Valore Voices

Data

Banner Health
Clinical Performance
Tracker

This application was built to minimize the cost of outsourced annual audits, which was needed to obtain federal funding.

Data

Banner Health
Clinical Performance
Tracker

This application was built to minimize the cost of outsourced annual audits, which was needed to obtain federal funding.

CMS.gov tracks all Affordable Care Organizations (ACO’s) according to Quality Care Measures. Fulfilling these measures adequately is of the utmost importance for healthcare organizations that utilize these federal programs.

Challenge

Banner Health was spending about $3M per year to outsource an audit of their doctors’ patient care. They wanted to reduce this cost and find a solution that allowed them to gather the information internally.

Solution

In partnership with Banner Health it was determined that the application must:

  • Respond to and integrate with multiple EMR (Electronic Medical Record) systems
  • Offer HIPAA Compliant data storage and data transmission (HIPAA: The Health Insurance Portability and Accountability Act)
  • Be able to collate a massive amount of patient data and automatically interpret these data against ACO quality care measures
  • Be a long-term asset for the company-update each year with the evolution of CMS.gov requirements and new Quality Care Measures
  • Ensure that the developer skill set and domain knowledge would not be vulnerable to employee turnover

Outcome

  • Greenfield Development: The Valore Partners development team worked with Subject Matter Experts with Banner Health but was required to build this application from the ground up.
  • Rock-Solid SSIS: SQL Server Integration Services are already a challenging task for any IT department. Coupled with high volume and HIPAA regulations, the data transfer architecture had to be flawless.
  • Prevent Expense: This application enabled the organization to discontinue outsourcing to an outside auditor, saving millions each year.
  • Increased Payments: While the exact growth of CMS.gov payout is privileged information, the organization continues to use this application each year since its deployment and has seen a massive ROI on its development efforts.

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