, the platform generates a comprehensive, up-to-date profile for every patient. This efficient methodology enhances clinical decision-making and boosts productivity, while also alleviating clinician fatigue by minimizing redundant tasks. Furthermore, the Amadeus DCR incorporates analytical tools and care coordination features, which play a crucial role in promoting improved patient outcomes by detecting risks at an early stage and facilitating effective care throughout the entire patient journey. Ultimately, this integrated system not only optimizes workflow but also fosters a more patient-centered approach in healthcare delivery.

Enhance your ability to manage risks and deliver superior care to your community through the disease prediction models offered in CARE™. We provide a comprehensive perspective of medical claims data at a national scale, which can be tailored to meet the specific needs of our clients at a granular level. Our sophisticated models sift through billions of medical claims to pinpoint risk indicators for early disease development or the necessity for surgical interventions. Armed with this vital information, healthcare providers can initiate diagnoses and treatments earlier, which has the potential to save lives. While our prediction models are trained on extensive national data, they can also be applied to your own EHR, population health platform, or member claims database for a more personalized approach. Additionally, our physician matching feature aids in aligning patients with the most suitable providers, thereby enhancing their care journey towards optimal treatment outcomes. By utilizing clinically significant data, our advanced disease prediction models identify individuals who are at risk of developing a condition, empowering you to proactively engage with them and commence treatment before the situation escalates. This proactive engagement not only improves patient outcomes but also enhances the overall efficiency of healthcare delivery.

Dynafios 4CAST healthcare analytics empowers organizations with crucial real-time insights into provider and program effectiveness, utilizing a dynamic visual and interactive presentation. This enables users to swiftly pinpoint variations, trends, behaviors, and performance metrics while comparing them to best practices and benchmarking standards for a comprehensive understanding. Despite healthcare organizations being familiar with data collection, many have yet to transform their analytics into actionable insights. The sheer volume of data generated from Ambulatory Surgical Centers (ASCs) to large tertiary hospitals can be daunting, leading most organizations to miss out on a significant portion of the real value that informs critical decision-making. Effectively managing and leveraging the analytical capabilities of these extensive data sets is essential for the future success of healthcare organizations. Consequently, Dynafios provides an effective solution! In the realm of healthcare, the primary data categories encompass clinical, financial, and operational performance, each playing a crucial role in organizational success. By harnessing these data types effectively, organizations can drive improvements and ensure better patient outcomes.

Genome serves as a comprehensive digital platform designed for quality assurance and enhancement within healthcare organizations, catering to clinical leaders, managers, and staff by optimizing audit workflows, elevating care standards, and ensuring regulatory compliance across various settings, including acute care, community services, and primary care. By leveraging mobile and web applications, it facilitates straightforward real-time data gathering during audits, automates the processing of submitted information, and minimizes manual transcription errors, thereby conserving valuable time for frontline personnel. The platform features robust analytics dashboards and visualizations that provide organizations with a detailed perspective on performance metrics at the ward, site, and system levels, allowing for the identification of trends, empowering data-informed decision-making, and enabling continuous quality monitoring. Additionally, Genome accommodates sophisticated audit questionnaires that permit multiple auditors to work simultaneously, collect contextual evidence such as photographs and comments, and implement structured audit methodologies that enhance both accuracy and insight, thus fostering a culture of continuous improvement in healthcare delivery. Ultimately, this holistic approach not only streamlines operations but also strengthens the overall quality of patient care.

Atmolytics facilitates the distribution of data insights and exploration across both single and multiple organizations with ease. With or without a technical background, you and your team can swiftly identify specific clinical populations of interest. The platform allows for the capture, annotation, and sharing of key findings, significantly speeding up the decision-making process. It provides consistent views of various insights, including clinical, social, financial, demographic, genotypic, and geographical data. Organizations managing clinical registries encounter numerous significant hurdles in the collection, organization, and visualization of the vast amounts of patient data that accrue daily. These obstacles include difficulties in achieving a comprehensive understanding of their data, a lack of standardization across different data source systems, reliance on inadequate data collection tools, restricted access to data, and the fragmentation of data across numerous stores and formats. To overcome these challenges, Atmolytics equips organizations with the necessary tools to streamline their data management processes effectively.

