See Savings Opportunities
Clinigence leverages claims data to predict how much your organization can save in different areas, including:
- Emergency Department (ED) Superusers.
- Avoidable ED Visits.
- Hospital Readmissions.
- Inpatient Complications.
- Choosing Wisely Guidelines.
Click on any of the bars on the chart to see savings breakdown by providers and other criteria.
ED Super Users
Breakdown by PCP (top left) and patient (top right) enable you to demonstrate the need to address the issue and empower clinicians with the information they need to effectively address the needs of ED Super Users.
Avoidable ED Visits
Breakdown by ED facility (center left) and PCP (center right) help inform your decision on where access to other care options may be lacking.
Hospital Readmissions
Breakdown by hospitals (center left) and PCPs (center right) help prioritize interventions.
Inpatient Complications
Breakdown by complication type (center left), provider (bottom left), and specialty (center right) enables pinpointing the root causes of inpatient complications.
Choosing Wisely Guidelines
Breakdown by PCP (left), service category and type (center top), procedure group (center bottom), and individual procedure (right) helps choose and prioritize the most effective interventions.
Manage Variance to Move
Variation in performance often makes for a powerful tool in driving organizational performance improvement. Visualizing the differences in outcomes among peers can push underperformers to see the need to improve and begin to move. Recognizing top performers is always a motivator for them to finish the good work they’ve been doing. Perhaps most importantly, creating a collaborative environment enables everybody to learn from one another’s experience and adopt best practices that have been proven to lead to better outcomes.
Click on any of the highlighted areas on the screenshot to learn more about how to leverage performance variance to get the organization moving in the right direction.
PCP Cost Variance Analysis
Each PCP is represented by a blue dot on the scatter graph. The X (horizontal) axis shows the average risk for the provider's panel. The Y (vertical) axis shows the average normalized cost per patient (higher values represent lower cost).
average performers
Providers in this zone can benefit from ongoing education and sharing best practices.
Track Progress to Finish
Once you’ve set a goal and got the organization moving towards it, you must continuously track performance to ensure progress. Organizational change does not happen overnight. Progress is hardly ever consistent over time. By tracking performance as closely as possible to real-time you can tell when progress is slowed down or even derailed. A quick analysis of root causes and early intervention to adjust course as needed provide the best bet for making it to the finish line, i.e. achieving your goal.
