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InterSystems HealthShare CMS解决方案包

强大的解决方案,可应对CMS 9115规定(CMS Rule 9115)互操作性和患者访问挑战

HealthShare CMS解决方案包

InterSystems HealthShareCMS解决方案包™提供了一种简化的方式满足支付方和医疗服务提供商面临的最终规则要求,支持该规则在2021年和2022年的规则用例:

对于支付方来说

  • 患者访问API——让患者访问自己的索赔、临床和药房收益信息(2021年)
  • Provider Directory供应商字典API——在线供应商和药房名录访问(2021年)
  • 支付方之间(Payer-to-Payer)的数据交换(2022)

对于医疗服务提供方来说

  • 入院、出院和转院事件通知

CMS解决方案包的用例包括:

  • 患者访问API
  • 索赔数据映射
  • 临床数据映射
  • 药房收益数据
  • 授权和认证
  • 身份管理
  • 会员知情管理
  • 事件通知
  • Provider Directory供应商字典API

 

 

CMS解决方案包还提供了一种途径,可以使用我们的完整InterSystems HealthShare产品套件来解决更广泛的用例。 对于支付者来说,InterSystems HealthShare提供支持HEDIS报告和风险调整等使用情况所需的数据和分析。对于医疗服务提供方来说,使用案例包括基于价值的护理、人口管理和COVID-19仪表板。

CMS解决方案包目前仅适用于美国的客户使用。

Related Product Information

Innovation with HealthShare
Healthcare as we know it is changing. Rapidly. Because we’re putting massive amounts of data to work to connect patients and providers like never before.
Matching inpatient and outpatient records with HealthShare Patient Index enabled a single view of patient data, joint ventures with other healthcare organizations, and better information flow.
A private hospital group in the Middle East is bringing the hospital to patients at home. The care team uses in-home devices to monitor patients and a phone app to deliver device and patient-generated data to its EMR. The physicians and nurses making virtual house calls have all the information they need, using familiar software, for optimal, personalized care.
The health and social care data of around 3.2 million citizens across the West Midlands has been integrated into a unified care record to improve care, making it safer and more effective.
InterSystems HealthShare Health Connect Cloud will be used to boost interoperability and integrate care across the region to help deliver on the NHS Long Term Plan
Healthcare Tech Outlook Spotlight
InterSystems unifies disparate telehealth data, empowering telehealth providers with the data management capabilities needed for digital health workflows. That’s why Healthcare Tech Outlook featured InterSystems on the cover of the recent Telemedicine Services edition of its magazine — and a premier spot in its ranking of the top 10 telemedicine services companies of 2022.
Amazon HealthLake
Cloud-based, On-Demand Message Transformation for Amazon HealthLake By automatically translating your data from the HL7®v2 messaging format to HL7 FHIR® format, InterSystems FHIR Transformation Service accelerates analytics time-to-value for users of Amazon HealthLake. HealthLake requires the use of HL7 FHIR, the latest and most widely accepted exchange format for health information. Yet the richest stores of data in your provider, laboratory, payer, or pharmaceutical organization likely rest in other formats such as HL7v2. To bring this data in, Amazon Web Services selected InterSystems to build a validated message transformation service for Amazon HealthLake. InterSystems FHIR Transformation Service gives you a simple and cost-effective way to get the most from your data in HealthLake.
4 Considerations to Create a Better Provider Directory
4 Considerations to Create a Better Provider Directory
Take Aways From HIMSS2022
How healthcare can harness data and the cloud to power innovation — for the benefit of organizations and patients alike.

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