Driving quality and efficiency throughout your health system is now as simple as ordering a lab test By providing on-demand, real-time information at the point of care, Data Diagnostics™ empowers clinicians to reduce waste, maximize efficiency, and support the financial performance of your health system

As the U.S. healthcare system transitions from consumption- and volume-based paradigms to quality- and value-based care models, each segment of the healthcare system is under pressure to deliver better care and financial performance.

In this post-Affordable Care Act (ACA) landscape, where consumerism and consolidation have become the norm, healthcare leaders must adapt to a host of new challenges, yet their core responsibility is to ensure that their organizations are providing the highest quality and most cost-effective care possible. More and more, they are relying on data to help focus their resources – but too often, these data do not paint the entire picture, nor do they create actionable insights.

Empowering you and your clinicians to confidently navigate the changing healthcare landscape

In 2009, unnecessary

services and administrative

costs added about $750

billion to our nation’s

healthcare spending3

$

Chronic – and often highly preventable – diseases are responsible for 7 out of 10 deaths and account for 86% of our nation’s healthcare costs2

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In the U.S., 1 out of every 3 laboratory tests is unnecessary1

The power to transform the way care is deliveredQuest Diagnostics has partnered with cloud-based analytics and technology company Inovalon® to develop Data Diagnostics to drive actionable insights for patients, clinicians, healthcare executives, lab directors, and insurers.

Data Diagnostics is a suite of member-specific analyses that can be ordered on demand by clinicians at the point of care. Data Diagnostics helps identify and address gaps in quality, risk, utilization, and medical history to support

improvements in clinical and quality outcomes and financial performance across every segment of the healthcare system.

Clinicians order the desired Data Diagnostics report from Care360® or their existing electronic health record (EHR). The analyses can be ordered as a stand alone or with other lab orders. The results are then delivered within seconds,* empowering the ordering clinician to take action with their patient at the point of care.

Providing actionable insight at the point of care is as simple as ordering a lab test

Seamlessly incorporated into the workflow of nearly 600,000 clinicians through our Care360 and more than 400 supported EHR platforms, making Data Diagnostics almost effortless for nearly half the healthcare professionals and facilities in the U.S.

Data Diagnostics can be ordered within the existing clinical workflow, making ordering an analysis as simple as ordering a traditional laboratory CBC. The results are returned within seconds* to inform the clinical encounter.

Draws from 2 of the world’s largest datasets of clinical, claims, quality, and laboratory data, including Quest’s 20 billion clinical laboratory test results and clinical datasets on more than 120 million patients from Inovalon

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* Turnaround time for results vary from system to system, though in some cases, Data Diagnostics results will be delivered immediately, in real time. The results are provided in compliance with HIPAA and based upon data contained in the existing datasets.

Clinicians can select from hundreds of Data Diagnostics reports that aid in all aspects of diagnosis, treatment, utilization management, quality measure achievement, and reporting.

Delivering measurable benefits throughout the healthcare ecosystem

Historical data-related category

Reveals insight into disease progression, lab results, medications, surgeries, and other factors that aid in patient evaluation. The results can save encounter time, make exams more productive, save lives in emergency situations, and reduce unnecessary evaluations or tests.

Quality-related category

Details a patient’s historical, current, or predicted clinical and quality status under models including HEDIS® Lab Reporting, Medicare Advantage 5-Star Quality bonus programs, and others. Can guide improvements to quality measurements.

Risk score-related category

Covers historical risk score status, diagnostic contributors, and predicted progression across all major risk score models, including Medicare Advantage and commercial Affordable Care Act-compliant plans. Supports improved risk score modeling, disease burden documentation, and reimbursement accuracy.

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Eligibility-related category

Delivers information about patient eligibility for payment and/or programs related to care, support, and rehabilitation.

Waste avoidance-related category

Analysis data on factors impacting care costs, such as test duplication, medication formulary alternatives, imaging, high-cost patient behaviors, and acute care utilization.

Organizations can also request the development of custom analytics, such as formulary optimization analyses or quality and care measures.

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PATIENT INFORMATION ORDER INFORMATION REPORT STATUS: FINAL

Stanley, Ellen

DOB: 02/14/1945Gender: FemalePatient ID: ZS087654321

Order: 987654396Requisition: 999-888Internal #: 2003-0012

ORDERING CLINICIAN:Anna Schultz, MD

CLIENT INFORMATION:Primary Care Associates1553 Maple StreetNewark, NJ 07855

ORDERED: 09/01/2015 11:26 AM ESTREPORTED: 09/01/2015 11:26 AM EST

CLIENT SERVICES: 800.555.5555 REPORTED 09/01/2015 11:26 AM EST PAGE 1 OF 1

Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.

