The document summarizes a Cost-Quality Analyzer module that blends financial, clinical quality, and patient experience data. It uses total quality management principles to reveal root causes of cost and quality variances. Importantly, it provides a joint analysis of cost, quality, and patient experience across different dimensions. The module also supports pay-for-performance models and enables non-intuitive analyses to uncover opportunities not visible with traditional separate analyses of cost, quality, and experience.
2. • The PSCI Cost-Quality (Triple Aim) Analyzer for Acute
Care module blends three streams of data –
1. Financial,
2. Clinical quality, and
3. Patient experience.
• Using Total Quality Management (TQM) principles,
the module reveals root causes of cost/quality
variance through easy point-and-click drill-downs.
3. • Most importantly, the Cost-Quality Analyzer for
Acute care breaks through the limitations imposed
by traditional single-dimension analysis to provide
joint analysis of cost, quality and patient experience,
along all dimensions, including facility, physician,
DRG and time.
• This unique approach is imperative to achieve Triple
Aim objectives.
4. • Cost-Quality Analyzer also supports and monitors
pay-for-performance gain share models. It enables
“non-intuitive” analysis to uncover opportunities
that are not visible with the traditional approach of
measuring cost, quality and patient experience
separately.
• With just two or three clicks in the easy-to-use
interface, create risk adjusted patient pools to
compare cost and quality performance across
facilities or physicians.
5. • Most importantly, this module answers the question,
“Where are we?” in relation to the overall process.
• It reveals opportunities to improve cost and quality
of care and is the first step to create value. For easy
comparison, this module also leverages national
average cost and quality data.
6.
7. KEY FEATURES…
• Analyze cost, revenue, quality,
patient experience and risk
information together to create
transparency across the
continuum of care
• Discover root causes in just 2 to 3
clicks with intuitive visual interface
• Identify what or who is the cause
of cost/quality/risk deterioration
across the physician network
8. KEY FEATURES…
• Identify what or who is the cause of cost and/or
quality deterioration within the physician and facility
network
• Conduct joint multi-dimensional drill-down analysis
from patient population to encounter level
9. KEY FEATURES…
• Quantify and understand physician shared
savings/ACO/bundled payment shard savings, bonus points
and amounts with built-in charts
• Fully integrates with the PSCI suite for seamless analytics
across the continuum of care
• Leverage out-of-the-box charts and dashboards to profile and
compare physicians and facilities against national average cost
and quality
11. ABOUT PSCI
• PSCI is an innovative provider of predictive
population risk analytics for care management and
contract optimization leveraging EMR, Claims &
Demographics data for medical homes, physician
groups, ACOs, hospital systems, IDNs, and shared
savings programs.
12. ABOUT PSCI
• PSCI delivers predictive chronic disease models for
population state-of-health risk stratification, quality-
cost-risk visibility, "what-if" modeling and ACO
demand planning for improving overall healthcare
provider and payer performance.
• PSCI is critical to managing “At-Risk” populations and
pay-for-performance objectives. For more
information, please visit http://www.PSCIsolutions.com