CareJourney: Provider Data Solutions

CareJourney’s Provider Data Solutions data asset is the first comprehensive value based care resource to help you improve provider performance and referrals, grow your network, and build data-driven care teams. Healthcare stakeholders have generally operated with insufficient data. Critical decisions regarding patient care, referrals, and provider performance have been made using incomplete, scattered, un-actionable datasets, resulting in patients and providers paying the price, both financially and with their most precious currency: patient health. With over 2 million NPIs profiled, CareJourney’s data asset enables increased focus on making critical data-driven decisions around finding and recruiting the best providers who deliver high-quality, low-cost care. Data sources: - CMS Medicare fee-for-service claims details - CMS Physician Compare - NPPES data - QPP eligibility data Each view (by year) is organized by: - Provider - Provider x Facility - Provider x APM - Provider x Procedure - Provider x Episode Sample fields include: Demographic Metrics - Provider ID (NPI) - Geographic Details - Year - Practice Group Affiliation - Hospital Affiliation - Taxonomy (NPPES and CareJourney) - Number of Patients Premium Metrics - Medical Codes (procedure and diagnosis) - CareJourney Cost Index - CareJourney Outcomes Index - Allowed Amount - Number of Claims - Episode Type - Count of Episodes - Observed Allowed Amount - Expected Amount - Average Risk Score - Allowed Amount by Site of Service - Episode Cost & Utilization - Rate of Performance - Probability of Performing Better - Benchmarks - Referral data including specialty, number of patients, allowed amounts etc.

搜集汇总

背景与挑战

背景概述

CareJourney: Provider Data Solutions是一个综合性价值医疗数据集，旨在帮助用户通过数据驱动提升医疗服务绩效和网络建设。它基于超过200万医疗提供者（NPI）的信息，整合了CMS等多个来源的理赔和绩效数据，提供按提供者、设施、医疗程序等多维度组织的详细指标，包括人口统计特征和医疗成本、结果等高级分析指标。