Pearl's innovative platform, powered by artificial intelligence, empowers healthcare teams to cut unnecessary expenses, enhance patient outcomes, and thrive in value-based care by pinpointing priority patients and encouraging timely interventions while seamlessly fitting within existing workflows without causing disruption. This technology merges predictive analytics with effective action; it emphasizes significant outreach and automates subsequent steps, evaluates provider readiness and cohort risk to align participants with suitable payment models, and links intelligence to action to foster measurable advancements in clinical, financial, and operational performance. Moreover, it integrates flawlessly into provider systems, enabling teams to deliver high-quality care on a large scale. The platform's advanced data-science and actuarial capabilities maximize savings, improve benchmarks, and support various models like ACO REACH, MSSP, and Medicare Advantage, all while equipping physicians with user-friendly tools that streamline care delivery, alleviate them from mundane tasks, and enhance management of patient panels. Ultimately, Pearl's solution stands out in the healthcare landscape by prioritizing efficiency and effectiveness in care delivery, ensuring that both providers and patients benefit from its comprehensive features.

No doctor should have to navigate through mountains of chaotic patient information. Our streamlined and user-friendly platform effectively structures even the most intricate cases, ensuring that fast evaluations and proactive treatment are accessible to all. It provides a thorough, concise, and context-aware clinical summary. Navina seamlessly integrates with your electronic health records, as well as claims data and a variety of patient information. This actionable synthesis at the point of care enhances the quality of treatment while also boosting reimbursement rates. It is all too common for essential data to be lost within the depths of the EHR system. By leveraging AI technology, Navina brings that vital information to the forefront and displays it in a clear and intuitive manner. In addition, we utilize data analytics to identify and propose potential diagnoses and offer other clinical insights derived from often overlooked discharge documents, laboratory results, and various other records. Ultimately, our goal is to empower healthcare professionals with the tools they need to provide the best possible care.

Assisting healthcare organizations in unifying essential patient, clinical, and administrative information, while ensuring its protection and easy accessibility for staff to achieve a comprehensive view. Break down your data silos by consolidating patient and administrative data from across the entire healthcare organization. Maximize your healthcare data storage capabilities by effectively using all available storage resources and minimizing overall ownership costs. Protect your healthcare data while guaranteeing efficient restoration in the event of cyber threats, data loss, corruption, or disasters. Improve patient care and outcomes by equipping your staff with straightforward access to a complete view of a patient’s medical history. Phase out outdated or legacy applications while still keeping access to the data they hold, thereby conserving time, finances, and resources. Additionally, embrace a digital transformation of your entire clinical testing procedures to expedite testing operations on a larger scale. This holistic approach not only enhances operational efficiency but also fosters a culture of innovation within the healthcare environment.

The well-being of your organization is intrinsically linked to the health of its workforce. By harnessing the strengths of integrated data—ranging from consumer behavior and pharmacy information to clinical insights and financial metrics—we can identify both population-level and individual opportunities for enhancement. This is the essence of CareEngine technology. Our approach involves translating and analyzing this wealth of information through evidence-based clinical analytics that have been peer-reviewed, enabling us to pinpoint areas for care improvement. We focus on identifying programs, creating a cohesive digital experience, and providing actionable insights for both coaches and clinicians, ensuring that members receive prioritized health interventions. Our ability to integrate with provider EMR systems and offer Care ConsiderationSM alerts empowers healthcare providers. We have a particular expertise in reaching out to and supporting disengaged and vulnerable members who face a multitude of medical, behavioral, and social challenges. This positions us uniquely to make a significant impact on both health outcomes and healthcare costs. Furthermore, ActiveHealth has maintained full accreditation from URAC in health utilization management since 1992, underscoring our commitment to excellence in this field. Our dedication to innovation and quality care continues to drive us forward.

CareJourney is an advanced healthcare analytics platform hosted in the cloud, providing extensive and clinically relevant insights derived from one of the largest longitudinal claims datasets in the United States, encompassing hundreds of millions of beneficiaries from Medicare, Medicaid, Medicare Advantage, and commercial sectors, while also profiling over 2 million healthcare providers. This platform enables organizations to evaluate markets and patient groups to discover opportunities for cost efficiency and improved health outcomes, facilitate the development and enhancement of high-performing networks, make informed contracting choices, identify referral trends and service leakage, and compare provider performance with that of their peers. Moreover, it aids in managing at-risk populations by utilizing segmentation models that allow organizations to gain valuable insights into the prevalence of chronic conditions, patterns of care utilization, and the factors driving costs. The comprehensive data analysis provided by CareJourney ultimately supports organizations in achieving their healthcare goals more effectively.

