Upgraded performance-driven healthcare with a 360-degree patient view
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.
Developer customer success story
A large health system struggled with ingesting and integrating claims and EHR data from multiple payer sources in a variety of file types and formats. They deployed the cloud-native Orchestrate APIs to transform the claims data into standardized formats for analytics and ingestion into EHR/EMR systems such as EPIC.
The Convert API ensured seamless data conversion and export to consistent formats for EMRs, payor workflows, data lakes, and analytics.
The Identity API applied cryptographically hashed Privacy Preserving Record Linkage (PPRL) record linking technology to unify patient identities across sources.
The Terminology API mapped and classified inputs to ensure poorly coded or uncoded data received the appropriate codes for tests, medications, labs and diagnoses. Data was standardized into common terminology code sets such as SNOMED, ICD10, RXNorm, and HCPCS/CPT.
The APIs were used to form a comprehensive patient record in a combined FHIR bundle, which could then be exported or converted to other document types such as PDF.
Example of a conversion operation from the Convert API:
Example uplift operation from the Terminology API:
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.
Unlock the full potential of your clinical datasets with Orchestrate.