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Improve Quality  


360Quality® is powered by sophisticated analytics and smart interfaces that connect disparate data sources to seamlessly integrate quality measures, administrative data, performance metrics and care management to create participant-centric, actionable information. 360Quality® then shares the relevant information with all participants, including giving providers a clear understanding of quality and utilization metrics, individual performance in relation to those metrics and the relationship between quality outcomes and payments.  Payers receive the comprehensive and accurate information they need for appropriate reimbursements and to more accurately predict utilization and other key trends. Patients benefit from improved coordination of care and better health management.

Key Features:

  • Data Integration: Collect data from multiple existing systems using prebuilt connectors, including administrative, clinical, quality, survey, EMR and financial information.  
  • Data Aggregation and Cleansing: Cleanses, normalizes, standardizes and optimizes data to make it actionable. 
  • Data Marts: Prebuilt clinical, quality, financial and operational data marts and configurable templates radically reduce design and setup of custom measures.
  • Pay for Value: Radically reduces the setup and design of value-based payment structures. 
  • Quality & Performance Measures: Configurable template-driven solution for quality and performance measures. Supports HEDIS®, P4P, proprietary quality and performance measures, and patient, provider and population profiling.
  • Predictive Analytics & Risk Scores: Integrated, well-tested and reliable models from a nationally recognized academic institution are used to generate profiles based on clinical, quality and financial data for member, provider and local populations. Risk scores are received for every member, enabling users to make timely predictions regarding those who are at the highest risk to more accurately predict future care costs and pharmaceutical utilization.
  • Health Risk Assessment: Assessments can be delivered on a hand-held device anywhere and at any time by capturing member-supplied health information and connecting it with risk scores.
  • Case Management: Intelligent workflow queue management optimizes resources used to manage cases, automates the calendaring of tasks and provides the ability to communicate with constituents via the medium of their choice.  Functions include candidate identification, automated assessments, automated care plans, integrated workflow, dashboard reporting, interventions, goals and outcomes.
  • Disease Management: A transparent, data-driven solution that promotes collaboration and has a clearly identifiable ROI. User-configurable templates for various chronic diseases make this an ideal solution for rapid deployment.
  • Utilization Management: Featuring an intuitive user interface and user-configurable setup, this comprehensive solution supports such functions as precertification, prior authorization, administrative notification, concurrent review and discharge planning.
  • Advanced Technology: Visually intuitive and 100% web-based, 360Quality® is HIE ready and ICD-10 compliant and provides stakeholders the flexibility to implement modules individually or all at once.  It is rapidly deployable and can be delivered in a highly secure manner to any device – desktop, handheld and/or PDA.