2021 Best In KLAS Release of Information

Patient data often exists in silos, leaving healthcare organizations with poor visibility into care given at other facilities and preventing payer organizations from being able to access a full view of their members’ clinical history. To give both parties a more robust clinical picture of each patient’s care journey, the collaborators in this case study invested in technology to map non-standardized CCD data into one unified medical record that gives both the payer and the provider the ability to track patients across settings and over time. The project has streamlined data-exchange processes and improved performance in quality measures.

To meet CMS requirements for the submission of risk adjustment data and ensure they are being fully reimbursed by CMS, payer organizations need increasingly specific coding information, and these requests for information can put undo administrative burdens on provider organizations. Seeking to increase the payer organization’s access to needed information without increasing the provider organization’s workload, the collaborators in this case study established an API that enables an automated, standardized retrieval process for records that the payer organization needs in order to complete managed care audits.

Perception

Patient Perspectives on Patient Engagement Technology 2022

26 May 22 | Adam Cherrington and Dan Czech

The pandemic has emphasized the need for healthcare organizations to better accommodate patients’ needs and decrease barriers to effective care. However, patients are frequently absent from discussions around healthcare information technology (HIT). In KLAS’ previous report on the patient perspective , we discovered a lack of alignment between patients’ engagement technology priorities and those of provider organizations and vendors. Since then, KLAS has sought to gain a deeper understanding of what is needed from vendors and providers to drive greater alignment with patients. This report seeks to highlight the patient voice and is one of many KLAS initiatives aimed at more deeply understanding and measuring the patient perspective on HIT.

	Overall performance score (100-point scale)	Trend (2020-2021)	Total evaluations	Loyalty	Operations	Relationship	Services	Value

MRO Corp	89.2	0%	n=53	A-	B+	A-	B+	B

Datavant (formerly Ciox Health) Ciox Health	85.9	0%	n=46	B+	B	B+	B	B
	50.0	100.0

	Overall Performance Score (100-point scale)	Total evaluations	Loyalty	Operations	Relationship	Services	Value

Verisma L	91	n=13	A	B+	A	B+	B+

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