Healthcare Providers: Better Data, Better Care | Smile Digital Health

THE PROBLEM

Large volume clinical and personal data management is an increasing concern for all healthcare providers in the era of data modernization. Creating unified data and IT systems, free of vendor lock-in, that maintain up-to-date, comprehensive patient ‘golden records’ are now possible with FHIR^®-native platforms. Providers who have embraced data modernization on FHIR are benefiting from cost-effective, real-time quality care delivery. They are actively building the foundations for improved health equity with federated research data systems that can be adopted into clinical practice much sooner, when patients need it the most.

HEALTH INFORMATION YOU CAN TRUST

FHIR is healthcare’s leading open standard for data exchange and interoperability. Smile’s Health Data Platform is the commercial FHIR-native Health Data Platform for standardized, structured, and computable data. It ingests data from disparate legacy sources, like EHRs, clinics, labs, pharmacies, research databases and insurance payers. Smile also provides access security through consent and identification rules while maintaining compliance guidelines.

HEALTH KNOWLEDGE YOU CAN TRUST

Today’s clinical quality ecosystem—decision support, clinical reasoning, and quality measures—relies on manual processes, restricted IT infrastructure, is costly and reactive. Modernizing the clinical quality measures process supports value-based care outcomes while managing costs and improving scores. Smile helps providers consolidate, automate, and integrate the quality and care management ecosystem. We deliver real-time, continuous care gaps analysis to enable proactive quality measurement improvements, and enhance access of computable industry best-practices to clinical front-lines.

HEALTH EXPERTS YOU CAN TRUST

Smile’s industry expertise is unparalleled. Our experts are the maintainers of HAPI FHIR and CQF Ruler. We believe in building open-standards based interoperable health ecosystems, free of vendor lock-in to harness the true power of innovation.The team at Smile leads and actively contributes to over 31 Implementation Guide (IG) Working Groups and has experience completing over 160 successful global implementations of FHIR. With Smile, you are in good hands.

How Providers Can Benefit from CMS-0057-F

Simplified ePriorAuth Workflows Intelligent Workflows Leverage automated FHIR-based tools to streamline documentation, auto-populate PA with direct integration to clinical workflows, and deliver streamlined care.

Quality Data Delivers Quality Care Securely access and import patient data from Payers into your clinical workflows, even from outside your EHR.

Lowered Burden. Faster Decisions Eliminate delays with real-time prior authorization responses and direct integration into your clinical workflow, reducing staff workload and accelerating patient care.

Providers need an operational and technical strategy to realize these benefits. Here are some questions to test your readiness to increase operational efficiency, reduce burdens and enhance in-room patient care.

▢ Are you talking to your Payers about API readiness?

▢ Does your EHR support SMART on FHIR?

▢ Are you exploring DTR (Documents, Templates and Rules) automations that will auto-population clinical information into PriorAuth requests?

▢ Do your systems have the ability to pull in the broader data sets (including longitudinal data) into your existing patient record

▢ Are you planning to incorporate external payer-owned patient data into your records?

▢ Are you interested in the benefits beyond PriorAuth workflows? What if you had access to, one secure and unified platform that could support the following use-cases: