How Carolinas HealthCare is Integrating Clinical and Claims Data

Carolinas HealthCare System, based in Charlotte, N.C., is one of the first systems in the country without a provider-sponsored health plan to combine clinical and claims data to improve health, according to an announcement from the system's technology vendor, Premier.

The data management system aggregates information from across the system. The goal is to identify and manage high-risk populations, discover gaps in care to improve clinical outcomes, profile physician and practice variation and maximize performance incentives and care quality.

"Carolinas HealthCare System is committed to using data to improve patient care by providing physicians the information they need to anticipate outcomes and intervene early with care designed to better control chronic conditions," said Michael Dulin, MD, PhD, medical officer for analytics and outcomes at Carolinas HealthCare System, in the release. "Being able to integrate clinical and claims data provides a 360-degree view of the patient that helps physicians take specific actions, such as encouraging patients to take their prescription medications, which can improve overall health and help reduce hospital readmission rates."

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