MX Analyze Understand and Improve Population Health with Data-Driven Insights and Reports

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MX Analyze brings together curated clinical data, claims, and publicly available social drivers of health data (SDOH) to help you quickly and confidently target support to patients who need it most.

Managing the health of a population is about anticipating and responding to an individual's (or community’s) needs before they show up at the office or hospital. That means you need tools and actionable insights informed by robust and timely data to understand the health and health needs of your population, target appropriate support and interventions, and assess the impact and change within a population over time.

We developed customizable reports and data services that can integrate into daily workflows to help population health managers easily understand and manage the utilization and quality of care for attributed patients/members using information from across the MX network. 

Actionable Data Reports to Improve Health and Wellness

Access reports with robust data sets of aggregated, up-to-date, and accurate patient and member information from across the MX network to optimize care delivery and program enrollment as well as make informed decisions that improve both cost efficiency and care quality.

  • Chronic Conditions Risk Report: Identify trends for individuals with chronic conditions and those at risk for frequent emergency department (ED) utilization and inpatient (IP) visits  
  • Health Equity and SDOH Report: Address health disparities by reviewing accurate population and individual-level data on race, ethnicity, and language, as well as SDOH data to prioritize underserved populations  

Individual-Level Notifications and Reports to Reach Those In Need of Support Now

Help individuals get the care and support they need post-discharge with customized notifications and updated contact information.

  • Substance Use and Substance Use Disorder (SUD) Notification Report: Identify individuals recently discharged from a visit and diagnosed with at least one SUD ICD-10 code, the diagnoses associated with the visit, discharge disposition, and the location to which they were discharged  
  • Contact Information: Utilize a robust data set of aggregated, up-to-date, and accurate patient and member contact information to create outreach  

Tools to Address Care Needs Immediately

Utilize the MX solution suite to reduce readmissions, enhance care coordination across care settings and care teams, and get quickly up to speed on an individual’s medical history.

  • MX Notify: Use real-time admission, transfer, and discharge (ADT) notifications to immediately identify when a patient checks into or is discharged from one of the 140+ California hospitals participating in the MX network 
  • MX Access: Access longitudinal health records, including recent encounters, a list of all providers, and lab results from recent doctor visits, that can be reviewed via the MX portal or securely integrated directly into your organization’s electronic health records, population health management platform, or care coordination systems

Integrate Data into Daily Workflows

By incorporating data into clinical dashboards and population health management systems, we make it easier to take timely action, enhance care coordination, and close care gaps without disrupting your daily operations:

  • Longitudinal Patient Summaries: Provides the medical history for patients/members in a CCDA Continuity of Care Document 
  • Message Forwarding: Provides real-time patient data via HL7 messages – including ADTs, lab results, and any associated clinical notes and reports  
  • Consolidated Clinical Document Architecture (CCDA) Forwarding: Provides CCDAs from clinical sources, allowing organizations to consume raw CCDAs by way of an SFTP site. 

Why it Works

Understand your patient population, identify your highest risk patients, and target interventions as needed

Identify health equity gaps, develop appropriate outreach, and succeed under CalAIM

Utilize individual-level notifications to provide Enhanced Care Management (ECM) and Community Supports

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