Microsoft Cloud for Healthcare serves as an all-encompassing platform aimed at revolutionizing the healthcare sector by utilizing AI-driven solutions, integrating data, and ensuring secure, interconnected experiences. This platform assists healthcare providers, payors, and life sciences entities in enhancing patient care, optimizing operations, and bolstering research efforts. It provides resources for protecting confidential information, streamlining clinical processes, and fostering better patient engagement. By harnessing actionable insights derived from integrated clinical and operational data, Microsoft Cloud for Healthcare empowers organizations in the healthcare field to achieve favorable results, boost efficiency, and lower expenses. Ultimately, this innovative platform is pivotal in shaping the future of healthcare delivery.

HealthEC offers a premier population health management platform, featuring the CareConnect™ care management module and the 3D Analytics™ module, aimed at improving the quality of care and enhancing patient experiences by tackling the most significant data challenges in healthcare. By utilizing a universal data warehouse, it effectively integrates normalized claims, clinical, and social determinants of health (SDoH) data from various sources, ensuring CMS certification for reuse. The platform minimizes workflow interruptions through customizable care plans and decision-support tools, providing comprehensive care management assistance. It fosters patient-centered care by promoting seamless coordination with community resources while addressing SDoH. With clear dashboards and point-of-care access, it empowers healthcare professionals with actionable insights at the diagnosis, provider, practice, and organizational levels. Additionally, it enhances managed care organization (MCO) performance reviews and ensures compliance with CMS interoperability rules, thereby supporting healthcare providers in delivering superior outcomes. The integration of these features leads to a transformative approach to population health management.

Foundations™ integrates financial, clinical, and operational data, offering a comprehensive view accessible to your entire team via a user-friendly visualization interface. This tool not only helps uncover new operational insights but also allows clinicians, staff, and administrators to track dashboards that reveal inefficiencies and identify necessary steps to enhance patient care and ensure business success. Acting as the ultimate “source of truth,” Foundations™ equips each team member to make informed decisions with confidence. By enhancing the quality of documentation across various fields, including workflow states and case details, the platform contributes to a decreased rate of complications for each case. As a result, patients experience better overall clinical outcomes. Foundations™ effectively empowers clinicians by delivering real-time operational data in a visually compelling format for immediate action, ultimately leading to improved patient health outcomes. Furthermore, it provides clinicians with a quick and efficient way to evaluate their performance against their peers and established goals, facilitating a deeper understanding of clinical metrics and fostering continuous improvement. This holistic approach ensures that all team members are aligned in their efforts to enhance patient care and operational efficiency.

Milliman MedInsight® was founded in 1998 and is a leading provider for healthcare data and analytics. Over 300 payers/ACOs/employers and government agencies trust Milliman MedInsight. Our comprehensive suites of analytics and data enable organizations to leverage healthcare information for better clinical and financial outcomes. We deliver actionable insights on healthcare utilization, costs and quality using our deep industry expertise and advanced technologies. Milliman MedInsight empowers stakeholders with the tools they need to navigate the healthcare landscape, from risk management to value-based care.

The MedicsCloud EHR is crafted to enhance healthcare outcomes via advanced clinical reporting and analytics. To achieve improved results, lower readmission rates, and mitigate penalties, it is essential to have a deep understanding of your patient demographics. This understanding can be obtained through user-defined and filtered visual representations of their compiled clinical data. MedicsCloud EHR provides a comprehensive overview of your patients’ clinical information. Featuring the innovative Medics FlowText, this system allows for voice navigation, making it more user-friendly. When utilized alongside tools like Dragon Medical One, FlowText adeptly incorporates data into the patient's record during transcription, enabling report completion and record updates in a single step. This personalization streamlines encounters by minimizing the need for excessive clicks and cursor movements! Your patients, healthcare practice, and providers will all benefit from improved interactions thanks to our mobile engagement functionalities and applications. The Medics portal, compatible with both iOS and Android, along with interactive texting, kiosks, and telemedicine options, facilitates virtual consultations from virtually any location. Ultimately, the MedicsCloud EHR not only supports clinical efficiency but also fosters stronger patient-provider relationships.

