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Data orchestration APIs for health systems to utilize claims and clinical data with precision.

The Orchestrate APIs facilitate the integration and curation of disparate health records from multiple sources and health systems. By consolidating and cleaning data to build a complete picture of a patient’s health, the APIs enable more informed clinical and risk management decisions.

Labs, procedures, medications and diagnoses often get missed by data ingestion and file format conversion tools if they are poorly formatted, uncoded or hidden in free-text notes. The Orchestrate APIs ingest and consolidate clinical data from sources such as EHR and claims providers with proven enrichment features to ensure no data is left behind.

The Orchestrate APIs enable:

  • Upgraded care management

    A more complete and enriched patient record allows health systems to:

    • Make more informed clinical decisions
    • Identify patients at highest risk for unnecessary costs, and then intervene early
    • Determine true gaps in care by viewing the care that has been delivered across multiple sites and organizations
    • Enable proactive care gap closure
  • More accurate risk & quality measures

    • Transform EHR data from other health systems and claims data from multiple payer sources into standardized formats for analytics
    • Feed more complete, enriched record into risk adjustment profile calculations
    • Improve HEDIS and Star (quality) measures for data shared with payers
  • More informed financial reporting & analytics

    Enriched record consolidation, with a complete view of the services provided to the patient, translate into a more clear picture for

    • Financial performance for claims reconciliation
    • Population health management

Business customer success story

A large health system with 2 million patients was challenged with ingesting patient data from multiple sources. They deployed the Orchestrate APIs to build a consolidated, single patient view, integrating data from eClinicalWorks and Athena, along with claims from CMS and Employee health and their local HIE, which enabled:

  • Notifications for admissions and high risk patients
  • Patient stratification
  • Task management workflows
  • Improved care management documentation
  • Claims consolidation
  • More accurate population health reporting
  • Risk and quality measures calculations
  • Closing gaps in care

In the next phase, claims data from multiple payers were standardized for EPIC integration. The 360 degree patient view with improved data quality and completeness, empowered care managers with more informed decision making abilities. Benefits extended to point-of-care decisions, reporting, and addressing care gaps.

Key Benefits of the Orchestrate APIs for Health Systems:

  • Data conversion: Convert patient information from multiple sources for use in various EMRs and point-of-care workflows.
  • Data standardization: Standardize data from various formats (FHIR, CCDA, Common Claims, 837p) to common terminologies (SNOMED, ICD10, RXNorm, HCPCS/CPT).
  • Patient-mediated exchange: Obtain claims and EMR data from other systems without formal relationships.
  • Unified patient identity: Maintain a single patient identity across all sources for accurate data assignment.

The Orchestrate APIs empower anyone touching patient data at health systems to spend less time getting high quality clinical information into the right format and standardized terminology, regardless of source. This allows providers, developers and clinical data managers to spend more time on fusing insights into action to enable high quality care.