DATA SERVICES

ENABLING ACTION WITH INFORMATION TECHNOLOGY

Working with a partner who can bring both the technical capabilities and the programs to leverage intelligence allows provider organizations to focus on what they are best at…delivering care.

Critical Capabilities for Success

Data Consumption

The capacity to securely accept raw data (claims data, eligibility files, quality data, clinical feeds, etc.), map the data to a normalized data structure, and the capability to regularly process the data (daily, weekly, monthly, etc.) based on its availability is a critical capability. The technical expertise required to build and maintain these processes is considerable as it requires both an understanding of health care data and the toolsets.

Data Projection

Effective measurement goes beyond paper-based reports and dashboards. To drive outcomes, an organization must have the ability to put the data into various formats to support targeted program needs and push that data to the intended audience in a secure, efficient, and automated fashion. This data could take the form of provider alerts/reports, patient registries, data extracts, or ad-hoc analytics.

Data Analysis

The ability to evaluate normalized data to identify strategic opportunities for the network allows the focus necessary for success. Advanced analytic and reporting platforms are typical toolsets for this capability, but knowing what and where to look is also critical. The ability to link the standard financial and clinical data with emerging social and behavioral health data is an advanced capability that Innovista can provide.

Common Challenges

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Software & Infrastructure Costs

The costs associated with obtaining and managing technology tools can be daunting. These costs include not only software licensing, training, and implementation, but the infrastructure costs for hosting the full stack outlined above and the technical staff to manage these tools day-to-day as well. Working with a knowledgeable partner can help to manage spending, providing a worthwhile return on investments in the form of key data that directly relates to provider needs.

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Program Alignment

Many groups assume that collecting data and successfully reporting on it is the end goal, but the most challenging part is building the programs to take that information and drive change. Having a partner who can help build and tailor a program designed to fit the needs of a specific group of providers, in a given market, is critical to success. The ability to take program results and transform it into meaningful data is that extra step that allows for deep insights into actionable plans.

Let’s work together to achieve better outcomes

Learn how Innovista’s technical resources and expertise can support and drive your organization’s success.

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