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| ActiveHealth
Management New York, NY. |
Evidence-based medical management and decision dupport; data analytics products
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| keywords |
clinical domains |
Evidence based medicine, clinical
guidelines, clinical pathways, decision support, disease
management, quality, safety, medical errors, risk
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Asthma, Coronary Artery Disease
(CAD), Congestive Heart Failure (CHF), Chronic Hepatitis,
Chronic Kidney Disease Chronic Obstructive Pulmonary Disease
(COPD), Cystic Fibrosis Depression, Diabetes, Gastroesophageal
Reflux Disease (GERD), Geriatrics, HIV, Hypertension,
Inflammatory Bowel Disease/Crohn’s Disease, Lipid Management,
Migraine Muscular-Skeletal, Oncology, Osteoporosis, Parkinson’s
Disease Peptic Ulcer Disease (PUD), Pregnancy, Rheumatoid
Arthritis Seizure Disorder, Sickle Cell Disease, Stroke |
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| coverage |
 USA
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| demonstrations |
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| downloads |
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| free trials |
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| documents |
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| product information |
"The CareEngine® System
compares the most up-to-date clinical guidelines to
an individual patient’s data. It then seeks out and
issues clinical opportunities to the treating physician
and, when appropriate, the member. These opportunities
are communicated by fax, phone or letter as Care Considerations®."
"Informed Care Management [is] a complete disease
management solution that fosters physician - patient
communication and supports physician and patient with
evidence based medical information increasing optimal
treatment and avoiding complex clinical events. ...
The program content is built around "condition clusters"
in order to develop care plans that reflect a patient's
complete clinical profile."
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| references |
Javitt JC, Steinberg G, Locke
T et al. Using a claims data-based sentinel system
to improve compliance with clinical guidelines:
results of a randomized prospective study. Am
J Manag Care. 2005 Feb;11(2):93-102.
[PubMed]
[Am
J Manag Care] [ActiveHealth
Management] |
" OBJECTIVE: To demonstrate
the potential effect of deploying a sentinel system
that scans administrative claims information and
clinical data to detect and mitigate errors in
care and deviations from best medical practices.
METHODS: Members (n = 39 462; age range, 12-64
years) of a midwestern managed care plan were
randomly assigned to an intervention or a control
group. The sentinel system was programmed with
more than 1000 decision rules that were capable
of generating clinical recommendations. Clinical
recommendations triggered for subjects in the
intervention group were relayed to treating physicians,
and those for the control group were deferred
to study end. RESULTS: Nine hundred eight clinical
recommendations were issued to the intervention
group. Among those in both groups who triggered
recommendations, there were 19% fewer hospital
admissions in the intervention group compared
with the control group (P < .001). Charges among
those whose recommendations were communicated
were dollar 77.91 per member per month (pmpm)
lower and paid claims were dollar 68.08 pmpm lower
than among controls compared with the baseline
values (P = .003 for both). Paid claims for the
entire intervention group (with or without recommendations)
were dollar 8.07 pmpm lower than those for the
entire control group. In contrast, the intervention
cost dollar 1.00 pmpm, suggesting an 8-fold return
on investment...
CONCLUSIONS: Our study demonstrates that decision
support systems can be applied across a system of
care to improve compliance with evidence-based medicine.
The results suggest that such compliance improves
outcomes of care as suggested by the clinical trials
that underlie the individual clinical recommendations.
The study was performed using the summary data available
in an administrative claims stream. As richer electronic
health records become available across the medical
enterprise, sentinel systems such as this will have
increased clinical accuracy and deliver patient-specific
recommendations in an increasingly timely manner.
"
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| founded |
1998. Aquired by AETNA, 2005.
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| contact |
ActiveHealth Management,
Inc.
102 Madison Ave
New York, NY 10016
T: (212) 651-8200
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| links |
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| acknowledgements |
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| page history |
Entry on OpenClinical: June 25 2003
Design template v0.3: 16 April 2005.
Last main updates: March 29 2005, 23 April 2005. |
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CareEngine
Video