Orlando, FL, April 14, 2011 — PatientPoint®, a provider of self-service
and revenue cycle management applications, today announced the launch of its Star
Quality Improvement Engine. The module leverages self-service technology to facilitate
more collaborative care through patient engagement, thereby supporting coordinated
care models such as patient centered medical homes (PCMH) and accountable care organizations
(ACOs) as well as quality measurement programs.
By securing patient self-reported data through patient portals, mobile devices or
kiosk- or tablet-based check-in and check-out technologies, providers are able to
automate the collection of important patient data for real-time analysis. The quality
reporting and improvement engine then aggregates information from insurance claims,
electronic health records (EHRs), practice management systems, labs, pharmacies,
clinical staff input and patient-reported health assessments and questionnaires.
As a result, providers are able to access a comprehensive patient clinical profile,
which is analyzed against quality measures and evidence-based guidelines. This enables
providers to view a patient's cross-provider medication history directly from pharmacy
benefit managers and health plans, cross-provider claims history, and recent test
and lab results. Other data which is critical to improve care coordination, such
as a patient's recent hospital admission, can also be communicated to the physician
in real time.
“As healthcare reform pushes to lower costs, while keeping patients healthier
through more preventative care measures, facilitating automated, real-time data
assessments with actionable alerts is key to making these advancements,” said
Raj Toleti, CEO of PatientPoint®. “Our quality reporting and improvement engine
facilitates the concept of coordinated care and enables providers to meet a number
of ACO, PQRI and pay-for-performance initiatives through increasing patient engagement,
capturing valuable patient details and enabling more meaningful patient encounters.”
By analyzing the patient clinical profile, the application can generate real-time
messages to alert the provider about gaps in care or potential dangerous drug interactions
while the patient is completing check-in.
Patients are also engaged during check-out with targeted messages that ensure priority
items, such as obtaining a prescription for a new medication or an order for an
annual mammogram, have been completed during their encounter. PatientPoint® sends
follow up messages to the patient through their preferred communication channel
to further close gaps in care and make certain that the identified physician orders
are completed. The progress is then reported back to the provider. This approach
aims to alleviate the provider of significant infrastructure and overhead costs
for patient outreach and follow-up.
“Implementing a process that benefits and connects providers, health plans
and patients ultimately leads to savings for all and creates a more collaborative
care environment,” Toleti added.
In addition to clinical benefits, providers are able to generate new revenue opportunities
by providing targeted health screenings and assessments to patients upon check-in
to identify at-risk patients for certain illnesses. This approach facilitates the
collection of key patient care measures that lead to quality care reimbursement
opportunities from health plans, without requiring additional work from the provider.