News

Oracle Enhances Health Data Intelligence

• By John K. Waters
• 11/01/2024

Oracle announced significant upgrades to Oracle Health Data Intelligence this week. The company's suite of AI-powered tools was designed to help healthcare providers improve patient outcomes and manage costs more effectively. The updates leverage the high performance and "military grade security" of Oracle Cloud Infrastructure (OCI), the company says. The updates were designed to provide predictive insights that enable healthcare organizations to streamline care delivery and avoid costly emergency department visits and hospitalizations.

Oracle Health Data Intelligence aggregates data from diverse sources — clinical records, claims, social determinants, and pharmacy data — into an electronic health record (EHR)-agnostic platform, providing healthcare and government organizations with accessible, comprehensive insights. Through AI-driven analytics, Oracle Health can identify patients who would benefit from intervention, helping clinicians prioritize outreach and reduce avoidable hospitalizations.

"Oracle Health Data Intelligence works with any EHR and we are proud to make this available to all health systems," said Seema Verma, EVP and GM of Oracle Health and Life Sciences, in a statement. "This not only eliminates the blind spots resulting from data silos, but it also uses advances in AI to enable healthcare organizations to be more predictive and proactive in their approach to care plans and reporting. This enables clinical, care management, and financial teams to identify and address potential problems before they develop, reducing costs, increasing reimbursements, closing care gaps, and improving population health."

Oracle Health Clinical Intelligence helps improve financial performance and enhance care with insights that optimize care quality, suggest next best steps for individual patients, and highlight opportunities for greatest impact. New capabilities introduced enable:

• Optimized clinical and financial outcomes with value-based care contract performance tracking and insights to improve patient care quality and reduce costs. AI-powered prioritization supports proactive care by helping understand patients most likely to benefit from outreach and suggesting the next best steps to help avoid costly emergency visits and hospitalizations.

• Actionable insights across EHRs with an Oracle Health companion app to help clinicians and care managers improve care quality by closing care gaps and documenting Hierarchical Condition Categories (HCC).

• Improved quality and performance reporting via expansion of the Merit-based Incentive Payment System (MIPS) content catalog, additional measures within the Healthcare Effectiveness Data and Information Set (HEDIS) catalog, updated HCC classifications for risk adjustment improvements, and updates to the patient conditions available in the clinical catalog, such as eating disorders and traumatic brain injuries. These expanded content catalogs help better identify care options and close care gaps.

• Simplified regulatory compliance with a cloud-based, cross-EHR solution for the Centers for Medicare and Medicaid Services new Alternative Payment Model Performance Pathway (APP) through electronic clinical quality measures (eCQMs) designed to simplify the reporting process and enhance data accuracy.

• Greater understanding of costs and organizational performance through new cost and utilization analytics that help track demographics and spend for patients with chronic conditions. A new event-based episodes dashboard has also been added to compare efficiency, variation, and spend on patient episodes across organizations.

Oracle Health Analytics Intelligence is a modern data warehouse and analytics offering that helps accelerate decision-making by integrating, the company says, cleansing, normalizing, and unifying data from multiple sources, creating comprehensive longitudinal patient records and delivering insight through purpose-built reports and powerful analytics tools. Recently added capabilities include:

• Analytics Intelligence Reporting and Visualizations that take advantage of natural language queries to enable a broad range of clinical and business users to generate reports and gain insight from the solution, which eliminates the need to rely on analytics teams for ad hoc data explorations.

• Emergency Medicine: Order Analysis, which provides insights to help reduce emergency department length-of-stay by identifying bottlenecks created by order turnaround times.

• Social Determinants of Health Screening, which provides insight into screening compliance and helps understand patients with additional needs to improve care and access.

• Antimicrobial Stewardship Program Analysis, which delivers insight into antimicrobial mediation, duration of use, and outcomes along with alerts regarding antimicrobial usage volumes to improve health outcomes and reduce antimicrobial use.

Oracle Health Care Coordination Intelligence helps connect care teams, increase patient engagement, and improve patient experiences, the company says. New capabilities recently introduced in Oracle Health Care Coordination deliver:

• Gains of 5x care manager efficiency during patient case reviews with AI-powered summaries that surface insights on recent encounters, conditions, changes to at-home medications, and future appointments. Supported directly in the Oracle Care Management app, the Oracle Health companion app, and via patient long record APIs.

• Greater understanding of patients' medical histories with on-demand access to supplemental clinical and medical administration records.

"Oracle Health Data Intelligence is helping us optimize value-based care by proactively managing performance and providing targeted support to patients," said Don Calcagno, SVP and chief population health officer at Advocate Health, in a statement. "Our partnership with Oracle Health enables us to continuously monitor patient care across our network, ultimately enhancing the quality and efficiency of care."