Network Analytics
Clinical Performance Analytic
Network Analytics
Clinical Performance Analytic
Simplify the transition of consumers to alternative care locations by understanding the dynamics of network performance and creating the foundation for network adequacy, design and optimization
A critical component of any risk and Value Based Care (VBC) program is taking on the responsibility of the full episodic care of each consumer. Traditionally, providers have little to no knowledge of services performed outside of their four walls. As the quarterback and responsible party for consumer care, provider understanding of networks and referrals is more critical than ever. Referral analytics can help ensure that the consumer is routed to the right provider and network performance can lead to better outcomes within risk contracts.
HealthPointe’s Network Analytics package provides coordination of care with other insights to ensure the right care is provided at the right time. We go beyond each facility and include the full network for availability and quality of services. Our suite of network analytics monitors transition of care, clinical performance of utilization and quality measures, adequacy against service mix and referral management to assure clinical effectiveness and access.
Network Analytics Process
1. Harvest all Critical Data from Across the Organization
- Retrieve the full clinical and claims datasets, applying utilization and quality profiles across network dynamics
- Cleanse, standardize, enrich and prepare data for analytic processing
2. Assign and Evaluate Service Categories
- Evaluate care for appropriateness and align to service categories provided
- Align network performance, adequacy and referral management analytics to drillable scorecards and actionable messages
3. Continuously Monitor Performance Against Targets
Create heat maps for each network by region and plan with drillable insights driven by artificial intelligence (AI)
