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DignifiEngage

Step-By-Step Guide
to Signing In

DignifiEngage

Everything You Need
to Know to Get Started

DignifiEngage

Get to Know the
Home Dashboard

DignifiEngage

Learn How to Navigate
the Risk Dashboard

DignifiEngage

Learn How to Navigate the Chronic Disease
(CHF, Diabetes, COPD, Asthma) Dashboards

DignifiEngage

Learn How to Navigate the
Care Gaps Dashboard

DignifiEngage

Discover Ample Custom
Report Options

Comprehensive Diabetic Care

Identifying Diabetics with
Hypertension

Comprehensive Diabetic Care

Identifying
Prediabetes

Comprehensive Diabetic Care

Identifying Poorly Controlled
Diabetic Patients

Comprehensive Diabetic Care

Identifying Diabetics
without an A1C

Comprehensive Diabetic Care

Medical Attention
for Nephropathy

Comprehensive Diabetic Care

Identifying Diabetics
without an Eye Exam

Comprehensive Diabetic Care

Identifying High-Risk
Diabetics

Transcript

Engage is a secure, web-based SaaS application. Depending on your implementation, access to Engage is provided to users either through single sign-on authentication or username and password credentials. Additional security can be applied by integrating with your system’s dual authenticator application. Once authenticated, users are directed to their DignifiHealth console where they can launch Engage by clicking the application tile and “Get Started.”

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Before diving in, let’s start with an overview of a few key features that offer enhanced functionality and a consistent user experience across the Engage platform.

Navigation barEasily switch between the Home, Risk, Chronic Disease, Care Gaps, and Custom Report dashboards by using the left-hand navigation bar.

Interactive title: Find today’s date and total patient count displayed at the top left of any dashboard in the platform. The total patient count interacts with each click as filters are applied and provides a percentage of the total patient population that is being viewed.

Menu options: Our site navigation menu contains helpful icons at the top, far right of the page. These options include console, full-screen mode, print screen, filter reset, and logout with one click.

Streamlined filters: Locate powerful filters at the far right of the dashboard. Once the menu is expanded, filters can be applied that follow the user as they navigate across the platform. These advanced filters include Patient MRN, Billing Provider, Billing Specialty, CCM Status, Deceased Status, Open Gaps, and Total Risk.

Data Export: All supporting data can easily be exported to Excel or CSV for use outside of the platform. Simply click the ellipsis in the top right corner of the table or report and select export data.

Client Support: Quickly click on the question mark icon at the bottom left of any dashboard to submit a support request. Support requests are fielded by DignifiHealth’s Account Management team.

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Engage’s Home dashboard serves up a holistic view of a hospital or health system’s aggregate patient population. Through powerful visuals, users can dive into their population’s payors and associated plans, see a quick summary of the day’s scheduled appointments, evaluate patient risk stratification, top diagnoses with associated median risk scores, and identify open care gaps with the most opportunities. Every visual is interactive with all data and other visuals displayed, offering insightful snapshots for any user.

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Moving into the Risk dashboard, you will find a continuation of a comprehensive view of the patient population. Begin to focus on specific disease states by applying preset risk filters based on common diagnoses. This area also includes a total risk score where you can apply a specific risk score range. Based on limits and ranges from regulating organizations and documented chronic disease states from your EMR, Engage utilizes evidenced-based risk scoring logic to enable a specific score that is assigned to every patient. Utilize the payor chart to include payor and/or specific plan filters. As we dive into the total patient population and work toward creating our ideal patient listing, you will find that the patient population table, CQM charts, and top diagnoses are fully interactive with each click. Once arriving at your ideal patient list, sort the patient population table by patient risk or other pertinent measures, and remember to apply any streamlined filters needed.

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The Chronic Disease Management dashboards encompass a custom page for Congestive Heart Failure, Diabetes, COPD, and Asthma. The consistent look and feel of each dashboard demonstrate powerful ease of use for both clinical staff and providers by efficiently breaking down the attributed patient populations. Each dashboard presents disease-specific preset filters, drop-down prescription options, and additional min/max filters to open vast possibilities for the creation of precise patient reporting. As you identify your patient list, toggle between recent patient vitals, labs, and prescriptions regarding specific patients you wish to impact with first-class patient care. These dashboards are ideal for producing core patient data to support value-based clinics/specialty programs and other care coordination efforts.

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The Care Gaps dashboard is designed to be clinical staff facing in support of ambulatory healthcare providers. The dashboard offers real-time provider insights for care gap closure at the point of care for any patient visit. Apply any needed drop-down filters pertaining to the appointment date, appointment specialty, appointment category/description, and appointment provider. Within the Patient Population table, appointments along with patient information will be listed in order of scheduled date and time. This workflow shows open care gaps for each scheduled patient and is demonstrated at the patient level by simply clicking a patient. Offering enhanced workflow efficiencies to staff and providers by eliminating extensive chart preparations for preventative care. Further increasing provider engagement by demonstrating the right care for the right patients at the right time, without distractions.

