Connectivity Improves Quality Metrics for Annual Diabetic Eye Exams

Objective:  Assist health systems with meeting important quality metrics by providing their community members who continue to fax with an easy and affordable standards-based interoperability solution. 

Description:  This particular project centers around connecting the optical community to the health system as they transition to value-based care. Patients who fit the criteria for comprehensive diabetic eye care require an annual diabetic eye exam1.  Normally, these exams are performed by ophthalmologists or optometrists who are not part of the health system’s physician network and who bill claims against a vision plan rather than a health plan. The health system would receive documentation as a fax or letter asynchronous to the visit, making it difficult to track.  Kno2’s interoperability platform solves this issue by bringing the data into the patient’s hospital health record at the time of service as a Direct message, driving better patient outcomes and greater visibility into care delivered outside their walls – lowering the total cost of care, while supporting the shift to alternative payment models. Combining the technology of Kno2 with the influence of a health system and a proven community outreach program, we are helping to accelerate interoperability within entire geographies by raising awareness, driving adoption and removing the historical barriers that have prevented electronic care coordination between providers.  

In this use case, the optometry clinic activates their Kno2 account.  They can then receive referrals electronically on patients who need a diabetic eye exam.  The clinic contacts the patient to schedule the exam.  Results of the eye exam are consistently delivered back to the PCP via Direct message and can be incorporated directly into the patient’s electronic medical record. The PCP can determine the next course of action for the patient as well as document that the requirements for the annual exam were met to meet quality metrics.
Start Date
Projected End Date

Project Tags
  • bundled payments
  • direct secure messaging
  • EHR
  • Epic
  • Expected Outcomes: • Improve referrals and follow-up for diabetic patients requiring an annual eye exam • Improve quality measu
  • eye
  • Health Systems
  • interoperability
  • Kno2
  • NQF
  • ophthalmology
  • quality metrics
  • quality reporting
  • retinopathy
  • Value-based Care
  • vision
Project Point of Contact:
Project Results
Expected Outcomes: 

•	Improve referrals and follow-up for diabetic patients requiring an annual eye exam
•	Improve quality measurement reports