Technology

A PLATFORM TO DRIVE CONNECTED CARE

Our experience operating value-based businesses has proven that the right people, processes and technology are vital to success. IdentifiSM is a fully interoperable platform that surfaces patients with future avoidable events, engages them in evidence-based interventions and coordinates care across providers, all while it continuously measures, manages and improves performance. Unlike solutions focused just on population health, Identifi is broader in scope, helping you manage your entire value-based business within a single, highly integrated solution. 

WHAT MAKES IDENTIFI DIFFERENT

Surface Patients with Future Avoidable Events

By applying sophisticated predictive models to a comprehensive patient profile built from electronic medical records (EMRs), claims and socio-economic data

 

Engage Patients, Physicians and Medical Management

Through evidence-based interventions built into a personalized care plan and made actionable through mobile and web-based applications, and EMR integration 

Measure Performance and Drive Continuous Improvement

By providing a library of pre-built reporting and analytics across key functional areas such as clinical quality, network leakage and health plan membership trend

CAPABILITIES

REPORTING AND ANALYTICS

Continuously measure and performance manage both the clinical and financial aspects of value-based operations

DATA INTEGRATION

Integrate data into a highly accurate enterprise data warehouse serving as a "single source of truth" about patients and providers

PREDICTIVE RULES MODELING

Direct the right type and intensity of care to maximize return on investment

STRATIFICATION

Surface patients who are both high-risk and impactable

EMR INTEGRATION

Push critical insights and workflow to your physicians within the host EMR

WEB APPLICATIONS

Coordinate care with fully integrated applications across care managers, physicians, utilization managers, coders and analysts

BRINGING TOGETHER A SINGLE SOURCE OF TRUTH

Identifi combines data integration, clinical profiling and predictive analytics in an architecture designed with the end-user in mind to create a single record for each patient that is unparalleled in its accuracy, completeness and clinical relevance. Once this record is established, stratification logic prioritizes patients not just by risk, but also by your ability to influence the health outcomes of that patient within the associated clinical program.

Unified Record For Each Patient

We bring decades of experience aggregating, normalizing and quality-checking the disparate data sources brought into our patient-centric data warehouse. We do this not just with technology, but with a team of data integration experts to provide unprecedented data integrity.

CLINICALLY RELEVANT FACTS ABOUT YOUR PATIENTS

Identifi's highly configurable rules engine applies the collective intelligence of our clinical informatics team to make your data actionable. It builds and continuously updates patient profiles to ensure accuracy and contains clinical facts and measures that can be used to power workflow, analytics and reporting.

PATIENT PREDICTIONS THAT BALANCE RISK AND YOUR ABILITY TO IMPACT

Identifi's predictive models and stratification logic combine insight-rich patient profiles with the latest advancements in data science to accurately highlight and map risk to open gaps in care. The result is a clear set of priorities that providers can use to direct efforts toward the greatest opportunities to positively impact the health outcomes of patients.

IDENTIFI EMR INTEGRATION

Identifi Value-Based EMR Integration (EMRI) pushes critical insights and workflow to your physicians within the host EMR. This allows physicians to quickly assess patient risk, see open care gaps, document risk appropriately and stay connected with the rest of the care team, all at the point-of-care. Identifi EMRI maximizes clinical performance and also ensures appropriate reimbursement under Medicare Risk Adjustment.

IDENTIFI APPLICATIONS: PUT INSIGHTS INTO ACTION

Identifi offers a suite of integrated interfaces and web applications that can be leveraged independently, in tandem with your EMR, or both simultaneously. These applications guide and coordinate action across the vast array of team members responsible for operating and managing your value business.

PHYSICIAN PRACTICES

Identifi Practice engages physician practices that are operating outside the host EMR. This happens through a web-based portal that contains intelligence on attributed patients, and also functions as a workflow tool for addressing and documenting care gaps—all while staying fully coordinated with the extended care team and the latest care plan. The application also includes integrated documentation support to promote appropriate reimbursement under Medicare Risk Adjustment. 

CARE MANAGEMENT

Identifi Care is a web-based application that supports care managers in triaging patients, conducting assessments, developing care plans and managing their list of prioritized action items. Stratification-prompted workflow and a library of problems, goals and interventions (PGI) ensures alignment with your clinical model. The application helps care managers focus on the highest priority patients and interventions while facilitating communication and coordination across PCPs, specialists and other members of the care team, fostering a personalized care experience unprecedented for many patients and caregivers.

UTILIZATION MANAGEMENT

Identifi Utilization Management is a web-based application built for provider-owned health plans. Unlike UM solutions built for payers, Identifi UM is fully connected to the rest of Identifi, so UM decisions can be supported by the latest EMR and claims data—and the patient’s current care plan. The application also provides reporting and analytics to empower UM managers to have data-driven conversations with outlier providers. This level of transparency between utilization and care management teams connects UM nurses as yet another resource for ensuring high-risk patients become engaged in appropriate care programs.

REPORTING AND ANALYTICS

Identifi Analytics provides direct access to Identifi's "single source of truth" about patients and providers. Identifi's rigorous analytics applies insights during the creation and execution of rules and workflow and continually measuring action effectiveness. It comes with a library of configurable reports, built specifically for evaluating and managing value-based businesses. Armed with this information, our team of value-based experts helps our partners conduct economic reviews, trend identification and performance management.

"They can really help us get going faster—that is really why we picked Evolent."
Jason Grant
Chief Information Officer
Vanderbilt Health Affiliated Network

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