The Physician Focused Quality Initiative builds upon ongoing CMS strategies and programs in other health care settings in order to: (1) assess the quality of care for key illnesses and clinical conditions that affect many people with Medicare, (2) support clinicians in providing appropriate treatment of the conditions identified, (3) prevent health problems that are avoidable, and (4) investigate the concept of payment for performance.

The HMO Measure Quality of Care Package is a flexible solution that realizes that data sources may be outside the scope of claims data. As a result, the Quality of Care Solutions Package will incorporate medical data also.

The net result for Datalociti is to

• Improve patient care and optimize resource management by tracking and predicting healthcare quality of care
• Meet government legislative controls by delivering measured and accountable patient-centric care metrics
• Monitor and analyze patient diagnosis and condition to facilitate timely and effective clinical decisions
• Control costs, improve contracting decisions, and eliminate waste by closely managing inventory and provider performances
• Increase efficiency and detect fraud by analyzing historical information, and tracking and closely monitoring current claims data

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