Medicity to launch analytics tool to complement SmartNetworks

The software is designed to help provider organizations ensure patients seek care within a health system and fill gaps in their caregiver networks.
By Bill Siwicki
03:51 PM

Medicity plans to launch at HIMSS16 an analytics product called Medicity Explore.

The tool analyzes data in SmartNetworks, Medicity’s technology designed to help provider organizations keep patients within a health system and fill gaps in their caregiver networks.

“A big focus for SmartNetworks is how we provide more data to a health system or accountable care organization – provider executives really are looking for how they can leverage more data to drive a more efficient organization,” said Jay Compton, chief technology officer at Medicity. “Provider executives seek to understand where the patient traffic in their health systems is flowing, and how much patient traffic is moving outside of their systems and creating greater expense and lower efficiency for consumers.”

Medicity Explore can, for example, identify the top 10 service lines a health system offers, summarizing them by the amount of patient traffic “leaking” outside of the health system, detailing the cost a provider organization incurs through such inefficiencies, Medicity said.

“The technology focuses on how a health system is being utilized, what patients are doing, where patients are being referred, which accounts providers are driving,” Compton said. “Drilling down into procedures and procedure groups, are some patients seeking care outside a health system because Dr. Smith has a golf buddy he refers all his patients to for orthopedics? Or is it simply because there is not a desired specialist in the health system and thus it’s a gap that the system can look to fill?”

Losing some but not all of the business of a patient costs health systems – and patients – money, he explained. For the health system, it means lost revenue and less efficient care delivery, which especially can negatively impact accountable care organizations, he said. And patients can experience services at higher costs when they leave a health system, costs that may not appear in the form of a higher co-pay but instead in the form of higher overall care costs – a test here is $3,000 and there is $5,000 – that boost costs for all parties involved, he added.

Twitter: @SiwickiHealthIT 

This story is part of our ongoing coverage of the HIMSS16 conference. Follow our live blog for real-time updates, and visit Destination HIMSS16 for a full rundown of our reporting from the show. For a selection of some of the best social media posts of the show, visit our Trending at #HIMSS16 hub.

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