Clinigence Health Help Desk

Differences Between QMX and Clinigence Analytics 7

• Areas Affected by Migration to Clinigence Analytics
• Logging In to Clinigence Analytics
• Sorting and Filtering
• Data Queries
• Major KPI Trends

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User Reference Guide - Summary Reports 7

• Summary Reports - Home
• Summary Reports - Major KPI Trends
• Summary Reports - Savings Opportunities
• Summary Reports - KPI Summary
• Summary Reports - KPI Summary - Details

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User Reference Guide - Cost & Utilization Reports 18

• C & U Reports - Cost by Service Category
• C & U Reports - Hospital - Hospital
• C & U Reports - Hospital - Service Line
• C & U Reports - Admissions
• C & U Reports - Emergency Room

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User Reference Guide - Quality Reports 6

• Quality Reports - Readmissions
• Quality Reports - Avoidable ER NYU
• Quality Reports - Avoidable ER NYU Categories
• Quality Reports - Complications
• Quality Reports - Hospital Acquired Conditions (HAC)

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User Reference Guide - Population Health Reports 10

• Population Health Reports - Segmentation by Risk, Disease, Costs
• Population Health Reports - Stratification by Clinical Morbidity
• Population Health Reports - Stratification by Clinical Projected Costs
• Population Health Reports - Stratification by Clinical Disease
• Population Health Reports - ER SuperUsers

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User Reference Guide - Member Metrics Reports 4

• Member Metrics Reports - Predictive Costs
• Member Metrics Reports - Medical Care
• Member Metrics Reports - Pharmacy Care
• Member Metrics Reports - Medical Claims Detail

User Reference Guide - Provider Performance Reports 10

• Provider Perforance Reports - PCP Group
• Provider Performance Reports - PCP Group (Performance)
• Provider Performance Reports - PCP (Comparison)
• Provider Performance Reports - PCP (Performance)
• Provider Performance Reports - PCP Efficiency of Care

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User Reference Guide - Data Queries 4

• Data Query - Medical Claims
• Data Query – Pharmacy Claims
• Data Query – ACG Output
• Data Query – Member Output

User Reference Guide - Appendices 5

• Appendix A - Diagnosis Classification & Chronic Conditions
• Appendix B - Maternity Categories
• Appendix C - Complications
• Appendix D - Commonly Over-utilized Procedures
• Appendix E - Radiology and Pathology & Laboratory