| Introduction |
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| The objectives for the Pay for Performance (P4P) incentives and incentives developed by health plans are focused on driving the cost of providing care down and to keep the quality of care at the highest level possible. Reducing the number of brand drugs prescribed, patient's health maintenance for patients with chronic diseases (COPD, HBP, Diabetics, etc.), hospital days, emergency room visits and the patient satisfaction levels are a few of the indicators being measured today. |
| Our Clinical Integration Solution, Intelligent IPA, creates a tool to allow IPAs, MCOs, and Medical Groups to access data from disparate systems and transforms it to useful information. Intelligent IPA combines: |
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Laboratory Results |
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Pharmacy Scripts |
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Claims Data |
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Radiology |
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| Information about the Patients, Providers, and practice patterns can be compiled and drilled down to identify ways to take the corrective actions to meet the goals of the organization. |
| Examples of queries: |
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Identify the top 50 Brand Prescriptions that have an equivalent generic or therapeutic equivalent drug. |
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- Identify the top script writers
- Identify patients taking the medication |
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Identify patients with chronic conditions: |
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- Identify if the prescription has not been filled for a period of time |
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Identify patients that are passed due for their annual procedures such as PAPs, PSA, mammograms etc. |
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| Communications Link include: Automated Telephone Messaging Services, outbound call services by Meditab HIPAA certified employees, E-Mail, and Text Messaging services. |
| Brand versus generic prescription incentives: |
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Addresses the "points of failure" during the workflow process |
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Creates a knowledge database and reports. |
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Delivers proprietary software (GenRXTM) to assist in generic prescription generation at the POS. |
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Provides a Messaging Service to proactively contact the RX eligibility service organization. |
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Delivers a Messaging Service for patients, describing the benefits of the program. |
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Provides a Healthcare Portal to increase the communications between: Patients - Providers - Pharmacies. |
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| Quality Indicators (Incentives relative to preventative medicine and health maintenance) |
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Tracks and helps increase adolescent immunization. |
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Includes reminders for screening procedures (PAP, PSA, Breast exams, etc.) |
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Provides Care Plans for multiple diseases, eg: |
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- Asthma
- Diabetes
- HBP
- Cardiovascular Conditions |
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Mental Health Follow-up |
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| Patient satisfaction surveys conducted via: |
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Healthcare Portal |
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Kiosk |
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Paper-based |
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Telephony Technology |
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Integration of Information |
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Parsing of data for the IPA patients |
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Eligibility |
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Real-time update to the IPA knowledge base |
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Sharing of pertinent patient information between practices |
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Secured, uniformed data; no user intervention |
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| Intelligent IPA is designed to meet the unique requirements of the IPAs and MCOs and can be delivered on a pay for performance schedule. Please call us for more information about Intelligent IPA or any of our Suite Solution softwares. |
| Suite of Intelligent Products are listed below |
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Intelligent Pharmacy Software [IPS] |
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SuiteMed IMS - Medical Software |
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Intelligent Radiology Management Software [IRMS] |
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Intelligent IPS- Independent Practice Association Software |
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