What is W3 DRS?
W3 DRS is an information driven software solution designed to help managed
care organizations control costs and improve the quality of care they
deliver. W3 DRS is a robust and flexible analytic tool that allows healthcare
organizations to analyze their valuable data to make financial and clinical
management decisions faster and more accurately.
How is W3 DRS built?
W3 DRS is constructed from your organization's own raw data - claims,
enrollment, provider files and pharmacy data. Our team of healthcare
informatics experts - each with years of experience managing healthcare
administrative data - work with your team to determine the specifications of
your custom version of W3 DRS.
Once we gather the data, it is scrubbed, transformed and loaded into an Oracle
database. Next, a series of multidimensional "cubes" are built to allow your
users to filter and analyze your data across all the relevant dimensions and
measures. To enhance your data usefulness, W3Health adds clinical analytic
intelligence, including ETGs, DCGs, Evidence-based Medicine metrics and
HEDIS Effectiveness of Care measures.
What tools were used to develop W3 DRS?
W3Health uses PowerPlay for the Web by Cognos to develop the reporting
component of W3 DRS. The database is a combination of Cognos multi-dimensional
cubes and an Oracle database, so you can "drill down" to detailed service data.
What is W3 DRS Network Management and how can it help my organization?
Network Management delivers a robust set of capabilities to help
you to measure costs and utilization trends across your network of physicians;
create severity adjusted profiles of your providers; identify and track high
impact members; and perform other customized analyses to track out-of-network
leakage and prescription drug usage.
What is W3 DRS Clinical Management and what can it do for my organization?
Clinical Management is the latest enhancement to W3 DRS. This module contains
critical functionality that enables your organization to predict resource use
among your patient population; track physician performance against Evidence-based Medicine metrics; and assess quality of care with HEDIS Effectiveness of
What are Episode Treatment Groups?
W3 DRS utilizes Symmetry Health Data Systems' Episode Treatment Groups
(ETG). Symmetry's patented ETG grouper is a patient illness classification
system and episode building software product that captures all clinically
relevant services and prescriptions provided during a patient's treatment.
ETGs group services together based on data from inpatient, outpatient and
pharmacy claims and can be used to perform risk-adjusted performance
comparisons among physicians.
What are Diagnostic Cost Groups?
W3 DRS includes Diagnostic Cost Groups (DCGs) from DxCG. DCGs are
population-based models that assess the health status of a population and
predict cost and resource use. DCGs enable organizations to analyze the
current risk of a population, as well as predict future risk of that same
population. With DCGs, healthcare organizations can adjust current levels of
resource use by identifying groups with high impact medical problems and
predicting costs by disease state and individual patient.
What is Evidence-Based Medicine?
Evidence-based medicine is the process of mining the reams of data available
to physicians - clinical trials results, outcomes studies, direct patient
data, etc. - to understand fully the risks and benefits of various chronic and
acute conditions. The results of this effort are "best practices" - based
solely on the best medical evidence available from the most current research
into the clinical management of patient care - that can help guide patient
How is Evidence-based Medicine used in W3 DRS?
The Clinical Management capabilities of W3 DRS include specific
reports for key clinical conditions. Your organization's medical directors,
clinical staff, and individual PCPs and specialists can view summary reports
for each condition, compare the key metrics across a variety of dimensions and
measures, and collaborate on techniques to improve patient outcomes.
To support the evidence-based metrics for each condition, W3Health provides
background information about the conditions addressed, key reference
information and a summary of the rationale underlying each metric, all
organized in a simple, easy to read format.
What are HEDIS Effectiveness of Care measures?
HEDIS Effectiveness of Care is a set of standardized performance measures
designed to ensure that purchasers and consumers have the information they
need to reliably compare the performance of managed health care plans. The
performance measures in HEDIS are related to many significant public health
issues such as adequate immunization, cancer, heart disease, smoking, asthma
and diabetes, and can be used to compare quality levels among physician
groups, or against norms. HEDIS is sponsored, supported and maintained by
How are HEDIS Effectiveness of Care measures used in W3 DRS?
HEDIS clinical quality measures are included as part of the Clinical Management module of W3 DRS. The HEDIS measures included in W3 DRS
identify populations of patients and determine whether those populations
received treatment for various clinical conditions.
HEDIS Effectiveness of Care measures provide an excellent way for healthcare
organizations to track quality metrics and report the results to customers and
physicians. Using HEDIS measures as part of W3 DRS helps your team align
clinical practice patterns with nationally recognized best
practices resulting in a healthier, less costly member base.