Upcycled Data Drives Value
At Diameter Health, we are motivated to accelerate the use of high-quality clinical data to improve health and make our healthcare system more efficient and less wasteful. Our technology delivers what we call “Upcycled DataTM” from raw data sourced from EHRs, HIEs, and labs. Upcycled Data conforms to standards for encoding and exchange. It is enriched with metadata and consolidated so it can be easily searched and consumed by both machines and humans. By deploying Upcycled Data into clinical and administrative workflows, our customers and partners achieve measurable clinical value for individuals and populations, as well as significant operational efficiencies.
In this blog post, we will outline some of how upcycled clinical data drives value. In subsequent posts, we will provide details on how to identify priorities for Upcycled Data within your organization, and examples of return on investment. Be sure to subscribe below so you don’t miss out!
There are two key ways our technology drives value: (1) accelerating the use of clinical data as a strategic asset, which customers use to improve health outcomes and optimize revenue, and (2) leveraging our automated technology for normalization, enrichment, and synthesis of data from multiple sources to reduce costs, relieve staff burden, and drive innovation and outcomes.
So, what does that mean for individuals and organizations? Here are just a few examples:
- Better care. As a patient, you see many providers. But unless they are in the same practice or health system, they do not have visibility into your care journey because data captured from each encounter rarely leaves the confines of that original system. To solve that problem, our customers, using our Fusion automated API technology, deliver tens of thousands of consolidated, longitudinal records with consistent terminologies into clinical workflows. Providers and patients benefit from more informed decision making and targeted care delivery, based on a holistic view of the patient journey. Payers benefit from increased visibility into the utilization of tests and procedures, yielding insights that help to identify what a member needs, or doesn’t need, and ensuring the most effective utilization of limited resources. Health information exchanges benefit by providing a value-added service to their stakeholders, supporting business sustainability.
- Lower costs. Today’s health plans are going beyond simply paying for services. They are actively involved in orchestrating the best care at the lowest price for members. Upcycled clinical data contributes to more accurate care gap identification and clinical quality measurement. One national health plan reported a 20% increase in HEDIS quality measure compliance because Diameter Health’s upcycling process uncovered additional data elements directly tied to preventative screening measures. With that insight in hand, provider networks can focus on closing real gaps in care, rather than duplicating outreach, and delivering high-quality care by allowing clinical resources to operate at the top of their license. As a result, health plans also achieve more accurate HEDIS compliance rates and subsequent increases in Medicare Star ratings.
- More accurate analytics. Whether you need data for population health analytics, as input into a tool for predicting the mortality risks of an individual, or for proper risk adjustment for reimbursement purposes, clinical data quality is fundamental. On average, Diameter Health’s upcycling technology delivers an average of 30-50% more usable data across clinical domains, our analyses show. That translates into significant business and clinical impact. For example, by standardizing how diagnoses are coded, our health plan customers have seen an average increase in risk adjustment scores across membership of up to 0.337. This netted millions in reimbursement dollars because it more accurately reflected the health of their members. From an advanced analytics standpoint, AI and ML models are only as accurate as the data they are trained on. Leveraging the most complete, standard data assets to build predictive and advanced analytic capabilities directly impacts the efficacy and utility of these models on real-world healthcare data.
- Faster time to innovation. Significant clinical informatics and software development expertise is required to turn clinical data into a usable asset and make it available in workflows and analytics. Our depth of clinical data expertise as well as holistic, deep processing to improve data quality in real time allows customers to focus on their core competencies and accelerates the application of data in downstream processes. For enterprise clinical data integration, Gartner® research notes:
“To use clinical data effectively to inform processes such as care coordination and utilization management, it must be both syntactically interoperable (conforming structure) as well as semantically interoperable (conforming content). To achieve semantic interoperability, systems must be able to exchange data with unambiguous, shared meaning. For example, medication name, dosage and delivery modality must be consistent to support medical necessity decisions.”
They further counsel organizations to:
“Collaborate with provider partners to achieve the data quality needed to support your agreed-on use-case applications and address any gaps that the analysis attributes to clinical workflows. Due to the clinical expertise this process demands, we strongly recommend that you seek expert assistance from a vendor to normalize clinical data.”**Gartner®, “Clinical Data Integration Capabilities and Sourcing Recommendations for U.S. Healthcare Payers”, Mandi Bishop, Rohan Sinha published 26 April 2021. GARTNER is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally and is used herein with permission. All rights reserved.
With data ingestion and processing speeds up to 17,800x faster than manual resources, Diameter Health is ensuring our customers can move fast, grow their data footprints, respond quickly to market shifts, and dedicate precious internal resources to innovation for the future.
To accelerate the use of clinical data as a strategic asset and to generate the most value from investments in data, technology, and people, partner with Diameter Health.
Stay tuned for more examples of how Upcycled Data drives clinical, operational, and financial value. You can also check out our brief on “The Potential of Clinical Data”.