Quality and Care Management Solutions
Moxe’s quality and care management solutions allow your health system to seamlessly receive comprehensive data directly within your clinicians’ existing EHR workflows. This results in the improved care of patients and minimizes the time spent in providing, or duplicating, information for quality programs. Moxe offers quality and care management solutions for HCC reconciliation, patient summary, care gap management, and HEDIS and Star quality programs.
Hierarchical Condition Category (HCC) Reconciliation
Moxe’s HCC Reconciliation allows for direct, electronic communication with your health plans regarding the reconciliation of suspected conditions in the annual risk adjustment process – all within your patients’ EHR records. With HCC Reconciliation, a health plan’s request for conditions reconciliation is streamlined directly into your health system’s EHR workflow. Suspected conditions appear within patient charts and includes information regarding why the health plan needs clinician review.Read more
When HCCs are presented in a patient’s chart, your clinicians can document the condition status and indicate the ongoing treatment of any conditions appearing in the problem list. Your clinicians can also review suspected conditions not currently in the problem list, without leaving the patient’s chart. Upon completion and submission of any HCCs, the completed data is electronically transmitted to the health plan, and a note is filed to the patient’s chart, providing a history of the documentation.
Patient Summary migrates manual documents provided by health plans to electronic information and makes it available to your clinicians right within their workflows. With this solution, your clinicians can review a patient’s clinical history as collected by their health plans – including previous visits and clinical histories from organizations outside of your health system. Using Patient Summary at the point of care enables your clinicians to identify patients’ key clinical quality-related metrics and opportunities for improving clinical outcomes and care.
Care Gap Management
Like Moxe’s HCC reconciliation solution, our care gap management solution provides blended data from multiple sources to identify potential gaps in care – for all diagnosis codes, not only those correlated to HCCs. These potential gaps are presented directly within the EHR, for review and action by your providers, allowing them to deliver the best care to their patients.
HEDIS and Star Quality Programs
Building upon Moxe’s automated chart retrieval abilities, our HEDIS and Star offering is bolstered by a user-interactive solution which provides a workflow for reconciling and collecting data. Data already documented in the EHR is married with data previously delivered to the health plan, providing answers to these quality measures and identifying any gaps or measures requiring additional information.
For measures with gaps, the measure is presented to the end user within their workflow to document a response to the gap as a status, note, or supplemental information that would fulfill the measure’s requirements. This solution allows you to automate the process of confirming HEDIS and Star measures that have already been documented in the EHR, and eliminates the current-state back-and-forth process of closing HEDIS and Star gaps.
Moxe’s quality and care solutions are delivered through Substrate and Convergence.
Substrate is an electronic medical record integration platform, facilitating the real-time exchange of clinical, analytic, and administrative data.
Convergence is Moxe’s framework for embedding information within EHR systems. Through Convergence, valuable information from your health plan(s) appears directly within your clinicians’ existing workflows.
With minimal hours of implementation effort needed from your IT and administrative staffs, Moxe’s implementation methodology reduces the burden typically placed on your teams during integration projects.