Thomson Reuters processes for auditing, validating, and integrating data ensures accurate assessment of quality and appropriateness of care for any beneficiary population.

Benefits
Our Quality of Care solutions use clinically based measures and methods to accurately profile plans, providers and patients to improve the quality of care.

  • Reliable, clinically based performance measures are evidence-based, rigorously tested, and well documented.
  • Robust, clinically based methods include episodes of care, clinical data, risk adjustment, and predictive modeling.
  • Plan profiling serves to monitor practice patterns with widely accepted risk and severity adjusted measures.
  • Provider profiling includes multi-level physician reporting such as scorecards, comparisons to peers, norms, and external benchmarks.
  • Patient profiling enables providers to develop gaps in care alerts and, in turn, action lists for each patient’s gaps in care.

For more information contact us at fedgov@thomsonreuters.com or 1 734.913.3000

Consulting Services

Thomson Reuters has the knowledge, the resources, and the consultative experience to help government agencies balance the cost and quality of healthcare within the constraints of the fiscal environment. Our experience with multiple federal agencies enables us to provide unique insights for addressing specific program needs. Our benchmarks help agencies better identify opportunities for program redesign and improvement, while our proven clinical and analytic methods ensure the information is reliable.

Medical Episode Grouper

The Medical Episode Grouper (MEG) enables government agencies to analyze patient treatments, evaluate quality of care, and manage associated costs. It does so by grouping inpatient, outpatient, and pharmaceutical claims into clinically homogeneous units of analysis called episodes that describe a patient's complete course of care for a single illness or condition. The result is a sophisticated methodology that is used for a wide range of applications such as provider profiling, disease management, quality improvement, and cost and use analysis. Agencies can incorporate MEG into their existing information system, or it can serve as an integrated component of Advantage Suite.

Advantage Suite

Integrates information from diverse sources and systems, organizes it to support decision making, and enables easy access to information in a flexible, customized application. Its powerful applications are linked to an integrated warehouse of medical and prescription claims, encounters, eligibility, lab results, authorizations, health risks assessments, and performance measures.

Physician Performance Assessment

Thomson Reuters Physician Performance Assessment delivers information for improving the cost efficiency and clinical effectiveness of physicians in easy-to-read report formats. This solution draws on the capabilities and power of Advantage Suite and the clinically robust Medical Episode Grouper (MEG).