EHR tool uses analytics to identify health risks
Health Care Service Corporation (HCSC) has announced that its CareProfile electronic health record can help physicians and healthcare facilities identify health risks for 9 million patients across the country.
The electronic record, created in a collaboration by MEDecision, Availity and HCSC’s Blue Cross and Blue Shield plans in Illinois, New Mexico, Oklahoma and Texas, includes a health status measure in addition to compiling all of the critical information relevant to a patient’s care, said Paul Handel, M.D., chief medical officer at HCSC, in Chicago.
“The information can help doctors identify situations such as clinical gaps in recommended care services, missed prescription refills and possible drug-to-drug interactions,” Handel said.
The CareProfile is created with health plan data that HCSC collects from physicians, pharmacies, labs and other health care providers. MEDecision then applies clinical intelligence and analytics to the data and summarizes it into a report that highlights treatment opportunities and includes a health status measurement score that identifies a patient’s likelihood for serious health complications.
Availity displays the information in the form of a user-friendly electronic record through its web portal. The portal can be accessed by any authorized physician or facility at the point of care.
The CareProfile includes:
• Demographic patient information, including date of birth, address and phone number.
• Information about the patient’s current primary care physician (PCP), if applicable, and other providers visited in the past 24 months.
• Diagnoses and procedures submitted and reflected in the claims records.
• Professional, hospital and emergency room services reflected in the claims records.
• Prescriptions filled, including the class of the drug, total fills, and last date filled.
• Radiological and laboratory services reflected in the claim records (test results will be included in a future release).
The CareProfile tool is provided free to physicians and provider organizations, and may be accessed on the Availity portal. In addition, HCSC’s members may access the information under “My Care Profile” in their personal health manager.
The electronic record, created in a collaboration by MEDecision, Availity and HCSC’s Blue Cross and Blue Shield plans in Illinois, New Mexico, Oklahoma and Texas, includes a health status measure in addition to compiling all of the critical information relevant to a patient’s care, said Paul Handel, M.D., chief medical officer at HCSC, in Chicago.
“The information can help doctors identify situations such as clinical gaps in recommended care services, missed prescription refills and possible drug-to-drug interactions,” Handel said.
The CareProfile is created with health plan data that HCSC collects from physicians, pharmacies, labs and other health care providers. MEDecision then applies clinical intelligence and analytics to the data and summarizes it into a report that highlights treatment opportunities and includes a health status measurement score that identifies a patient’s likelihood for serious health complications.
Availity displays the information in the form of a user-friendly electronic record through its web portal. The portal can be accessed by any authorized physician or facility at the point of care.
The CareProfile includes:
• Demographic patient information, including date of birth, address and phone number.
• Information about the patient’s current primary care physician (PCP), if applicable, and other providers visited in the past 24 months.
• Diagnoses and procedures submitted and reflected in the claims records.
• Professional, hospital and emergency room services reflected in the claims records.
• Prescriptions filled, including the class of the drug, total fills, and last date filled.
• Radiological and laboratory services reflected in the claim records (test results will be included in a future release).
The CareProfile tool is provided free to physicians and provider organizations, and may be accessed on the Availity portal. In addition, HCSC’s members may access the information under “My Care Profile” in their personal health manager.