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Accelerate your journey with a successful business intelligence strategy BI-Clinical: Healthcare BI & Analytics Platform Quality & Protocols Management | Operational & Financial Analytics | Regulatory Reporting

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Page 1: Quality & Protocols Management | Operational & Financial ... - Healthcare BI... · • Centralized analytics for acute, ambulatory and population health analytics to maximize clinical,

Accelerate your journey with a successful business intelligence strategy

BI-Clinical: Healthcare BI & Analytics Platform

Quality & Protocols Management | Operational & Financial Analytics | Regulatory Reporting

Page 2: Quality & Protocols Management | Operational & Financial ... - Healthcare BI... · • Centralized analytics for acute, ambulatory and population health analytics to maximize clinical,

BI-Clinical for Healthcare Organizations

Evolving quality and regulatory requirements (MACRA, ACO, PQRS, etc.) have driven the need for organizations to enhance their BI/ analytics strategy, generate actionable intelligence and build integrated clinical and financial analytics. In addition, with massive volumes of healthcare data being generated each day, organizations face significant challenges around effective data integration, data management and clinical quality and performance management.

Often organizations BI, analytics and reporting needs are met using disparate point solutions. However, in the absence of an integrated, sustainable approach, these disparate decisions often cause significant long-term business and technology challenges.

CitiusTech’s BI-Clinical platform for healthcare BI and analytics is a unified platform that combines, processes, normalizes and makes available a wide variety of data from different source systems for BI, analytics and reporting needs.

BI-Clinical: Overview

BI-Clinical offers an integrated approach to address the healthcare organization’smost critical quality reporting and decision support needs. It offers an extensive range of configurable apps that cover over 600 KPIs for clinical, financial, operational and regulatory requirements – the largest measure library in the industry.BI-Clinical’s powerful rules engine enables organizations to configure and deploy custom quality measures based on their business requirements.

BI-Clinical is a modular, scalable

and configurable healthcare BI and

analytics platform, with an extensive

range of configurable apps for

clinical, contractual, operational and

regulatory reporting.

Its unique Rules Management

Module (RMM) allows users to

easily build and manage quality

measures and other rules.

The platform uses a unique

measure-monitor-act (MMA)

analytics approach to leverage

healthcare data, generate

actionable intelligence, enhance

quality measurement, benchmark

performance and provide clinical

decision support.

BI-Clinical: Healthcare BI and Analytics Platform for Integrated Clinical, Financial,

Operational and Regulatory Reporting

• Over 600 KPIs – the largest

measure library in the industry

• Successfully deployed at

4,500+ locations

• Supports over 550,000

providers and over

30 million lives

• Supports Hadoop/ big data

and predictive analytics

Page 3: Quality & Protocols Management | Operational & Financial ... - Healthcare BI... · • Centralized analytics for acute, ambulatory and population health analytics to maximize clinical,

The BI-Clinical Rules Management Module (RMM) provides users an easy-to-use, do- it- yourself interface. With it, business users can configure, audit and operationalize quality measures and other rules (cohorts and alerts) without any dependency on IT. BI-Clinical is offered both as an on-premise solution as well as through a SaaS delivery option, to accelerate deployment and integration.

• 600+ pre-built measures and KPIs for clinical, financial, operational and regulatory requirements

• 100% coverage of measures for risk-based contracts andP4P incentive programs (ACO, PQRS, VBP, PCMH, etc.)

• Support for MIPS and the complete set of HierarchicalCategory Codes (HCC) and CMS Star measures

• ONC HIT 2015 Certified (V16.09, 15.04.04.2694.BICl.09.0.0.161215)* for Meaningful Use clinical qualitymeasures

• CertifiedforNCQAHEDIS2016measures

• Customizable rules management module – ability to customize clinical quality measures, clinical alerts and gaps-in-care measures

• Centralized analytics for acute, ambulatory and population health analytics to maximize clinical, financial and operational outcomes

• Support for predictive analytics with the ability to manage financial risks and costs, e.g. readmissions management, risk algorithms, etc.

• Multi-server architecture and SaaS deployment option for easy integration and rapid scalability

• Persistence and data analysis support for risk scores and biomarkers

• Big data/ Hadoop integration support to process and analyze large healthcare datasets

• Support for mobile technologies (iOS, Android and Windows)

• Fastest rules customization and go-live to help drive quality initiatives with the powerful BI-Clinical Rules Engine

• Healthcare interoperability standards support (e.g. XML,flatfiles,HL7,CCR/CCD)andmultipleclinicalterminologies

• Comprehensiveclinicalterminologysupport

BI-Clinical: Success Stories

• Performance management services provider: Proprietary measure definition capabilities forCQMs(ACO,HEDISandPQRS) for payers, by leveraging BI-Clinical. Solution tracked 200+qualitymeasuresfor70+healthcare organizations, covering over17millionlives

• Renal care management solution provider: Advanced analytics using BI-Clinical for clinical performance and real-time clinical decision support for renal care management. Covered over 550,000 lives with over 8 million visits annually

• Leading State HIE: BI-Clinical to create disease-specific registries to help identify at-risk populations, and build powerful integrated analytics capabilities. Tracked 180+qualitymeasures,coveringover1millionliveswithover12million visits annually

• Leading integrated delivery network: Cloud-based deployment of BI-Clinical for integrated clinical and financial analyticsandcomplyingwithMU2and other regulatory requirements. Tracked 40+ quality measures, coveringover1millionlives

Comprehensive Coverage of Federal/ Commercial Incentive Programs

Powerful Rules Manage-ment Module and End User Capabilities

Flexible Architecture

Extensible and Interoperable

BI-Clinical Advantage

*Visitwww.citiustech.com/bi-clinicaltoviewthemandatorydisclosurestatementforBI-Clinical16.09asperregulation§170.523(k)(1)(iii)oftheONC2015EditionFinalRule.

Page 4: Quality & Protocols Management | Operational & Financial ... - Healthcare BI... · • Centralized analytics for acute, ambulatory and population health analytics to maximize clinical,

www.citiustech.com

About CitiusTechCitiusTech is a specialist provider of healthcare technology services and solutions to medical technology companies, providers, payers and life sciences organizations,withover2,700professionalsworldwide.CitiusTech’sservicesandsolutionsincludehealthcaresoftwaredevelopment,healthcareinteroperability,regulatory compliance, BI/analytics, consumer engagement, care coordination and population health management. CitiusTech helps customers accelerate innovation in healthcare through a number of solutions and accelerators for clinical quality reporting, healthcare big data, cloud computing, mobile health and predictive analytics. With cutting-edge technology expertise, world-class service quality and a global resource base, CitiusTech consistently delivers best-in-class solutions and an unmatched cost advantage to healthcare clients worldwide.

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