Drive your population health strategy and goals

We will help align organizational strategy and direct care delivery with prospective interventions.

Intervention Gateway

Health systems are challenged to continuously monitor populations for critical indicators of patient health. They lack a standard framework to interrogate incoming patient data as it arrives from disparate sources such as claims, clinical, pharmacy, lab and diagnostic services. To enable early detection of health risks, evidence-based clinical algorithms need to run on data in near real time to uncover actionable insights to deliver to provider, care management or other workflow systems.

Our Approach

Our innovative approach tightly aligns program goals and care delivery operations. Intervention Gateway triggers gaps in care, gaps in compliance with performance metrics, identification of high-cost, prevalent chronic conditions, early detection of potential inappropriate ER utilization, and other rules for addressing prominent population health use cases. It applies evidence-based rules to data in motion then manages the delivery of actionable insights to care managers and appropriate workflow systems.

Capabilities

Edge of the enterprise technology

Monitor changes of member data from disparate sources.

  • Eliminate the latency effect from dated claims information and static data warehouse reports.
  • Trigger actionable insights about individual patients and population segments in near real-time.
  • Catalyze care coordination and timely transitions of care from real-time alerts embedded in the care team’s workflow and native applications.

Proactive care interventions

Leverage evidence-based algorithms to uncover actionable insights.

  • Identify high-risk members and provide early indicators of care coordination and utilization issues.
  • Align appropriate clinical intervention resources to address population health needs by prioritization of clinical needs.
  • Manage performance and increase reimbursement through early identification of noncompliance with metrics and gaps in care contributing to lower performance.

Flexible data sharing

Drive information to clinicians at appropriate points in their workflow to catalyze action.

  • Initiate workflow to automate critical intervention tasks across the care team.
  • Flexible integration with workflow tools driving actionable insights into the point of care.
  • Configure alert and notification management to avoid "alert fatigue".