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Jiva™
for Accountable Care
Engage each stakeholder in the care continuum for a truly
integrated population health management strategy
The U.S. health care system is rapidly moving away from a volume based-reimbursement model
to one tied to clinical quality, service excellence and efficiency of care delivery. Accountable Care
Organizations (ACOs) must have access to necessary and appropriately integrated information and
tools to facilitate efficient population health management. This will also affect the ability to reliably
identify patients who require care coordination, complex case management and other interventions
that improve the value of care provided.
Whether you are a Pioneer ACO, a Medicare Shared Savings Program, a risk-bearing provider or a
health plan collaborating with providers in risk-bearing contracts, a sophisticated population health
management platform is essential to help you and your organization meet your business goals.
Transitional Care Simplified
For years, we’ve heard about the importance of continuity of care across the continuum as
patients move between clinicians and providers, and the impact it has on patient outcomes.
This is especially important as patient needs may change over the course of time. With Jiva,
managing patient care across the continuum is more than just a good idea. It’s how our platform was
designed. Health organizations, providers, case managers, patients and other stakeholders are able
to share care plans and communicate through web-based portals and a variety of channels, ensuring
that care transitions happen accurately and effectively as patients move across various care setting.
The Right Care. Right Now.
One thing is certain: it takes more than just an EMR to manage patient care. ACOs need a
robust care management solution to monitor progress, share information, and engage patients.
And patients need care plans that are specifically designed for them. Jiva not only delivers
personalized care plans, but identifies those patients in your population who may deviate from
care plans and are now at-risk. With Jiva’s rules engine, providers will receive alerts when there
are patient gaps in care or non-compliance, allowing clinicians to intervene to get the patient back
on track, and back to optimal health while reducing readmission rates.
Designed to Perform.
In accountable care, there is an underlying emphasis on
performance. Jiva answers that call with real-time clinical
analytics. With Jiva, ACOs can easily monitor and
manage physician performance related to quality targets
for performance-based care coordination. With Jiva’s
collaborative tools, ACOs can improve quality to meet
various compliance measures, such as the CMS 33 ACO
measures and STAR rating requirements.
Patient engagement, provider engagement, real-time
information sharing among stakeholders and right-time
data are not just buzzwords for us. It’s what we’re doing
to improve care for more than 23 million patients today.
To learn more about the value Jiva can add to your
population healthcare management program, contact us
at 214-618-9880, or visit us at www.zeomega.com.
Jiva: ZeOmega’s
Care Management Solution
ZeOmega’s Jiva care management platform is a
patient-centric solution designed to help organizations
successfully navigate the new healthcare paradigm of
population health management. Jiva enables provider
organizations to build a consolidated holistic view
of the patient’s profile, including demographics,
medical history, care plans, lab history, medications,
diagnostic information, communication preferences,
privacy preferences and more. It brings together all the
information, analytics and automation required for a
provider organization to build its population healthcare
management program, enabling ACOs to meet
regulatory, compliance and reporting requirements.
With Jiva, ACOs can:
•	Improve the health of the ACO’s overall population by leveraging embedded clinical
analytics for population identification and risk stratification, and to identify gaps in care and
deliver personalized care plans.
•	Enhance care team coordination and collaboration across multiple care sites during
patient episodes of care.
•	Ensure effective and timely transitions of care through Jiva’s transition of care and
discharge planning capabilities.
•	Improve provider partner compliance with consolidated care plans at the patient level
to improve communication across care continuum.
•	Guide referrals and manage physician performance with referral management
support.
•	Engage Physicians by tools and information, including a 360-degree view of patient records
via a Provider Portal, including assessment responses, care plans, utilization activity and
real-time exchange of patient information.
•	Engage patients and communicate with stakeholders at the right time
with targeted multi-channel communications.
•	Manage physician performance levels tied to specific quality measures, such as
outcomes, through predictive modeling and an Advanced Data Mining and Reporting tool.
To learn more about the value Jiva can add to your population healthcare management program,
contact us at 214-618-9880, or visit us at www.zeomega.com.
Copyright 2013 ZeOmega, Inc. All rights reserved. ZeOmega and Jiva are registered trademarks or trademarks of ZeOmega, Inc. or its subsidiaries in the United States
and other countries. Other marks or brands may be claimed as the property of others.