At ArborMetrix, our aim is to enhance healthcare through data science, while our enthusiasm lies in providing impactful, user-friendly technology and analytics. Our advanced healthcare analytics solutions are designed to yield precise, clinically-rich insights that enhance clinical outcomes, boost financial effectiveness, add value for stakeholders, and evaluate the real-world success of treatments, procedures, medical devices, and pharmaceuticals. One of the significant benefits of patient registries is their application across various medical fields, with post-market surveillance standing out as a particularly important function. To assist you in establishing a reliable data resource, we follow a systematic approach. First, it’s essential to have an effective and secure method for gathering substantial amounts of real-world data, which is crucial for thorough analysis. By utilizing the appropriate technology, you can aggregate data from diverse sources such as medical records, regulatory bodies, and patient-reported outcomes to support post-market surveillance initiatives. This comprehensive approach not only streamlines the data collection process but also enhances the overall quality of insights derived from the analysis.

Effective coordination of care, assessment of quality, risk identification, and compliance monitoring are all essential processes that rely on data from a variety of sources and systems, ultimately enhancing the experiences of both patients and providers. Midas Health Analytics offers innovative solutions designed to enhance operational and clinical effectiveness by managing risks, optimizing costs, and transforming data into practical insights. By monitoring and analyzing performance trends over time, organizations can proactively address and reduce risks, make informed decisions in the face of evolving regulations, and create a safe environment for patient care. Achieve unparalleled operational efficiency while assessing, interpreting, and presenting quality of care performance results to stakeholders, navigating the complexities of today's healthcare landscape. This approach not only improves accountability but also fosters a culture of continuous improvement within healthcare organizations.

Maximize the potential of your data to enhance the experiences of both your clinic and your patients. InSightive converts your oncology data into actionable insights that can be implemented immediately. By normalizing and structuring your data through oncology-specific relationships, you can achieve greater clarity and precision. Utilizing industry-leading Tableau visualization, our platform offers analytics tailored to the oncology field, boosting clinical performance significantly. InSightive can be accessed through ARIA, a standalone desktop application, or virtually any web browser. Kickstart your journey with readily customizable templates that focus on payer mix, referral sources, and operational efficiency. Swiftly aggregate activity data to uncover valuable operational insights, enabling you to examine your information in innovative and meaningful ways. Experience rapid query results that allow for treatment or policy adjustments within hours instead of days. This empowers your patients to benefit from the collective experiences of previous patients. Additionally, our data specialists are available to assist you in seamlessly incorporating Varian into your existing workflow, ensuring that you can leverage the full power of your oncology data for improved patient care. With InSightive, the future of oncology data management is at your fingertips.

SteadyMD serves as a telehealth infrastructure and clinical care platform that facilitates high-quality virtual healthcare experiences for patients and healthcare entities throughout all 50 U.S. states by offering an on-demand, tech-enabled clinician workforce, along with clinical operations, legal and regulatory assistance, and secure telehealth technology. The platform provides a wide array of care services, such as primary care, urgent care, therapy, chronic and condition-specific management, lab order reviews, prescription approvals, and tailored treatment plans that can be accessed via video calls, phone conversations, or asynchronous messaging, thus allowing for smooth patient engagement without the need for face-to-face appointments. Additionally, SteadyMD offers various tools, including Telehealth APIs, a customizable telehealth platform, and the SteadyMD Digital Clinic, which seamlessly integrate with partners’ systems, assist with intake forms and scheduling, and efficiently direct consults to clinicians licensed in the patient’s state while ensuring compliance with HIPAA regulations for security. The platform’s comprehensive approach not only enhances accessibility to healthcare but also streamlines the overall patient experience, making it a valuable resource in the evolving landscape of telemedicine.

Unlock untapped potential for medical and administrative cost savings across the entire payment process. Guarantee proper reimbursement with comprehensive solutions that address both prospective and retrospective needs. Utilize reliable and established analytics to assess, convey, and enhance your financial and clinical performance. Propel initiatives and elevate health outcomes through customized outreach across multiple channels. Cotiviti is dedicated to enhancing the financial and quality metrics of our clients. In the realm of healthcare, this approach involves processing billions of clinical and financial data points, analyzing them, and guiding our clients on how to boost efficiency and quality. Furthermore, Cotiviti also extends its services to the retail sector by providing audit and recovery solutions designed to improve operational efficiency and maximize profitability. Our accomplished leadership team is committed to delivering unique value to our customers while motivating our employees to strive for excellence in performance. By fostering a culture of continuous improvement, we aim to drive sustainable growth for all stakeholders involved.

