Envolve has an established infrastructure with the capability to provide both qualitative and quantitative outcome measures to determine the effectiveness of interventions. Our health informatics technology capabilities are key to our data-driven model for performance improvement. Using a wide range of healthcare analytics data sources, we can help you identify potential issues, assess potential impact for those you serve, analyze root causes, identify target populations, test the effectiveness of new or enhanced interventions and evaluate the overall effectiveness of projects.
Envolve has incorporated industry leading 3M™ Potentially Preventable Readmissions (PPR) Grouping Software within our proprietary healthcare analytics platform to identify avoidable admissions, readmissions, and complications that may have been prevented, to make sure that future care is delivered in the most clinically appropriate setting.
Our predictive modeling functionality is an important tool for initially placing individuals into stratification categories by using and algorithm that combines the demographic diagnoses and pharmacy data to develop a risk score methodology considers risk factors for each diagnosis and assigns individuals for future costs and risk of future hospitalization. Our proprietary risk stratification into low risk (stable), moderate risk (interventional), or high-risk intervention categories.
Our proprietary health informatics technology powers our provider practice patterns and provider clinical quality and cost reporting information products. We have the ability to report on all data sets, including those for HEDIS, EPSDT services, care gaps, or at-risk individuals, claims, timeliness and other critical aspects.
Envolve incorporates the best healthcare informatics technology to inform the individual risk/case identification and outreach process. Our internally-managed case identification and risk stratification engine empowers Integrated Care Teams to use the latest enrollment, eligibility, health assessments, medical, behavioral and pharmacy claims, demographic data, biometric screening and lab test results to identify individual risk and needed healthcare services.
Our healthcare analytics platform also includes a suite of predictive modeling solutions incorporating evidence-based, proprietary Care Gap/Health Risk "alerts" electronically feed into our care and health management system, Customer Relationship Management system, and web portals triggering subsequent action by relevant case managers, providers and/or creating automated actions in our care management system.