Physician Profiling Solutions

 

Understanding physician performance relative to quality of care and cost measures is a critical component of any managed care program that is focused on quality improvement, enhanced access to key services, and cost control.

JAI has developed a robust and extensive physician profiling system that can enable healthcare organizations to profile both primary care and specialty care physicians across quality and cost dimensions. JAI’s system enables healthcare organizations to:

  • Identify individual physician and physician group compliance with selected quality of care measures, including evidence-based guidelines developed by RAND, DQIP, HCUP, HEDIS and SCRIPES.
  • Track and trend compliance with customized quality of care measures
  • Compile patient lists by physician or physician groups that have not received specified procedures based on evidence-based guidelines
  • Identify and compare the prevalence and cost of select diseases
  • Track, trend and compare utilization within and across different peer groups
  • Compare performance to national, regional or ‘best practice’ benchmarks

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