OutcomesMTM® has developed industry-leading technology to help our pharmacists deliver best-in-class care.
Coordination of care is increasingly critical to the health and well-being of members. Our Connect™ Platform links participating local pharmacists with health plans, prescribers and information designed to guide the process of care, so local pharmacists can be an active part of a member’s healthcare team. For health plans utilizing an internal MTM team to deliver services alongside our Personal Pharmacist™ Network, Connect can serve as a common documentation platform for centralized reporting. This advanced workflow, documentation and billing platform tracks MTM opportunities and performance in real time. Within your Client role, Connect gives you access to reporting, so you can track performance in aggregate or down to an individual pharmacy.
Insight™ Clinical Engine
OutcomesMTM’s proprietary Insight Clinical Engine securely processes data provided by health plans and delivers actionable clinical information to network pharmacists. Intervention prompts generated through our Targeted Intervention Program (TIP®) support patient care and drive quality by focusing pharmacist activity on medication issues such as gaps in care, non-adherence, high risk medications and cost-saving opportunities. Through these targeted interventions, local pharmacists can directly impact quality initiatives related to HEDIS and Medicare Star Ratings. The OutcomesMTM Clinical Services team maintains and develops TIP protocols. TIPs deployed may be updated and/or customized according to your organization’s needs, new clinical guidelines, changes to existing quality metrics and evolving best practices.
In 2014, OutcomesMTM engaged a third-party team to perform a SSAE16 SOC2 Type 2 security audit to certify its security practices. The audit addresses information security, personnel security, network security, logical access, operations management, incident management and investigations. We adopted the HITRUST Cybersecurity Framework in 2016 and complete an annual SOC2 Type 2 + HITRUST assessment.
Security measures include:
- HIPAA/HITECH-compliant Connect Platform, which is housed on a highly available, highly redundant website platform located in a state-of-the-art data center
- The latest technology in antivirus/anti-malware, firewalls and intrusion detection/protection
- Nightly, full backups of data, which are replicated to a second geographically diverse, secured facility
- Role-based access limits users to only necessary functions and data for each role