Key features

HEDIS 2018

Support for the latest HEDIS measures including: transitions of care; follow-up after emergency department visit for people with high-risk, multiple chronic conditions; use of opioids at high dosage; use of opioids from multiple providers; depression screening and follow-up for adolescents and adults; unhealthy alcohol use screening and follow-up; pneumococcal vaccination coverage for older adults.

Support for Fast Healthcare Interoperability Resources

Accelerate interoperability of clinical data sets that use Fast Health Interoperability Resources (FHIR) using FHIR v3.x supportive content mappings to IBM Unified Data Model for Healthcare (UDMH). Auto-classify and govern healthcare data using healthcare data classes for IBM Information Analyzer derived from the FHIR standard.

OMOP table support

Provides Observational Medical Outcomes Partnership (OMOP) tables with logical entities and attributes, which can be integrated into any supported database platform, along with dependency mappings into UDMH logical models.

Revenue cycle management support

Enables you to identify forecast revenues at the time of booking patient appointments, and measure actual revenue versus forecast revenue. You can identify lost revenue and reasons for loss such as patient no-show, practitioner unavailable, facility unavailable, and equipment failure.

Support for CMS Part C and D ratings

Centers for Medicare & Medicaid Services (CMS) supported ratings include Managing Chronic Conditions, Member Experience with Health Plan, Drug Plan Customer Service and Member Complaints.

Nursing data metrics

Includes metrics supporting the National Database of Nursing Quality Indicators (NDNQI) such as Pressure Ulcers, Peripheral IVs, Missed Care, Central Line Blood Stream Infection and Pneumonia.

Support for Substance Abuse/Mental Health

Analyze the relationship between patient care and participation in welfare and social programs. Gain insights to identify and address behavioral and substance abuse conditions with predefined metrics from the Substance Abuse Mental Health Services Association.

FlexPoint licensing

Gain access to the unified governance & integration platform offerings via flex point licensing. It supports your rapidly evolving business needs by giving you flexible access to the offerings included in the platform. Purchase entitlement based on your expected needs. When your business requirements change, gain the flexibility to add or stop using a product and apply the same flex points to another offering within the platform, as long as you stay within total flex points purchased.

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