IMPORTANT: Please note that the data and components found throughout your account are dependent on your company's Carevoyance subscriptions. Access to Carevoyance is unique to each company, therefore the example images used in this training may differ from what you see in your account. Profiles are also based on the exact provider you are viewing, so keep in mind that what is available may differ slightly based on the focal provider. This training is meant to build a foundational understanding of provider profiles. For a detailed training on your specific use case, please reach out to your designated customer success team member.

What is a provider profile?

Provider profiles provide you with detailed information about a specific provider. All provider types tracked in Carevoyance will have an individual profile. There are multiple pages of data within each profile that help you uncover powerful insights for the focal provider. Throughout this lesson you will gain a foundational understanding of what a provider profile includes. 

Let's get started!

How do you navigate to a provider profile?

Carevoyance has profiles for individuals, organizations, and systems. Listed below are the different ways that you can easily navigate to a provider profile.

1. Use the Market or Field modules: After using the Market or Field View modules to find your list of target providers, you will be able to jump into a provider profile by clicking on the name from your search results. Note: The profiles will differ depending on which module you are using, which we will cover later in this lesson!

2. Use the search bar: You can search for any provider in both Market and Field View by typing in the name of the provider directly into the search bar located in the upper-right corner of the modules! 

3. Select them from your provider lists: If you've previously created a provider list, you can dive directly to any provider profiles after viewing that list.

4. From other provider profiles: When you are exploring provider profiles, you might come across another provider that you're interested in mentioned in their profile. As long as the text is hyperlinked, just click on the name to jump to their profile.

5. From a report: Some portlets will provide links to other provider profiles. If you are ever analyzing a report and see another provider that you may be interested in, just click on the name to dive into that profile. 

Market View profile

Below we will cover the details found within the Market View profiles. If you have a Field View use case, feel free to skip this section!

Profile navigation

• Reports: Use the 'Reports' button to run a report for the focal provider. Reports help you gain a deeper understanding of an individual or facility.
• Add to list: Use this quick link to add the focal provider to a provider list. You can either add them to an existing list or create a new one! Provider lists allow you to save specific individuals (think of this as a list of your favorite profiles) so that you can easily navigate back to them in the future.
• General Information: The left-hand panel of a profile will always provide you with general physician, organization, or system metrics. Here you can see provider contact information, or dive into a provider's affiliations by clicking on the linked provider names.
• Page navigation: Use the page options across the top of the profile to dive into the different metrics provided! Keep in mind that profiles vary depending on the profile type you are viewing, and therefore, not all pages are available on all profiles! 
• Information icons: Anytime you see an information icon, feel free to hover over it to view a definition, calculation, and/or additional details on what that metric is! Some information icons are clickable and project a pop-up with even more details! 

What's included in a Market View profile?

As we covered above, profiles will have multiple pages across the top of the profile that you can navigate through. The pages available may vary depending on which provider type you are exploring. Below you'll find a brief overview of what each profile page includes. 

• Overview (organization profiles): Sourced from the Medicare Cost Report (MCR), provides a snapshot of the clinical and financial metrics year-over-year, as well as payor mix and reimbursement values at the facility level. 

• Overview (individual profiles): Sourced from the Medicare Fee For Service (FFS) file, showcases overall patient demographics, as well as top procedures and diagnoses they've done overall. It will also provide the number of patients they've billed for any relevant codesets you select. 

• Treatment Statistics: Encompasses your relevant care clusters to compare volumes at the state or national level. As well as the ability to view all CPT, and DRG codes that the facility billed. These lists are exportable to Excel. 

• HCAHPS (organization profiles only): Compares the profiled facility's performance on the Healthcare Consumer Assessment of Healthcare Providers and Systems (HCAHPS) to the regional average, and the top ten facilities in their market. 

• Facilities (individual profiles only): Provides you with all healthcare organizations that the provider has billed claims through (via the codeset you've selected). It will rank these facilities by volume of patients and also show how many patient days they've spent at each entity. 

• Physicians (organization profiles only): After selecting a codeset view the top providers that have billed for diagnoses or procedures relevant to the selected codeset. 

• Patient Pathways: Allows you to view both patient sources and destinations for the profiled facility. These are also known as inferred referrals. Patient sources are patients coming into the facility, and patient destinations are where the profiled facility is referring out to. 

• Sunshine Act (individual profiles only): Sourced from the Centers for Medicare and Medicaid (CMS) open payments data, this page allows you to see payments providers have received from potential competitors. It will give you the amount they've received, the companies they've received it from, payment type, and more, to give you a better edge of who they're engaging with before setting up a meeting.

• Patients (individual profiles only): Showcases patient population metrics for the profiled provider, sourced from the Medicare FFS file. This will breakdown high level demographics such as age, gender, insurance, and more!

• Leadership (organization profiles only): Access key executives at the facility and their contact information. 

• ROI Calculator: Input installation and procedure volumes to provide prospective buyers context that will enrich your sales conversations. 

Field View profile

Below we will cover the details found within the Field View profiles. If you have a Market View use case, feel free to skip this section!

Profile navigation

• Provider Name: Click directly on any provider name to view their profile card.
• Reports: Use the 'Reports' button to run a report for the focal provider. Reports help you gain a deeper understanding of an individual or facility.
• Add to list: Use this quick link to add the focal provider to a provider list. You can either add them to an existing list or create a new one! Provider lists allow you to save specific individuals (think of this as a list of your favorite profiles) so that you can easily navigate back to them in the future.
• Profile card: After clicking on a provider, their profile card will pop-up to the right of your provider list showcasing high-level snapshots about that provider. Profile cards will populate relevant information based on the filters you applied to build your list. for example, if you run a search for a specific Care Cluster, the profile cards will showcase data related to those codes. Here you can find information on that physician, organization, or system. You can view details like the provider's contact information, or dive into a provider's affiliations by clicking on those linked provider names.
• Information icons: Anytime you see an information icon, feel free to hover over it to view a definition, calculation, and/or additional details on what that metric is! Some information icons are clickable and project a pop-up with even more details! 

What's included in a Field View profile?

As we covered above, profile cards have snapshots of information to help you better understand a provider. The details available may vary depending on which provider type you are exploring.

• General: The top section of the profile provides a snapshot of the providers address, contact information, affiliations, and for individuals, their demographic information as well. 

• Overview: This provides you with a glimpse of what profile sections are available for the focal provider. Click on any of the section names to jump directly to that information.

• Patient Panel: Based on claims data, this section shows a wider array of counts for a provider's claim volumes and also provides a one-year comparison.

• Affiliations (individual profiles): This section showcases the number of patients the focal physician treated out of the total patients treated at the listed facility. This indicates the relative treatment contribution of a physician across the facilities where they are performing patient care.

• Affiliations (organization & system profiles): This section showcases physician contribution based on the volume of patients treated by the listed physicians at the focal facility. This indicates the relative treatment contribution of physicians for relevant patient care at the focal facility.

• Patient Pathways: Allows you to view both patient sources and destinations for the profiled facility. These are also known as inferred referrals. Patient sources are patients coming into the facility, and patient destinations are where the profiled facility is referring out to. 

• Sunshine Act (individual profiles only): Sourced from the Centers for Medicare and Medicaid (CMS) open payments data, this section allows you to see payments physicians have received from potential competitors. It will give you the amount they've received, the companies they've received it from, payment type, and more, to give you a better edge of who they're engaging with before setting up a meeting.

Pro tip: Click 'Show Details' located on the left of the section name to view an additional pop-up with more information on any of these profile sections!