CareConnect™ serves as an integration engine that facilitates organizations in linking with various providers across diverse care environments. By utilizing a single connection point, organizations can realize genuine interoperability, allowing them to connect with a network of providers and enabling data sharing through local health information exchanges (HIEs) or broader interoperability frameworks like Carequality. This system promotes the seamless and secure exchange of clinical summaries and historical data between electronic health records (EHRs) and providers, thereby enhancing care coordination and integrated care models. Additionally, it enables access to a variety of resources, including pharmacies and prescription drug registries, which is particularly crucial for those involved in addiction and substance use treatment. CareConnect also incorporates a comprehensive consent management workflow, ensuring that data is shared accurately and timely, thus improving overall patient care and collaboration among providers. By streamlining these processes, CareConnect™ not only bolsters clinical outcomes but also enhances the efficiency of healthcare delivery.

Combine and liberate your disorganized health information through an interactive AI and NLP solution that provides valuable health insights for various stakeholders. This innovative technology serves Providers by hastening the data abstraction process and ensuring the clinical information validation found within notes, thus minimizing the time and costs associated with identifying care gaps, assessing the quality of care through dashboards, and producing registry reports. For Payers, it facilitates the integration and analysis of claims alongside clinical notes, enhancing the management of high-risk and high-cost member populations. In the realm of Life Sciences, this solution enables swift patient matching to clinical trials using databases alongside clinical note data, maximizing the potential of real-world clinical evidence. Ember offers a comprehensive approach that merges NLP with predictive analytics, streamlining healthcare analytics for unstructured data to boost quality, efficiency, and outcomes in the healthcare system. As a result, stakeholders can make informed decisions that lead to improved patient care and resource allocation.

Comprehensive recommendations are provided throughout the entire patient journey, ensuring every phase of care is addressed effectively. There is a strong call-to-action that facilitates the monitoring and evaluation of both commercial and clinical outcomes. Disease-specific risk algorithms have been established for conditions such as diabetes, cardiovascular issues, kidney health, and liver health, among other therapeutic areas. A Complete Wellness Score is utilized to evaluate the likelihood of requiring inpatient care. Additionally, proprietary data and established protocols are complemented by user-friendly clinical content tailored for patients. This content is not only ready for immediate use but can also be customized for various purposes and formats. Intelligent decision support is available, leveraging both established protocols and machine learning to analyze prescribers' patterns in medication prescriptions. Furthermore, the most advanced customer feedback system has been custom-designed specifically for healthcare organizations. The system operates on a multi-parameter engine that considers factors such as expenditure, compliance in a timely manner, preventive health checkups, improvements in clinical parameters and outcomes, as well as demographic information, providing a holistic view of patient care and intervention needs. Overall, this approach aims to enhance patient outcomes while streamlining the healthcare process.

CareWork was created to tackle the specific operational hurdles faced by the long-term care, post-acute, and senior living sectors. By merging information from existing systems, it provides actionable dashboards, alerts, and reports that enable operators and their staff to perform tasks more swiftly and effectively, while also gaining deeper insights. Furthermore, the amalgamation of Combined Census, HR & Labor, Procurement, Financial, Clinical, and Analytics Data fosters well-informed decision-making and streamlines workflows, reducing the need for manual intervention. This innovative approach not only enhances productivity but also ensures that care providers can focus more on delivering quality service to their residents.

Greenway aims to transform healthcare by providing top-notch solutions tailored for practices, patients, and communities alike. Their comprehensive, interoperable software platform is designed to meet the diverse needs of ambulatory care specialties while ensuring a superior client service experience. A dedicated team composed of clinical, financial, and technological experts is committed to offering solutions that empower clients to thrive in the dynamic healthcare environment. By prioritizing emerging client needs and integrating direct feedback, they continuously enhance provider experiences with innovative products and services. Their medical software for ambulatory practices is both reliable and user-friendly, promoting efficiency and ease of use. Adopting a client-centered approach, they offer a versatile suite of data-driven EHR, practice management, and revenue cycle solutions to help practices navigate industry shifts effectively. Greenway's commitment to integrating end-to-end EHR, practice management, and medical billing systems further establishes them as a leader in the healthcare technology sector. This holistic approach ensures that practices not only keep pace with changes but also excel in providing quality care.

