QualVal Solutions (“QualVal”) offers the strategic technology platform of the QualOptima clinical intelligence system bundled with a suite of health care consulting services, exclusively available through QualVal. QualVal, nationally recognized for innovative leadership and expertise in health care performance and outcomes measurement for improvement and patient safety, is now implementing the clinical intelligence from QualOptima analytics for enterprise management consulting services. The vision of QualVal is to connect all consumer segments in the global health and health care community to clinically- and financially-focused data transformed through analytics to knowledge that empowers data-driven decisions for results-driven success. QualVal offers the array of enterprise management services with QualOptima technology as “Q inside”. The bundled consulting with technology and analytics focuses on the following core services.
The initial clients for QualVal consulting solutions are hospitals/systems, accountable care organizations (ACO’s), physicians/groups, and health maintenance organizations (HMOs’).
Health Data Science-Driven Enterprise Management
Health care as an industry has long-suffered from the impacts of dysfunctional “disorganized” organizational structures, patient-care models not focused on caring for the patient, and a perverse payment system. The overall QualVal enterprise management consulting services focus on the root causes and health data science to cure each of these three (3) strategic imperatives to achieve optimal clinical, operational and financial outcomes.
Optimal Operational Outcomes
QualVal consultation facilitates achieving optimal operational outcomes by transforming existing organizational structures with knowledge from integrated analytics from data science. The QualOptima common data platform crosses the traditional boundaries with data for analytics available with tools specific to those silos but not confined by those silos. QualVal is the right decision for providers who commit to become true learning organizations.
The traditional core competence of QualVal remains its strength to improve clinical patient outcomes. Health care is now at the tipping point, where the focus on optimizing billing must now shift to optimizing clinical outcomes. Tolerance of suboptimal outcomes must actually shift to zero tolerance, and slow progression to engineering optimal clinical processes must become rapid change. Data from the design and analytics of QualOptima, combined with the clinical expertise of QualPRO expert panels, is the external resource essential to maximum advantage of the actionable wisdom of the clinical intelligence system.
The strategic imperative for optimal clinical outcomes is at the tipping point from converging forces including:
- Value-based purchasing with defined metrics for clinical performance
- Joint Commission requirements for FPPE-OPPE
- Standards exposing liability for negligent credentialing
- New competitive market forces
- Public access to clinical performance and outcomes data
- Forces for efficiency and effectiveness from payers and combined provider and payer structures
- Meaningful use progressive requirements in Stages 2 & especially 3
- New care delivery entities such as ACO’s
- More engaged patients with higher deductibles and incentives
QualVal brings big data strategies and planning, with the existing QualOptima technology, to facilitate transition to these strategic imperatives.
Optimal Clinical Outcomes
QualVal’s traditional consulting strength in clinical performance and outcomes improvement are superior and unique. Big data and strategic analytics using QualOptima technology more rapidly and effectively can be accomplished with QualVal consulting services, both for versions 1 & 2 with actionable insight and data-driven decisions. Evidence-based clinical process will be rapidly transformed using experience-based insights to optimal clinical outcomes. Our system of personal risk and fitness factors aligned with performance metrics using clinical data [not billing codes/administrative databases] from disparate EMR and vendor systems with Q’s embedded clinical content, metrics and analytics empowers providers and payers to achieve optimal clinical outcomes. Q is committed to using new healthcare data science technology to transform quality, risk and credentialing methodologies rather than clinging to outdated processes and the software in the relationship between clinical performance measurement processes and outcomes. And QualVal provides superior expert resources to implement collaboration between physicians and clinical practitioners with nursing to implement clinical processes.
Optimal Financial Outcomes
The focus of QualVal using QualOptima is based on bad outcome/no outcome/ no income. QualVal brings experience and expertise to the transition to value-driven health care, now empowered with the analytics of QualOptima. As organized medicine prepares for performance-based payment with precise clinical performance metrics, providers face the strategic imperative to engage in the cost and quality relationship – in operations, clinical processes, and their impact on financial outcomes. The economic consequences of the cost of health care are forcing America to change dramatically and with more velocity, creating the urgent need of providers to adopt new strategies relying on the technology of QualOptima.
QualVal Solutions, LLC
QualVal Solutions was acquired by Q as its consulting subsidiary to take advantage of over 35 years of experience, expertise, and intellectual property in external clinical performance and outcomes measurement and clinical process improvement consulting. Q now leverages the technology solution of QualOptima in an exclusive licensing agreement with QualVal for all consultation engagements applying the product to improve care and reduce costs. QualVal has been consulting for over 35 years, measuring and evaluating the quality and safety of medical care in hundreds of American hospitals, physician groups and health maintenance organizations by thousands of providers to hundreds of thousands of patients, while generating retained revenues for our clients. QualVal has been tasked with determining knowledge solutions from data, not generating data for its own sake. Actionable wisdom results from knowing what data elements are essential and which data dimensions are not, where that data resides in existing disparate databases, and the significance and clinical, operational and financial implications and solutions result from knowledge derived from the QualOptima clinical intelligence system.
Q’s clinical intelligence technology bundled with consulting expertise of the QualPRO expert panels will fast-track implementation of solutions designed to achieve optimal clinical, financial and operational outcomes.
QualPRO Expert Panels
Q’s QualPRO panels include expertise in the many dimensions of healthcare outcomes, including:
- Physicians and clinicians in every medical specialty and professional license
- Nurses and nursing administrators and nursing information technology
- Quality and risk management including peer review, performance measurement, and related current clinical competence and proctoring
- Information technology including interoperability and connectivity
- Clinical process engineering, root cause and FMEA analysis
- Biostatisticians and bioengineering specialists in health care