.

DiagnosisONE's CDS product, D1.Pathway, is the only integrated clinical decision support system that can alert care providers to clinical actions needed to fill critical gaps in care.

DiagnosisONE's comprehensive rules engine is dynamic and granular, providing patient specific recommendations in all major clinical work flows including those required to meet Pay for Performance initiatives by multiple payers.

DiagnosisONE is a leader in the movement to shift the emphasis in clinical decision support from a procedure-centric to a patient-centric view. The traditional approach has been to have procedure dictionaries which, at best, give generic a synopsis of a procedure or condition. A patient centric view allows physicians to tailor a patient’s care to key elements of their medical record, thus reducing errors and speeding diagnosis. To achieve a patient centric view

• Vital signs
• Diagnosis
• Age
• Sex
• Current and previous tests
• Radiology and
• Medication history

Data is integrated and then used to generate clinically relevant suggestions. Once such data has been collected it can be used to impact both care delivery and utilization.

Our care gap analysis identifies not only the areas where there is considerable risk for potential errors and malpractice but also generates clinical analysis and actions that enhance chronic care.

Recent studies have shown that such data can reduce hospital admissions by 20% and length of stay by around 10%. These improvements in outcomes have direct consequences in terms of cost savings. Typically insurers can expect to save around $100 per member per year as a result of deploying this technology.

How It Works

Name: John Doe
Age: 55

• 08/09/05 11:17 am: Psychiatrist prescribes Prozac
• 10/22/05 9:10 am: Patient has thromboembolic event
• 10/23/05 3:54 pm: PCP prescribes Warfarin
• 10/23/05 3:54 pm: System recommends regular INR test
• 10/27/05 11:27 am: 5.5 INR reported (high)
• 10/27/05 11:27 am: Care Alert sent to Psychiatrist – High INR, suggest discontinue Prozac

Clinical Components

Our Clinical Decision support product, D1 Pathway, consists of hundreds of evidence-based algorithms developed by a collaboration of Physicians on optimal patient care protocols. The pathways cover:

• Presenting complaints
• Patient history
• Diagnoses
• Clinical laboratory tests as well as Pathology procedures
• Radiology
• Pharmacy
• Algorithmic relationships are based upon:
• Diagnoses and Tests
• Diagnoses and Medication(s)
• Tests and Medications
• Test results and alerts

To ensure compatibility with a large number of external systems the pathways are based on the following national coding standards:

• CPT
• LOINC
• SNOMED (CT)
• ICD-9
• HL7 Vocabulary

D1 Pathway can exist in it's simplest form as a dynamic, standalone reference guide. More practical applications include integrating D1 Pathway as a Web service with existing LIS, HIS, EMR and Physician Office software systems.