Mercy Health Select, LLC：IBM Explorys 平台集成了不同的数据源，帮助识别高风险患者
公司规模
Large Corporate
地区
- America
国家
- United States
产品
- IBM Explorys Platform
- IBM Explorys EPM: Measure
技术栈
- Data Integration
- Healthcare Analytics
实施规模
- Enterprise-wide Deployment
影响指标
- Customer Satisfaction
- Productivity Improvements
技术
- 分析与建模 - 大数据分析
- 分析与建模 - 预测分析
适用行业
- 医疗保健和医院
适用功能
- 质量保证
用例
- 预测性维护
服务
- 数据科学服务
关于客户
Mercy Health 总部位于俄亥俄州辛辛那提，为俄亥俄州和肯塔基州的社区提供服务，经营着 450 多家医疗机构，其中包括 23 家屡获殊荣的医院。其服务涵盖生活的方方面面，从产科到老年护理，2015 年的净营业收入为 43 亿美元。Mercy Health Select, LLC 是一个扩展的网络，除了该组织直接雇用的 563 名初级保健提供者 (PCP) 外，还拥有另外 89 名附属 PCP。2016 年，Mercy Health Select 管理着近 15 万名高风险合同患者的护理。
挑战
Mercy Health Select, LLC 是 Medicare 共享储蓄计划 (MSSP) 的一家责任医疗组织 (ACO)，它需要通过挖掘不同的数据源和识别高风险患者来提高其提供的医疗服务质量，以便临床医生能够快速干预。作为一家 ACO，Mercy Health Select 必须展示在降低成本的同时提高医疗服务质量的能力。然而，Mercy Health Select 网络中并非所有附属初级保健提供者 (PCP) 都使用相同的电子健康记录 (EHR) 平台，这使得各机构之间共享有关高风险患者的信息变得困难。保险索赔可以弥补数据共享方面的差距，但机构必须在 PCP 收到索赔之前提交索赔并开具账单——这个过程可能需要长达三个月的时间。
解决方案
Mercy Health Select 选择了 IBM Watson Health 的 IBM Explorys 平台，以帮助其实现基于价值的患者护理。使用 Explorys 平台，Mercy Health Select 可以快速收集有关其患者的所有相关索赔和临床信息。然后，IBM Explorys EPM：Measure 应用程序使用分析来快速识别和优先处理高风险、高成本的患者。Explorys 平台整合索赔和临床数据，然后使用复杂的分析来识别和优先处理高风险患者。整个组织的员工都可以使用这些信息来提供更好、更有针对性的护理，并提高 Mercy Health Select 服务的整体质量。
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