Big data will continue to be an essential element of improving clinical and financial performance for all healthcare institutions in the future. The ability to include larger and more specific data sets (HIE, ADT, claims, pharmacy, lab, imaging, genomics, etc.) will help institutions pinpoint actionable uses of information to improve care delivery, reduce costs and ultimately improve health outcomes for the patients they serve.
For many institutions, the technology architecture for this endeavor can be expensive and overwhelming, particularly as the integration with disparate data sources are required to effectively manage clinical and financial performance under value-based contracts.
Providers are challenged by stoic, closed EMR’s systems that provide very little in flexibility and integration with third party data sources and applications. Many “bolt-on” population health modules miss the mark on the integration needed to manage across the continuum-of-care and collaborate effectively with care teams outside their own institutions. To effectively address this issue, Providers have turned to enterprise data warehouses and clinical analytics to help data mine their EMR’s to identify critical patient data and stratify their patient populations.
Furthermore, providers must contend with multiple forms and requirements from multiple health plans. Many times, those plans may only have a small membership panel with the physician. The already growing administrative burden is exacerbated when new demands for value-based measurements, quality reporting, MACRA/Mips are added to an already demanding set of workflows.
As providers bring on more risk and organize to manage utilization, an integrated workflow product is essential. Trying to morph an EMR product into an integrated population health platform presents meaningful risks.
Often left out of this discussion is the Payers’ need for improved clinical and financial integration. As payers more closely align and integrate with providers, the ability to position payer integrated care teams virtually and coordinate care across the community of providers is essential. Payers have strong regulatory and financial demands for access to provider encounter data, gaps in care, and quality reporting for HEDIS and STARS. Payers need an active role in the management of the health of their membership.
That’s where Equality Health comes in. At the intersection of the payer and provider integration needs, we offer a comprehensive platform designed bridge the demands across both institutions.
Equality Health is and standalone company, not owned by a Hospital or a Health Plan. Our independence can help organizations share data and insights without giving up any proprietary or competitive intelligence. Our solutions identify, assess, and stratify patient cohorts so that your organization can supplement the role of your care teams, manage your patient population more effectively and efficiently, drive better outcomes, and decrease overall cost.