HEALTHCARE DATA AGGREGATION USING AI/ML DRIVEN PATIENT MATCHING & LINKING
Evolving requirements, such as eCQM reporting, risk adjustment coding, Alternative Payment Model (APM) reporting, or multidisciplinary care coordination, require access to multiple data sources—and a way to aggregate that data into a harmonized view. InteropX allow payers, ACOs, and other risk bearing entities to have access to aggregated and harmonized patient data from all data sources in the network, enabling coordinated care, improving quality and safety, delivering cost-savings, and improving clinical outcomes.
InteropX utilizes Ai/ML techniques to continually perform Patient Matching and Linking (PMAL) on the incoming data which minimizes false positive and ensures best match with minimal manual intervention. The fully matched and linked data creates a high-quality patient longitudinal charts ready for claims management, utilization management, care coordination, risk adjustment, and quality measures reporting.
MEMBER CLINICAL DATA REPOSITORY (M-CDR)
InteropX Member Clinical Data Repository (M-CDR) is FHIR Resource database with a certified FHIR Server. Member clinical, claims, and administrative data, stored as FHIR Resources, is made available to external apps and systems via FHIR compliant RESTful API. Continuous extraction and aggregation make your M-CDR as the authoritative source of patient information for your network and enterprise.
FHIR API
Restful Web Services
Certified FHIR Server
USCDI Compliant Data
Procedures
Provenance
Observation
Care Team
Document Reference
Patient Demographics
Vital Signs
Alergy & Intolerance
Care Plan
Medications
Problems
Encounter
Care Team
Laboratory
Immunizations
Health Insurance Coverage
Diagnostics Report
Clinical Tests
InteropX Member Clinical Data Repository
M-CDR
INTEROPX CDEX DATA BRIDGE (IX CDEX) - A STANDARDS-BASED COMMODITY SOLUTION FOR HEALTHCARE PAYERS AND ACOS
iX CDex is a fully compliant implementation of Da Vinci Clinical Documentation exchange (CDex) for automated clinical data retrieval. iX CDex solution creates a reliable and cost-effective interoperability between a payer and multiple provider systems.
iX CDex creates a practical interoperable environment for Payers, Independent Physician Associates (IPAs), and Accountable Care Organizations (ACOs) enabling easy access to complete clinical and claims data for all covered patients in the network. Starting from your patient chase list through delivery of complete patient charts in a FHIR bundle or a format of your choice, iX CDex provides fully automated chart retrieval solution significantly reducing charting time and chart retrieval cost thereby breaking down barriers to delivering compliant and cost-effective quality care.
iX CDex supports the following use cases to ensure that complete clinical data for all patients in the payer’s network is updated automatically for a payer or an ACO:
- Create a Baseline: Historical Clinical Data Retrieval for All Patients in the Network
- Encounter Closure: Automatic Clinical Data Retrieval Upon Encounter Closure
- Data Retrieval on Demand: Clinical Data Retrieval for Specific Patients
iX CDex can be easily extended to support:
- Data retrieval using vendor specific APIs to extract clinical data not available through FHIR APIs
- Delivery of complete patient charts in any target format
- Data quality improvements to ensure clinical data is automatically curated, consolidated, and de-duplicated as it is retrieved from multiple EMRs.
- C-CDA and FHIR Data Quality validation to provide comprehensive reports on compliance with the standards. These reports help identify and resolve the C-CDA and FHIR quality issues and break the cycle of “garbage-in-garbage-out”