3010 Gaylord Parkway | Suite 210
Frisco, Texas 75034 | 972-618-9880
www.zeomega.com
sales@zeomega.com

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Jiva for Accountable Care

  • 1. Jiva™ for Accountable Care Engage each stakeholder in the care continuum for a truly integrated population health management strategy The U.S. health care system is rapidly moving away from a volume based-reimbursement model to one tied to clinical quality, service excellence and efficiency of care delivery. Accountable Care Organizations (ACOs) must have access to necessary and appropriately integrated information and tools to facilitate efficient population health management. This will also affect the ability to reliably identify patients who require care coordination, complex case management and other interventions that improve the value of care provided. Whether you are a Pioneer ACO, a Medicare Shared Savings Program, a risk-bearing provider or a health plan collaborating with providers in risk-bearing contracts, a sophisticated population health management platform is essential to help you and your organization meet your business goals. Transitional Care Simplified For years, we’ve heard about the importance of continuity of care across the continuum as patients move between clinicians and providers, and the impact it has on patient outcomes. This is especially important as patient needs may change over the course of time. With Jiva, managing patient care across the continuum is more than just a good idea. It’s how our platform was designed. Health organizations, providers, case managers, patients and other stakeholders are able to share care plans and communicate through web-based portals and a variety of channels, ensuring that care transitions happen accurately and effectively as patients move across various care setting. The Right Care. Right Now. One thing is certain: it takes more than just an EMR to manage patient care. ACOs need a robust care management solution to monitor progress, share information, and engage patients. And patients need care plans that are specifically designed for them. Jiva not only delivers personalized care plans, but identifies those patients in your population who may deviate from care plans and are now at-risk. With Jiva’s rules engine, providers will receive alerts when there are patient gaps in care or non-compliance, allowing clinicians to intervene to get the patient back on track, and back to optimal health while reducing readmission rates. Designed to Perform. In accountable care, there is an underlying emphasis on performance. Jiva answers that call with real-time clinical analytics. With Jiva, ACOs can easily monitor and manage physician performance related to quality targets for performance-based care coordination. With Jiva’s collaborative tools, ACOs can improve quality to meet various compliance measures, such as the CMS 33 ACO measures and STAR rating requirements. Patient engagement, provider engagement, real-time information sharing among stakeholders and right-time data are not just buzzwords for us. It’s what we’re doing to improve care for more than 23 million patients today. To learn more about the value Jiva can add to your population healthcare management program, contact us at 214-618-9880, or visit us at www.zeomega.com.
  • 2. Jiva: ZeOmega’s Care Management Solution ZeOmega’s Jiva care management platform is a patient-centric solution designed to help organizations successfully navigate the new healthcare paradigm of population health management. Jiva enables provider organizations to build a consolidated holistic view of the patient’s profile, including demographics, medical history, care plans, lab history, medications, diagnostic information, communication preferences, privacy preferences and more. It brings together all the information, analytics and automation required for a provider organization to build its population healthcare management program, enabling ACOs to meet regulatory, compliance and reporting requirements. With Jiva, ACOs can: • Improve the health of the ACO’s overall population by leveraging embedded clinical analytics for population identification and risk stratification, and to identify gaps in care and deliver personalized care plans. • Enhance care team coordination and collaboration across multiple care sites during patient episodes of care. • Ensure effective and timely transitions of care through Jiva’s transition of care and discharge planning capabilities. • Improve provider partner compliance with consolidated care plans at the patient level to improve communication across care continuum. • Guide referrals and manage physician performance with referral management support. • Engage Physicians by tools and information, including a 360-degree view of patient records via a Provider Portal, including assessment responses, care plans, utilization activity and real-time exchange of patient information. • Engage patients and communicate with stakeholders at the right time with targeted multi-channel communications. • Manage physician performance levels tied to specific quality measures, such as outcomes, through predictive modeling and an Advanced Data Mining and Reporting tool. To learn more about the value Jiva can add to your population healthcare management program, contact us at 214-618-9880, or visit us at www.zeomega.com. Copyright 2013 ZeOmega, Inc. All rights reserved. ZeOmega and Jiva are registered trademarks or trademarks of ZeOmega, Inc. or its subsidiaries in the United States and other countries. Other marks or brands may be claimed as the property of others. 3010 Gaylord Parkway | Suite 210 Frisco, Texas 75034 | 972-618-9880 www.zeomega.com sales@zeomega.com