Tag Archives: Everest

Makalu 3.2.0 Release

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Makalu
Deerwalk is pleased to announce the 3.2.0 release of Makalu.
This release includes the following key features:

Re-admission Report

Our clients and the nation are concerned with the increasing rates of members being readmitted to acute care hospitals. This report is designed to show hospital re-admission information for ‘all’ diagnoses and by specific condition. Users can view 7and 30 day re-admission rates in the current release and in a future release 15 day readmission rates will added.

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Makalu 3.1.0 Release

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Makalu
Deerwalk is pleased to announce the 3.1.0 release of Makalu. This release includes the following key features:

Data Search for Visits and Admissions

New functionality has been added so that when a user drills down into visits or admissions under Utilization Metrics in the Financial Analytics module they are taken directly to a screen that gives them more detail on the member’s admission/ER Visit. Users can then drilldown further to view all the claims for those services.

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Clinical Notes Mining Service (CNMS)

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Raw text in clinical notes originating from a physician or nurse is invaluable. A significant quantity of meaningful clinical content is buried in the free text. Due to the unstructured nature of these notes, the conventional data-mining methods cannot be directly used. Many healthcare organizations are struggling to make sense of unstructured clinical notes and are losing out on the full potential of newly adopted Electronic Medical Records (EMR). The clinical details from these text complements the structured details and needs to be harnessed for decision-support, patient care and qualitative analytics. Deerwalk presents Clinical Notes Mining Service (CNMS), a feature designed to extract clinical elements from unstructured notes.

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Yala 0.8 Release

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Yala
Deerwalk is pleased to announce the 0.8 release of Yala, our member portal.

1. Makalu Care Alerts to Yala

a) My Care Alerts: Specific Care Alerts that display in the member’s Member Profile screen in Makalu are displayed in Yala for the same member. Care Alerts and risk triggers in Makalu that are used by clinical users to identify potentially at risk members but that are not actionable by a member themselves will not be brought into Yala. [An example would be if a member had a 30 day re-admission for COPD.] If Care Alerts exist for a member in Yala, they will display on the Dashboard as shown in the example below. When a Care Alert is no longer in the member’s Makalu Member Profile, the system will also remove the alert from the member’s Yala record.

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Utilization Management in Everest – Part 2

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In the request form, the clinical user enters demographic information related to the request for an authorization such as level of urgency, diagnosis, date of patient’s admission/start date of services, anticipated discharge/end date, place of service, planned procedure and information about the providers. The authorizations have “Attach Documents” functionality allowing the nurses to attach documents provided by providers, facilities, members, and others related to the authorization request.

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Utilization Management in Everest – Part 1

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This is part 1 of a two part article on how Utilization Management works in Everest. Part 1 covers introduction to the module.
The role of coordinated care is emerging as a major component of US healthcare delivery models, not only as a means of improving quality of care but also for controlling healthcare costs. Our Everest product is designed to support all aspects of the care coordination process, of which Utilization Management (UM) is a key strategy.

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Everest 1.3.2 Release

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Deerwalk is pleased to announce 1.3.2 release of Everest, an innovative care coordination solution. With this release, users can quickly segment caseloads by group – a functionality that will be especially helpful for users with large caseloads. Tasks can also be sorted by groups so that investigation of outstanding tasks for a specific group is convenient. In the Utilization Management section, users can attach documents such as care update faxes from physicians directly to an authorization request, review form, and/or consultant review form.

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