Health Information Management
Health care providers and payers face ever-growing economic and competitive challenges. At the same time, they must strive to provide the highest quality of health care in their networks.
Health Information Management (HIM) is a decision support process designed to help providers and payers achieve optimal balance between health care costs and quality of care. At this optimal point, the network provides the best possible care to consumers while minimizing risk and containing costs, helping promote a win/win situation for both providers/payers and consumers.
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From Data to Action
Integrail's approach to Health Information Management is based on an innovative methodology that integrates the vast amounts of data collected by health care organizations into manageable, intelligent groupings. Medical claims, pharmacy claims, provider, and member data are all analyzed to identify the following:
- Variances in treatment for types of medical conditions.
- Practice patterns and efficiency of providers for diseases and health conditions.
- Best practices in medical and drug treatments.
- Opportunities to reduce costs while improving quality of care.
- Patterns of care and costs at inpatient facilities.
- Profiles of patients.
- Level of risk associated with patients or groups of patients.
- Future health care costs and strategies to manage them.
This actionable information is used to educate providers and payers on ways to reduce variances in care while implementing the best clinical practices that contain costs.
Measuring Results
To Integrail, Health Information Management is more than a software solution. We provide ongoing extensive services to our clients on an annual basis. We help identify and quantify the goals and objectives you need to achieve, establish metrics for measuring success, offer analytic services, build a solution implementation plan, and train and support your users throughout the growing lifecycle of your solution.
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