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Streamline multiple review processes with a unified workflow tool
As providers work to meet mandates from The Joint Commission and other regulatory bodies, Optum designed Provider Review to give physicians, allied health practitioners, nurses and advanced practice providers visibility into all types of review processes within their health system.
This module unifies the following types of reviews into a single solution:
- Ongoing Professional Practice Evaluation (OPPE)
- Focused Professional Practice Evaluation (FPPE)
- Peer Review
- DNV credentialing and re-credentialing
Key features
AI-enabled insights
Save your clinicians time on every review. Our AI technology reduces provider burden throughout the accreditation process by automating routine tasks and summarizing performance opportunity drivers.
Workflow automation
Powered by AI, our streamlined user experience eliminates the need for manual review cycles by creating automated reviews that can be scheduled in advance. Each task is assigned a due date with built-in email or text reminders, alerts and updates.
Interactive OPPE reports
Unlike static PDF reports, our interactive reporting feature enables you to analyze measures with highest performance opportunity at the encounter level. Drill down to the individual patient record with Provider Review.
Enriched measure library
Gain access to a robust library of over 1,000 performance measures that leverage near real-time clinical and billing data. In addition, all provider measure profiles are customizable. Provider Review offers national benchmarking and proprietary risk adjustment.
Mobile responsiveness
Manage reviews on the go, without the need for a computer. Provider Review is optimized for smartphones and tablets, granting users the ability to monitor and sign reviews anytime, anywhere.
"Using this platform was a huge time saver for us and made it a lot easier for us to share data across all our different facilities."
VP of Quality, UPMC Pinnacle
Amy Helmuth
Key benefits
Discover how the Provider Review module can uncover efficiencies for your healthcare organization.
Enhance provider engagement
Improve provider engagement by managing performance with provider scorecards.
Reduce administrative burden
Mitigate administrative burden on medical staff and physician leaders by automating the review process.
Maintain compliance
Stay compliant with regulatory guidelines.
Our impact
Optum has helped its clients achieve success and major cost savings.
96% reduction in time
Provider Review has reduced the time needed to create and screen OPPE reviews by 96% for over 2,000 physicians.*
29.9 minutes saved
On average, Provider Review saved clients an average of 29.9 minutes per OPPE report generated.*
$985,000
Provider Review has achieved $985,000 in cost-savings for its clients.*
0.59-day reduction
Clients have seen a 0.59-day reduction in length of stay after engaging physicians with their data.*
Related healthcare insights
E-book
Optimize your provider review process to help save time, reduce costs and improve care quality.
White paper
Learn more about how Optum Enterprise Intelligence Suite (EIS) enables best practices for achieving operational excellence.
On-demand webinar
Access resources on how to reduce surgical costs for your health system.
Product information and resources
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PDF
Fact sheet
Provider Review fact sheet
Learn more about this product’s key features, its modules and client impact to date.
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* Based on mutually agreed-on ROI from all clients across 2019–2023.