FORT WORTH, Texas Feb. 22, 2011 Orlando, Fla. Feb. 20
With SandlotQRM, physicians will have the tools they need to improve quality outcomes before, during, and after the patient’s visit. Physicians and other clinicians can:
- Prospectively track patients falling outside care guidelines.
- Deliver care recommendations based on the patient’s electronic, longitudinal community health record at the point of care.
- Retrospectively monitor performance through the lens of HEDIS, PQRI, EHR Meaningful Use, and other measures.
SandlotQRM is integrated with SandlotConnect®, a health information exchange (HIE) solution developed and supported by Sandlot, LLC. SandlotConnect is a unique point of care solution – a blending of HIE technology with quality management tools – enabling healthcare providers to integrate care delivery and achieve measurable improvement in quality outcomes. SandlotQRM can integrate with any source of patient clinical information, including: HIEs, claims systems, or electronic medical records.
Until now, physicians and healthcare organizations relied on fragmented retrospective reviews of patient data to manage care. SandlotQRM will help ensure that doctors exceed their quality objectives by presenting patient-measures that are important to their specialty. The web tool enables physicians to determine what patients are not meeting the measures of quality care and allows doctors to take immediate action, such as: scheduling a diagnostic test, a procedure, e-prescribing or ordering a laboratory test. This will enhance the physician’s ability to treat patients more successfully at the point-of-care and increase patient satisfaction rates.
Sandlot’s quality module will also serve as a vital benchmarking tool for physicians. Doctors can determine how successful they are in meeting their quality objectives compared to national targets and other physicians utilizing Sandlot’s HIE application, SandlotConnect. This will be beneficial for doctors in helping them develop alternative protocols to provide better overall treatment plans and cost effective care for their patients. The current Centers for Medicare & Medicaid Services (CMS) incentive program in place will create increased demand for SandlotQRM. Payments are rewarded to those physicians who satisfactorily report their specified measures during a reporting period.
The emerging era of accountable care induces hospitals and health systems to reduce costs and improve long-term financial objectives by participating in an accountable care organization (ACO). Based on the Patient Protection and Affordable Care Act (PPACA), an ACO is described as collaborations that include groups of healthcare providers, hospitals, and others. SandlotQRM is the cornerstone of an ACO because of the prospective, point-of-care, and retrospective quality measurement reporting that will support a profitable and sustainable patient care organization.
From a health plan perspective, Sandlot’s quality module will help insurers meet their business objectives. Insurers can meet their Med-Loss Ratio (MLR) requirements by utilizing its sophisticated data analysis and population reporting capabilities so they can be defined as a medical cost. To assist health plans in reaching CMS Five-Star status, SandlotQRM also provides analytical data on HEDIS measures. NCQA publishes the top 20 private health plans, with similar lists for the top 10 Medicaid and Medicare plans each year. HEDIS scores are a significant factor in ranking each plan.
About Sandlot, LLC
Fort Worth, TX www.sandlotsolutions.com
SOURCE Sandlot, LLC