Note: The information contained within the “Result” section of this Data Diagnostics™ report is based upon known data available to Inovalon, Inc. and Quest Diagnostics, Inc. as of the date and time this Data Diagnostics™ report was Ordered (as noted above). Further, the information provided herein may be hierarchical in nature, and may be constrained by the age, sex, and relevant medical history of the patient. This product is not intended to diagnose, treat, cure, or prevent any disease.

© 2015 Inovalon, Inc. All Rights Reserved. DD version xxxx.xx Powered by:Data Diagnostics™ is a trademark of Inovalon, Inc. Analytics are powered by Inovalon, Inc. See www.datadiagnostics.inovalon.com/trademarks_acknowledgement for additional trademark information and terms of use.

DATA DIAGNOSTICS™:

Waste Avoidance Formulary Profile – One Year Lookback

This Data Diagnostics™ report utilizes patient data and information from the Participating Organization to identify formulary drug alternatives for consideration. All known medications that have been filled by the patient within the past one year are listed below. Formulary alternatives are listed when identified as potentially applicable.

Medications Known Within the Most Recent 1 Year

Date of Most Recent Known Fill

Number of Known Fills

in Past 1 Year

Clinician and/or Facility Associated

with the Most Recent Occurrence

Formulary Alternative For Consideration

Crestor 10 mg 08/05/2015 8 CVS Pharmacy Simvastatin

Plavix 75 mg 07/20/2015 5 CVS PharmacyNo Alternative Identified

as Potentially Applicable

Zestril 10 mg 07/20/2015 5 CVS Pharmacy LisinoprilToprol XL 25 mg 06/14/2015 5 Rite Aid Pharmacy MetoprololFosamax 70 mg 06/14/2015 2 Rite Aid Pharmacy Alendronate

Contact Information: 1. CVS Pharmacy

2401 Longview DriveNewark, NJ 07855 (862) 278-9400

2. Rite Aid Pharmacy 24 Highpoint Avenue Wilmington, DE 19802 (302) 727-2000

Other Data Diagnostics reports detail crucial information, such as recent lab tests ordered and results, imaging, and comprehensive data around quality.

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* Turnaround time for results vary from system to system, though in some cases, Data Diagnostics results will be delivered immediately, in real time. The results are provided in compliance with HIPAA and based upon data contained in the existing datasets.

Data Diagnostics can provide results within seconds,* right at the point of care. In an emergency situation, the information provided may be live-saving.

By providing highly targeted, patient-specific insights, Data Diagnostics gives clinicians information they need to reduce the costs associated with duplicative testing and services, minimize administrative burden, and enhance documentation accuracy.

Clinicians can view historical data to better understand patient health history and status, which may assist with faster and more accurate diagnoses

Quality data provide real-time insight into various quality measures to help clinicians take the necessary actions to improve their quality ratings

Waste avoidance data help avoid duplication and unnecessary costs

More precise and accurate documentation leads to fewer rejected claims and ensures regulatory compliance

Data Diagnostics in action: Supporting split-second decisions in the ER

A patient is admitted through the hospital emergency department, where the managing clinician needs to make rapid, well-informed decisions, even when there’s no prior patient history available. The clinician orders a Data Diagnostics report, and almost immediately, the results provide patient information that supports better informed decisions about treatment. The ordering clinician receives important patient insights, such as:

Patient’s medical history, including comorbid conditions

Recent lab tests ordered and clinical results

Patient insurance coverage and prescription formulary access to assist in drug selection

Enable better business decisions for your health system

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With chronic condition patients accounting for 86% of the nation’s healthcare costs,2 early identification and management can lead to better outcomes. And as clinicians understand their performance in relation to established quality measures, they can prioritize those activities needed to maximize performance.

