eXcileCDS

eXcileCDS is an advanced, web-based, mission-critical application with a demanding usage profile. The knowledge management function in the system would collect, associate, analyze and distribute both enterprise wide and patient specific information on a patient-centric basis. This will help physicians and health care practitioners with the information required in real-time to make best informed operational decisions at the point of service.

eXcileCDS is intended to achieve continuous healthcare process improvement leading to:

• Optimized clinical and financial outcomes
• Decreased variability in clinical outcomes
• Use of decision support tools at key milestones (point of service) during the process of care
• Analytical tools for benchmarking the process of care and related outcomes

Intended use of the eXcileCDS system

Heptronik customers will be hospitals and insurance. The users of the system will be physician providers who will share incentives for process improvement with their hospitals and insurance. Each customer segment will be encouraged to embrace this system through aligned and shared incentives.

• Service Providers (Hospitals, MDs, Laboratories, non-MD care providers) will receive:
  • Decision support tools at the point of care
  • Reports for outcomes comparison and benchmarking
• Data Suppliers (Laboratories, non-MD care providers, MDs) will enter:
  • Data at the point of data capture (real time)
• Payers will receive:
  • Outcomes comparison reports for healthcare provider organizations and individual healthcare practitioners
  • A subset of managerial reports related to the relevant Heptronik provider organizations associated with the payer
• Heptronik consultants will provide:
  • Tools for generation and modification of healthcare guidelines
  • Analytical tools for generating ad-hoc reports and queries
  • Reports and benchmarking of process and outcomes
  • Meta-analysis of aggregate data sets

Benefits

Benefits to service providers will include:

• Reduced variability and co-management of quality and cost.
• Improved clinical and financial outcomes.
• Educational aids:
  • Ability to analyze performance (process and cost effectiveness)
  • Behavioral understanding and modification
  • Identification of outlier status (upside and downside) by all users
• Administrative support:
  • Help in credentialing activities (only performance comparison)
  • Marketing

Benefits to insurance will include:

• Ability to assess Return On Investment (ROI):
  • Verification of insurance premium structure
  • Appropriateness of service quality (outcomes) for payments
  • Ability to construct appropriate premium structures for at risk populations
• Administrative
  • Help in credentialing (only performance comparison)
  • Management of indicated authorizations for services
  • Marketing.