The Road to Value-based Care
No matter where you are on the road to value-based care, Clinigence can help you with your current and future needs. Click on any of the hot buttons (plus signs) on the image below to learn more about some of the value-based programs we support. But wait: before you dive into any specific program, you may want to stop and familiarize yourself with the Clinigence value improvement process – your road to success in any value-based program.
The Clinigence Value Improvement Process
Free Your Patient Data
Effective value-based healthcare starts with comprehensive, accurate and reliable data. Clinigence integrates patient data from multiple EHR systems across practices and care settings and merges it with cost data from payers. We do not depend on EHR vendors or limited interoperability standards. Clinigence extracts data directly from all EHR system and normalizes them to create a complete clinical picture of each patient. Under risk-based contracts, we also leverage payer claims to complete the records with out-of-network, cost, and utilization data.
Engage Your Providers and Patients
Engaging your providers is a critical component of the value improvement process. The best use of physicians’ time is in direct patient care. They don’t have time for dashboards or analytics. Clinigence provides clinicians with just-in-time information at the point-of-care. We answer their simple question: what do I need to do right now to take better care of this patient? As they open the patient’s chart, we display this information right in front of them; no additional clicks necessary. By preventing care gaps for each patient, physicians improve their quality performance.
Improve Value to Patients and Payers
As providers leverage the information in front of them at the point of care, they will close or prevent gaps in care. Non-clinical office staff can easily address many potential gaps (e.g. patient reminders, referral scheduling, etc) at patient check-in or on the phone. Other gaps will be handled in the exam room. Equipped with all pertinent information, clinicians will also have more opportunities to engage patients in the process. Quality improvement becomes an inevitable byproduct. Shared decision making between providers and patients is also a great recipe for reducing unnecessary service utilization, which leads to a reduction in the total cost of care and improvement in patient satisfaction.
Keeping your ACO data clean
Building trust with reliable clinical data
by Larry Allen, MD, Medical Executive, VP Population Health, Goshen Health
“We are convinced that there is a correlation between high quality care and lower overall cost and are excited about the tools we now have to track these measures.”
“Clinigence enables us to see clinical information at an individual and enterprise level. This is critical as we move toward becoming an Accountable Care Organization (ACO) with both Medicare, Medicaid (DSRIP) and commercial payers.”
“By partnering with Clinigence, we are able to deliver the tools our [EHR] customers need to succeed in today’s environment where reimbursement depends more and more on quality reporting and improvement.”