Quality data provide real-time insight into various quality measures to help clinicians improve their quality ratings

Historical data help clinicians close gaps in care, with seamless integration at the point of care

Risk score data support provider documentation of accurate disease burden

Eligibility data help clinicians guide patients to appropriate community health programs

Uncover critical insights to improve quality care

Data Diagnostics in action: Effectively managing a diabetic population

A health system needed to implement strict diabetes population management activities to improve quality performance, enhance care coordination, and decrease their costs for providing diabetes care. To support these initiatives, the health system made Data Diagnostics reports available to clinicians. With their clinicians leveraging point-of-care insight the health system met their cost-containment goals. Data Diagnostics provided important information to make timely decisions, including:

Full patient histories of each diabetic patient so that care plans are more informed and optimized, and unnecessary activities are avoided

Quality assessments of diabetic patients to help close gaps in quality performance

Eligibility data on diabetes support programs so that all available resources can be maximized to improve care

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Maximize accuracy to maximize reimbursement potentialClinicians often have limited insight into all of their patients’ disease and comorbidity status, and little time or expertise in risk score coding accuracy requirements. This misalignment can significantly impact the accuracy of documentation, associated claims data, risk score accuracy, and related reimbursement.

Historical data provide clinicians with a complete understanding of historical, current and predictive disease burden

Risk score data provide in-depth risk scores of a specific patient within the relevant risk score model to ensure accurate documentation of disease burden, leading to appropriate reimbursement

Data Diagnostics in action: Increased accuracy leads to increased reimbursements

Inaccurate clinician reporting was causing a health system to lose a significant amount of potential reimbursement dollars. For example, several acute patients were treated, but the care provided was inaccurately recorded—so the organization didn’t receive reimbursement for this care. To remedy this situation, the organization made sure clinicians across the health system started using Data Diagnostics to improve the accuracy of their reporting activities. Clinician reporting improved dramatically, leading to an increase in organization reimbursement. Specific data that contributed to these improvements were:

Complete patient history for full view of patient condition and care received to date

Risk-score accuracy gaps to guide accurate reporting of current disease burden or unaddressed/worsening conditions

Results in seconds*: How Data Diagnostics are ordered and received

Each Data Diagnostics report is ordered just like a laboratory test through the Quest Care360 and EHR platform within the clinician workflow system

A secure signal is sent from the Quest platform to the Inovalon platform

Analysis is initiated in real time for recognized providers

Data Diagnostics answers are sent in 3 formats (PDF, HL7-long format, and HL7-short format) back to the Quest Diagnostics platform

Within seconds,* the Quest Diagnostics platform relays the report back to the ordering clinician

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Any healthcare organization can become a Data Diagnostics participating organization, just by contacting Quest Diagnostics or Inovalon. Once paperwork is completed, data connectivity is established and relevant datasets will be integrated into the Data Diagnostics platform.

Quest provides user education and support, instructing clinicians on how to order Data Diagnostics within

inovalon®Results within seconds*

“ Plug and play” simplicity and automatic workflow integration

Doctor Patient

Order entry via Care360

Order entry via EHR

11* Turnaround time for results vary from system to system, though in some cases, Data Diagnostics results will be delivered immediately, in real time. The results

are provided in compliance with HIPAA and based upon data contained in the existing datasets.

Care360 or an EHR that is connected to the Quest Diagnostics platform.

Participating organizations pay a small fee for coordination of their data, but then clinicians can order a Data Diagnostics report from their workflow. There are hundreds of different Data Diagnostics, ranging in cost from $15 to $50 each.

Allscripts Greenway NEXTGEN

eClinicalWorks Epic

practice fusionCerner

GE HealthcareMcKESSON

athenahealth

or

To learn more about how Data Diagnostics can drive value throughout your organization, contact your local Quest Diagnostics representative.

To see a full spectrum of solutions that can help increase your lab’s efficiency, support your clinicians with timely information, and fortify your facility’s financial performance, visit QuestForHealthSystems.com.

References: 1. Zhi M, Ding E, Theisen-Toupal, et al. The landscape of inappropriate laboratory testing: a 15-year meta-analysis. PLoS ONE. 2013;8(11): e78962. doi: 10.1371/journal.pone.00789624. 2. Centers for Disease Control and Prevention. Chronic disease prevention and health promotion. http://www.cdc.gov/chronicdisease/index.htm. Updated October 28, 2015. Accessed December 02, 2015. 3. Transformation of health system needed to improve care and reduce costs [news release]. Washington, DC: The National Academies of Sciences, Engineering, and Medicine, Office of News and Public Information; September 6, 2012. http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13444. Accessed December 9, 2015. 4. American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care. 36;1033-1046.

All information contained within every Data Diagnostics report is HIPAA compliant.

Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third party marks—® and ™—are the property of their respective owners. © 2015 Quest Diagnostics Incorporated. All rights reserved. SB5108 1/2016