Flexpa is an innovative tool designed for healthcare data interoperability, providing developers and organizations with quick access to extensive health records through a unified API, contingent on patient consent. By utilizing FHIR (Fast Healthcare Interoperability Resources) standards and integrating a 3-in-1 network comprising CMS-9115 payer APIs, ONC (g) (10) provider APIs, and TEFCA IAS nationwide exchange support, it effectively streamlines the traditionally slow and manual record collection process into real-time, standardized data retrieval. Moreover, Flexpa manages the complete authentication and authorization process, which includes digital consent workflows, SMART Health Links, IAL2 identity verification, and a user experience optimized for conversion, allowing applications to onboard patients, obtain compliant consent, and swiftly access data without the need for custom integrations. Additionally, Flexpa’s Records API is adept at extracting and enhancing full patient data, which encompasses claims history, clinical records, and more, thereby enabling healthcare organizations to operate more efficiently and improve patient care outcomes. This comprehensive approach not only simplifies the data retrieval process but also empowers healthcare providers with the tools necessary to deliver timely and informed care based on the most current patient information.

The Digital Health Indicator (DHI) serves as a benchmark for evaluating the advancement of a comprehensive digital health ecosystem. This ecosystem connects healthcare providers and teams with individuals, allowing them to effectively manage their health and wellness through secure and private digital tools, accessible at any time and place care is required. The operational and care delivery practices are focused on achieving outcomes, driven by data and real-world evidence, to ensure exceptional quality, safety, and sustainable performance. Grounded in the principles and evidence outlined in the HIMSS Digital Health Framework, the DHI assesses four key areas that facilitate your organization's journey toward digital health transformation. Establish governance that fosters a sustainable workforce by utilizing outcomes data, ensuring that information flows seamlessly in real-time across the healthcare system. Additionally, it emphasizes the importance of proactively addressing population health outcomes, leveraging comprehensive analytics for informed decision-making, while also maintaining real-time tracking capabilities to enhance overall care delivery. This multifaceted approach not only supports the present needs but also lays a foundation for future advancements in digital health.

The ProMed Application Suite is tailored to meet the escalating demands of Health Care Data Management. As a versatile and economical Health Care Management Solution, it functions primarily as a Hospital Management System (HMS), adept at consolidating all clinical and administrative information, ensuring efficient, intelligent, and secure data storage and management. This system is well-suited for multi-specialty hospitals, clinics, and laboratories, and is specifically designed to accommodate various types of healthcare facilities. By utilizing ProMed, organizations can avoid unnecessary complexity while benefiting from a highly scalable infrastructure that can be adapted to fit any operational process. The inception of ProMed arose from a vision to implement an Electronic Health Record (EHR), representing a significant transformation towards a "paperless" environment, which eliminates the chaos of traditional file storage filled with patient information. Furthermore, ProMed not only enhances operational efficiency but also promotes better patient care through streamlined access to vital health data.

KATE serves as our premier solution that alerts triage nurses to care anomalies that require further examination. Utilizing the advanced Mednition Clinical Data Engine, KATE integrates clinical knowledge with insights derived from over 10 billion data points to forecast the severity of patients in the emergency department. It seamlessly enhances existing workflows, screens, and documentation processes. The Mednition Clinical Data Engine underpins our offerings, ensuring they are clinically validated and capable of scaling to deliver real-time predictive analytics as well as retrospective analyses on demand. This platform efficiently stores and allows easy access to sanitized, anonymized patient records in a cloud-based repository, facilitating advanced analytics, dashboards, research, and improvements in operations. Additionally, Mednition transforms training into an engaging and effective experience by delivering customized clinical scenarios directly to clinicians' personal devices, specifically tailored to meet their individual needs, ultimately enhancing their practice and decision-making skills.

ThoroughCare is an all-encompassing care coordination software platform that aims to improve the delivery of care across numerous healthcare sectors, such as chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness assessments, and advance care planning. This platform empowers healthcare providers to fulfill all service criteria, utilize evidence-based practices, and generate additional revenue while effectively addressing care gaps. By implementing a robust care management strategy, ThoroughCare meticulously monitors quality and performance metrics, consolidates data from various clinical locations to assess patient engagement and outcomes, and generates reports on risk stratification, claims, missed revenue opportunities, encounters, and call performance. The analytics feature of ThoroughCare equips decision-makers with visual insights into operational, financial, and patient data, thus facilitating informed choices. Additionally, the platform seamlessly integrates with electronic health records (EHRs), health information exchanges (HIEs), and remote monitoring technologies, ensuring a holistic approach to patient care. This interconnectedness not only streamlines workflows but also enhances the overall efficiency of healthcare delivery systems.

