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Clinical Data Exchange, Clinical Data Management, Health Data Exchange

Clinical data exchange is, at its most basic level, a method or system for sharing clinical data among different, potentially disparate healthcare information systems. Clinical data management - the effective access to and sharing of clinical data - can be a key element for a healthcare organization in lowering costs, driving value and enhancing the patient or member experience.

As major stakeholders in the health ecosystem, payers are now focusing on creating their own data exchange with external provider data sources to drive their value based care delivery and reimbursement models.

Some organizations do not have the incentives to share data because of market-based competition while others are skeptical about the value driven from participating in a clinical data exchange. The sharing of data and clinical data management benefits the patient, providers and the payers who then have more data from which to help improve medical outcomes.

Omni-HealthData can help payers create a sustainable clinical data exchange with their provider partners by breaking barriers of distrust and quickly establishing value in order to establish meaningful collaboration between the two parties. The goal is the same for everyone: to improve patient satisfaction and deliver better health outcomes through effective - and collaborative - clinical data management.

Omni-HealthData Payer Edition helps with clinical data management by delivering a data management platform that allows for the consolidation of disparate systems (clinical, claims, lab, pharma, etc.) into a data repository that is purpose built for analytics and reporting. This member-centric data repository improves the ability to analyze those areas that are critical to reducing costs, increasing patient satisfaction and delivering a higher quality of care.

Since the data from various systems, both internal to the insurance plan as well as from external data sources, has been consolidated in an analytics-friendly repository, it is easy then for Payers to analyze where their costs are coming from, they are able to quantify and qualify the value of the care that they are delivering. This enables Payers to identify problem areas quickly and make improvements where needed. This clinical data management, in turn, enhances the member experience while potentially positively impacting HEDIS® scores and STAR ratings. And finally, care teams can deliver more personalized care as they understand where the gaps in care are and what needs to be done to improve the lives of the people entrusted to them.

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Note: HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)