Clinical Services
Clinical services encompass a wide array of healthcare provisions delivered directly to patients by trained medical professionals. These services are designed to address patients’ medical needs comprehensively, covering diagnosis, treatment, and preventive care across various medical specialties. Whether it’s a routine check-up, management of chronic conditions, or specialized interventions, clinical services aim to promote overall health and well-being while addressing specific health concerns.
Healthcare professionals offering clinical services include physicians, nurses, specialists, therapists, and other allied health professionals. They work collaboratively to provide personalized care tailored to individual patient needs, utilizing evidence-based practices and medical advancements to optimize outcomes.
Clinical services often involve a multi-disciplinary approach, incorporating diagnostic tests, imaging studies, laboratory analyses, and medical interventions to assess and address patients’ health conditions. Treatment modalities may include medications, surgeries, therapies, lifestyle interventions, and patient education to empower individuals to manage their health effectively.
Clinical Research Data Management
Data Sourcing and Cleaning
Data is sourced from various sites and undergoes a comprehensibility check and cleaning process to ensure accuracy and reliability. This includes capturing patient metadata, site data, baseline measures, treatment procedures, medication usage, wound characteristics, and improvements over visits.
Analytics and Insights
Data analytics are performed to derive insights on medication efficacy, usage patterns, and site productivity. These insights help inform decision-making and optimize clinical trial processes.
Medical Records Completion
Timely completion of medical records is ensured through concurrent reviews of charts and prudent PQP (Procedure Quality Payment) completion by the coding-billing team, supported by clinical support services.
Clinical Research Data Management
Utilizing risk-based quality management approaches in clinical trials is crucial for ensuring the reliability and integrity of data. Support services encompass the entire data lifecycle, ensuring compliance with regulatory requirements and maintaining data quality throughout the research process.
Quality Data Submission Mandates
Compliance with quality data submission mandates, such as those mandated in the ACO (Accountable Care Organization) environment, P4P (Pay for Performance) programs, and Value-Based Purchasing (VBP) programs, including EHR-MU (Electronic Health Record - Meaningful Use) requirements (Modified Stage-2), IQR (Inpatient Quality Reporting), and OQR (Outpatient Quality Reporting), is facilitated by clinical support services.
Clinical Research Summarization
Systematic review of trial documents
This involves a thorough and organized examination of various trial documents such as study protocols, case report forms
Extraction of pertinent information
Relevant data including study design, participant characteristics, interventions, and outcomes are identified and extracted from the trial documents.
Synthesis of findings
The extracted data is synthesized or combined to provide a coherent summary of the study's key findings, allowing for a holistic understanding of the research.
Presentation of concise, interpretable results
The summarized findings are presented in a clear and understandable manner, facilitating interpretation by healthcare professionals and stakeholders.
Facilitation of informed decision-making in healthcare
By providing evidence-based insights, the summarization process assists healthcare providers in making well-informed decisions regarding patient care and treatment strategies.
Contribution to evidence-based practices and treatment guidelines
Summarized trial data contributes to the development and refinement of evidence-based practices and clinical guidelines, guiding healthcare delivery and improving patient outcomes.
Medical Record Summarization (MRS)
Improving Continuity of Care
MRS supports continuity of care by ensuring that essential patient information is readily available across different healthcare settings and providers.
Comprehensive Overview
Summaries encompass key patient information like medical history, diagnoses, treatments, medications, allergies, and significant events.
Efficient Decision-making
MRS facilitates quick and informed decision-making by providing a snapshot of a patient's health status and treatment trajectory.
Streamlined Information Retrieval
By organizing data systematically, MRS enables efficient access to pertinent information, improving healthcare delivery.
Manual and Automated Approaches
Summarization can be done manually by trained professionals or automated using natural language processing (NLP) algorithms.
Utilization of Advanced Technologies
Automated MRS systems leverage NLP techniques to extract and summarize relevant information from electronic health records swiftly and accurately.
Enhancing Usability of Records
Summarization enhances the accessibility, usability, and accuracy of medical records, benefiting both healthcare providers and patients.
Role in Legal and Research Settings
Summaries may be used for legal purposes, research studies, and quality improvement initiatives, contributing to healthcare advancements.