BI-Clinical

Healthcare BI/ Analytics Platform

Accelerate your journey with a successful business intelligence strategy

With healthcare payments moving from volume to value and patient care moving toward population health models, it is critical to be able to measure, monitor and drive action based on key clinical, financial, operational, regulatory and contractual metrics.  With an extensive set of apps that cover over 600 KPIs around regulatory, clinical, financial and operational reporting – BI-Clinical has the largest measure library in the industry. It offers powerful capabilities for advanced healthcare BI and analytics for clinical quality and protocol management, payer contracts and value-based care, and operational and financial efficiency. With its powerful Rules Engine, in addition to its vast quality measure coverage, BI-Clinical offers fastest rules customization for contractual or operational flexibility in driving quality initiatives. BI-Clinical provides a modular, flexible, configurable and scalable solution to address the healthcare organization’s changing reporting and decision support needs.

BI-Clinical is the most widely used 3rd party healthcare BI and analytics platform across the U.S., with a coverage of 4,500+ deployments, 700,000+ providers, 30M+ lives and 140M+ patient visits.

  BI-Clinical is ONC HIT 2015 Certified* for Meaningful Use clinical quality measures and NCQA certified for all HEDIS 2016 performance measures.

*As per regulation § 170.523(k)(1)(iii) of the ONC 2015 Edition Final Rule, the Cost and Limitations and Product Information Statement for BI-Clinical 16.09 can be found here and for BI-Clinical 16.09 NZ can be found here.

Configurable Engine, Scalable Architecture, Regulatory Reporting, Mobile Analytics, CitiusTech

BI-Clinical: Healthcare BI/ Analytics Platform

BI-Clinical: Key Use Cases

BI-Clinical is flexible, configurable and scalable. With apps that cover over 600 KPIs around regulatory, clinical, financial and operational reporting, BI-Clinical offers powerful capabilities to measure, monitor and act on the data distributed across the organization.

Clinical Quality and Protocol Management

  • Management of all aspects of quality from a single interface
  • Coverage of clinical quality guidelines of leading regulatory and quality organizations – MACRA, Meaningful Use, PQRS, HEDIS, JCAHO, PCMH, VBP, STARS – for compliance to evidence-based guidelines
  • Tracking of measures, protocols and safety to standardize how care is provided and analyzed across the enterprise
  • Ability to analyze performance and drill down to details of providers, patients, measures etc.

Operational and Financial Efficiency

  • Suite of apps for managing revenue cycle, census, utilization, network leakage etc. to improve efficiencies, maximize productivity and increase revenue
  • Identification of outliers in operational and financial workflows and lowering of redundant care
  • Resource utilization optimization such as beds, ORs, ancillary staff, consulting rooms etc.
  • Minimized revenue loss by analyzing referrals and leakage across network

Payer Contracts and Value-Based Care

  • Suite of apps for hospitals, IDNs, physician practices, HIEs, ACOs and MCOs to manage risk-based contracts, risk stratification and population health management
  • Payer apps to maximize revenues and improve member experience through high contractual quality, accurate HCC coding and higher STAR ratings
  • Identification and management of high-risk, high-cost population effectively

Administration

  • Management of patient cohorts with HCC calculations and various demographic and diagnosis parameters
  • Tracking of data quality and data readiness for quality measure processing
  • Submission ready file formats as per standard industry specifications
  • Detailed insights into measures processing logic and re-process select data

BI-Clinical: Healthcare Analytics Platform

BI-Clinical is flexible, configurable and scalable. With apps that cover over 600 KPIs around regulatory, clinical, financial and operational reporting, BI-Clinical offers powerful capabilities to measure, monitor and act on the data distributed across the organization