Interpreta’s Clinical Action serves as a comprehensive platform for managing quality and risk interventions throughout the year, boasting NCQA certification in HEDIS and California IHA AMP since 2015. By leveraging HEDIS, state-specific metrics, and HCC formulations, Clinical Action offers an extensive library of quality and risk measures, all accessible via a cloud-based platform that seamlessly integrates with various provider groups and health plan ecosystems. The platform streamlines workflows by automating the processing of structured medical, lab, and pharmacy claims data, while also enhancing the environment for unstructured supplemental data, which aids in code capture and integrates with advanced artificial intelligence and machine learning capabilities, including natural language processing. Moreover, Clinical Action features customizable population management tools that facilitate care gap analytics, enabling healthcare providers to analyze data from a broad population health perspective down to individual members, thereby improving in-office preparation for physicians. This flexibility ensures that healthcare professionals can tailor their approach to meet the specific needs of their patients effectively.

Our comprehensive primary source dataset stands out as the most extensive and varied resource available for researchers and analysts in the healthcare sector, enabling them to gain profound insights aimed at enhancing both health outcomes and economic efficiency. Propel the future of healthcare by utilizing pertinent data extracts that encompass a wide spectrum of care, featuring detailed provider identification, a comprehensive view of the patient journey, and the capability to securely connect with external data sources. Boost research efforts and elevate healthcare outcomes with longitudinally linkable, deidentified real-world data that is crucial for informed decision-making. We conduct over 1,100 rigorous data integrity checks to guarantee both consistency and precision, employing industry-standard methodologies for quality assurance and seamless integration. Uncover innovative insights through rich and pertinent real-world data. Additionally, harness custom extracts from both open and proprietary primary sources to expedite research processes and enhance clinical outcomes alongside provider performance. Our commitment to data quality and relevance ensures that healthcare professionals can make the best decisions possible.

We deliver practical solutions to pharmacists and safety leaders aimed at enhancing safety, promoting standardization, and optimizing limited clinical resources. Our mission is to empower our partners to harness the potential of their infusion data to enhance safety, promote standardization, and maximize the effectiveness of scarce clinical resources. By integrating technology with a skilled clinical services team and leveraging network benchmarking, we create significant value. The Med O.S. data science platform revolutionizes the analysis of infusion data, facilitates the discovery of new insights, and addresses the constraints of traditional reporting methods. Our dedicated team of pharmacists and data analysts generates actionable interventions that yield considerable benefits. Our partners receive expert human support that goes beyond just a username and password. Additionally, network benchmarking from the preeminent infusion community in the United States aids in sharing trends and best practices while also guiding quality and operational improvements. Overall, our comprehensive approach ensures that pharmacists and safety leaders have the tools and insights necessary to make informed decisions and drive meaningful change.

WellSky Long-Term care is an enterprise-level long-term care software designed for senior care management. With seamless data exchange and an integrated solution, our all-in-one solution improves operational efficiencies as well as financial performance. PDPM success depends on the ability to capture information before admission. Our long-term care software solution includes an integrated customer relationship management module (CRM). This module allows your team to track conversions, and develop a data-driven strategy for marketing. WellSky's modern and comprehensive design is a leader in the industry. It allows seamless data exchange across the entire medical system, billing system and referral partners. With user-definable assessments, customizable order sets, workflows, and integrated policy and procedures, you can deliver collaborative care and reduce documentation errors.

Watson Health leverages its foundational strengths, extensive expertise in the healthcare sector, and cutting-edge technological offerings—such as AI, blockchain, and data analytics—to empower clients in their digital transformation journeys. By integrating innovative technology with seasoned consulting services, we assist organizations in becoming more efficient and resilient, ultimately enhancing their ability to fulfill their commitments to the communities they serve. Explore the Watson Health solutions designed to optimize clinical, financial, and operational effectiveness while also applying analytics to improve initiatives aimed at vulnerable populations. Additionally, our offerings enhance clinical trials and facilitate the generation of real-world evidence, which is crucial for advancing healthcare practices. We also provide solutions that enable payers to effectively manage performance, member engagement, and business networks. Furthermore, Watson Health assists organizations with benefits analytics and ensuring business continuity, making us a comprehensive partner in the healthcare landscape. This multifaceted approach highlights our commitment to driving positive outcomes across various facets of health systems and enhancing overall service delivery.