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The Custom Reports dashboard enhances your data through enriched reporting. With simple clicks and the use of a drop-down box, anyone can drive actionable patient reports in a matter of seconds. Save time for clinic and quality staff by identifying workable patient lists that focus on enhancing care and increasing patient visits for patients who are due for needed care. Quickly identify patients by specific payors, providers, or specialty and more to demonstrate those categorized in the top half of the total risk without upcoming scheduled appointments. The possibilities are endless to identify first-class patient data about demographics, appointments, vitals, labs, prescriptions, and billing. This dashboard further allows the review of unique patient panels, attended visits reports, and chronic conditions.

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Did you know that 2 out of 3 people with diabetes have high blood pressure or are taking medications to lower their blood pressure? High blood pressure is known to increase the risk for heart disease, stroke, and other problems. Further, a person with the combination of diabetes and high blood pressure is four times more likely to be diagnosed with heart disease than a person without either condition.

 

As an end-user focused on quality care, this report equips you with insights on diabetic patients who may or may not be treated for hypertension. Given the risks for patients who have developed both conditions, these patients may be great candidates for Chronic Care Management or other care coordination efforts. You can also sort by upcoming appointments. Typically, patients with comorbidities can benefit from more routine Primary Care visits. Identify those without an upcoming Primary Care appointment or patients whose appointments exceed a six-month timeframe. 

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Prediabetes is commonly associated with risk factors such as elevated BMI, blood sugar, and lab results. In many cases, the patient’s blood sugar is higher than normal but not high enough to be diagnosed as diabetes. Prediabetes is more common than you may think – over 88 million US adults have it, however, more than 84% are not aware they do. Through early detection and preventative measures adopted between patient and healthcare provider, prediabetes can be reversed.

 

As a clinical end-user, you have access to identify prediabetic patients within your practice. Generate a prediabetic report by focusing on elevated BMI and HbA1C levels that are approaching the diabetes diagnosis threshold. This type of report will allow for additional touchpoints and care management for the patient outside of their office visits with the coordination of the healthcare provider’s care plan. These patients may be excellent candidates for diabetic education programs, lifestyle/health coaching, and dietary consultation. 

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It has been stated that out of the 26.9 million individuals diagnosed with diabetics in the United States, up to 14.6% may be identified as poorly controlled. Poorly controlled diabetics are at an increased risk for other serious medical conditions such as heart disease, kidney failure, amputations, stroke, and vision loss. Simply reducing a patient’s A1C blood level by 1% (e.g., from 9.0% to 8.0%) can help to reduce the risk of microvascular complications (eye, kidney, and nerve diseases) up to 40%.

 

As a clinical end-user, you can generate a report identifying your patients who are considered poorly controlled as defined by CMS and HEDIS guidelines. This report will allow you to develop close relationships with diabetic patients who may need extra support to lower their A1C and close the gap in care. Patients from this report have been identified as great candidates for Chronic Care Management, Remote Patient Monitoring, and/or other care management programs.

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When it comes to diagnosing and managing diabetes, the hemoglobin A1C test is one of the most performed tests. The A1C is a simple test that discloses the amount of sugar attached to hemoglobin in an individual’s bloodstream and measures the average blood sugar level over the past 3 months. Essentially, the test is measuring the percentage of red blood cells that have sugar-coated hemoglobin. The CDC suggests that an A1C level of 6.5% or higher is an indicator of diabetes, a level of 5.7% – 6.4% indicates prediabetes, and a normal level is below 5.7%.​

 

As an end-user focused on quality care and gap closure, proactively run this report to identify specific patients still needing an A1C that is attributed to your practice. Coordinate with the overseeing provider to schedule a needed visit or to conduct patient outreach to inform the patient of the importance of getting their A1C.

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We want you to know, diabetes has accounted for nearly half of all new cases of end-stage renal disease in prior years and approximately 20% of the 400 million individuals with diabetes have diabetic kidney disease (DKD). DKD is known to be associated with higher cardiovascular risks which can also lead to mortality if not treated timely. Annual nephropathy screenings for early detection of DKD can be performed that are simple spot urine albumin/creatinine tests.​

 

As a clinical end-user, you can generate a report focused on your diabetic patients associated with your practice who have yet to complete a nephropathy screening within the current calendar year. Not only is it imperative to identify these patients for timely diagnosis and critical treatment, but it is also a performance measure for most payors under Comprehensive Diabetes Care. This is also a measurement that is represented as a care gap opportunity within the Gaps tab of the DignifiEngage portal.​​ ​

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Diabetic retinopathy is the leading cause of blindness for adults between 20 – 74 years old, impacting approximately 4.1 million. This occurs through progressive damage to small blood vessels in the tissue of the retina.​

 

As a clinical end-user, you can generate a report focused on your diabetic patients associated with your practice who have yet to complete a diabetic eye exam within the current calendar year. This measurement is known to be a difficult gap to close given that the eye exam results are typically not readily available if it is not performed internally. Utilize this report to create patient mailers specific to your patients who have either not received an eye exam or who can assist you in obtaining the external information to close the gap.

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Coordinated Care efforts focused on patients with multiple conditions such as high blood pressure, elevated A1C, and body weight, paired with a mid to high-risk score can reduce readmission rates, unneeded ER visits, and increase the level of care provided to the patient. ​

 

By focusing on quality care and care coordination efforts, this report will give you a complex view of your high-risk diabetic patient population. These patients could benefit from Chronic Care Management, Remote Patient Monitoring, and/or other care management programs.