2023 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.

Accelerating an ongoing healthcare trend, the Department of Health and Human Services’ Office for Civil Rights has proposed changes that would strengthen a patient's right to gain access to their own health information. Swellbox provides tools and support to empower patients to access their PHI. This report looks to validate the outcomes and satisfaction of Swellbox clients on this important topic.

Company/solution	Overall performance score (100-point scale)	Total evaluations	Trend (2022-2023)	Culture	Loyalty	Operations	Relationship	Services	Value

Sharecare Release of Information	90.5	n=22	+1%	--	A	A-	A	A-	B

MRO Release of Information	89.4	n=38	-2%	--	A-	A-	A-	A-	B

Datavant (formerly Ciox Health) Ciox Health Release of Information	88.2	n=37	+3%	--	A-	A-	A-	B+	B-

Verisma Release of Information	86.5	n=22	N/A	--	A-	B	A-	B+	C+
	50.0	100.0

Company/solution	Trend (2022-2023)	Culture	Loyalty	Operations	Product	Relationship	Value

Sharecare Release of Information 90.5 n=22 COMMENTS	+1%	--	A	A-	A	A-	B
MRO Release of Information 89.4 n=38 COMMENTS	-2%	--	A-	A-	A-	A-	B
Datavant (formerly Ciox Health) Ciox Health Release of Information 88.2 n=37 COMMENTS	+3%	--	A-	A-	A-	B+	B-
Verisma Release of Information 86.5 n=22 COMMENTS	N/A	--	A-	B	A-	B+	C+

Company/solution	Overall performance score (100-point scale)	Total evaluations	Culture	Loyalty	Operations	Relationship	Services	Value

HealthMark Group HealthMark Release of Information [C]	89.6	n=25	--	B+	B+	A-	B+	B+

Company/solution	Overall performance score (100-point scale)	Total evaluations

HealthMark Group HealthMark Release of Information [C] culture -- loyalty B+ operations B+ relationship A- services B+ value B+	89.6	n=25

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