Spotlight Analytics 3 for Case Mix and Claims Data
Spotlight for Real-Time Analysis (RTA)
MHDC offers Spotlight Analytics as a complete health data analysis service available to payers, providers, and industry associations. Spotlight Analytics, developed by HBI Solutions, Inc., provides web-based access to a host of predefined and user-customized analyses of historical data (hospital inpatient, emergency department, and observations stays plus insurance claims data) and real-time clinical and administrative data.
Spotlight 3 is a complete health data analysis platform with fiscal year 2015, plus five or more prior years of Massachusetts commercial insurance claims, inpatient discharges, emergency room visits, and observations stays.
Spotlight 3 supports analyses of market share, patient origin, disease prevalence, cost of care and comparative costs and outcomes for every acute care hospital and health insurance plan in the state of Massachusetts.
With Spotlight 3, health care organizations can:
Spotlight RTA combines Spotlight Analytics with the Spotlight Healthcare Data Platform™ and Spotlight Healthcare Risk Models™ to capture, analyze and present real-time and predictive clinical information.
The Spotlight Healthcare Data Platform™ includes pre-built extract, transfer, and load solutions, a healthcare data model, and data marts and cubes designed to inform and solve healthcare quality and cost problems.
The platform integrates source data from clinical, financial, operational, and claims systems to provide a single relational view of patient and enterprise data. This includes HL7 feeds from EHR transaction systems, 837 feeds from provider and physician billing systems, and Claim and Claims Line Feed (CCLF) files for ACOs
Spotlight RTA applies Enterprise Master Person Identifiers, fact abstraction via Natural Language Processing, and data nomenclature standardization to ICD9, ICD10, SNOMED, LOINC, and RXNORM terms.
Spotlight Healthcare Risk Models™ predict future utilization, cost, mortality, and disease within a population. These scores are updated in real-time using clinical data, in addition to administrative claims data.