Scadea Solutions | Healthcare
15689
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Healthcare

Information resides in silos and islands across the Patient, Provider and Payer domains in Healthcare. Lack of ability to share information/data across use-domains is significantly limiting the potential to make appropriate decisions in time.

 

Controlling and preventing waste, abuse & fraud has always been a challenge to curb the increase in Government and Healthcare systems. As the budgets get slimmer and coverage needs grow, the cost of healthcare gets to be a challenge for people.

 

Healthcare Policy and Compliance requirements change from time to time with Regulation. This keeps Healthcare industry on its toes and somewhat less stable.

Scadea Practice Focus Areas

 

  1. Monetizable use case extensions from data and patterns
  2. Enablement, education and effectiveness measurement of all stakeholders
  3. Reimbursement limits and controls for Payers and Providers

Use Cases

Bridging the Healthcare Silos across Domains

Securing and managing patient information is of the utmost importance to Healthcare industry. And this needs to be done in the context of free flow of information in the Healthcare network across Insurer and Provider systems. Consolidation and integration of insurance, Remote Patient Monitoring, Automation in medicine dispensing are some of the critical use cases in the Healthcare industry. Increasing partners are using APIs to develop solutions for prescription management and refill, wellness and chronic care management.

Structuring Data in Healthcare

The problem in healthcare is not lack of data, but the unstructured nature of its data; a staggering 80% of medical and clinical information about patients is formed of unstructured data, such as written physician notes. For a holistic understanding of care, we need to be able to mine unstructured data for insights. The goal of Big Data is for the data to be analyzed at an individual level to create a patient data model, and it can also be aggregated across the population in order to derive larger insights around the disease prevalence, treatment patterns, etc.

Integrating Wellness

There are tremendous opportunities in healthcare, given that it is one-sixth of the US Economy. Monitoring of vital parameters such as body temperature, blood pressure, pulse etc. is crucial for diagnosis and maintaining patients’ quality of life. Patients can measure their vital parameters easily and quickly using only their smartphones and wearable devices. Thus this data transfer will become much faster and easier to control. M-health apps are useful for managing one’s time and treatment process. A simple calendar healthcare app can help keep track of all doctor’s appointments, vaccination dates, as well as remind one to take medicines and measure parameters. Fitness and wellness mobile apps are playing a key role in prevention strategies. Digitization of EHR and PHR records is a multi-year US healthcare overhaul mandate, with several billions of dollars earmarked for the same. Logistics, communications, and doctor appointment management have integration into cloud and mobile calendar and social communication tools for easy interaction.