25 Apr

Webinar: Navigate Ethical AI Frameworks for Clinical Data and Healthcare Regulatory Compliance

Time: 10 a.m. to 11 a.m. (PT) | 1 p.m. to 2 p.m. (ET)

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MongoDB.local Bengaluru | From ML Ops to Generative AI: How to Bring ML Into Your Apps with MongoDB - Inovaare MongoDB.local Bengaluru | From ML Ops to Generative AI: How to Bring ML Into Your Apps with MongoDB - Inovaare

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    Reporting

    • The State Regulatory Guidance (All Plan letters) responsibilities include, but are not limited to:
      1. DHCS All Plan Letter (APL) and Policy Letter (PL) Applicable Notices
      2. DHCS All Plan Letter (APL) and Policy Letter (PL) - Non-Applicable Notices
      3. Submits proof of APL and PL compliance documents to DHCS
    • The Organization Risk Assessment responsibilities include, but are not limited to:
      1. Review of new potential risks with assigned accountable business owners
      2. Provide final data set to senior executive team for implementation of agreed upon interventions
    • The Regulatory Audit Process responsibilities include, but are not limited to:
      1. Creation of audit folders
      2. Tracking of documents/universe and requests received from the auditor and distributed to the business owners
      3. Audit Readiness Questionnaires
    • The Regulatory Routine Reporting responsibilities include, but are not limited to:
      1. Maintaining calendar for all regulatory compliance
      2. Tracking timeliness of business owner’s submissions and attestation

    Monitoring

    Continuous monitoring allows a health plan to quickly and easily keep its finger on the pulse of the delegates’ performance to identify potential risks or issues before they become major problems. This will help ensure compliance with needed regulations through the health plan’s ability to:

    • Expedite feedback processes to mitigate operational and enterprise risks
    • Utilize streamlined reporting processes to automate reviews and highlight elements that are approaching identified tolerances
    • Track findings, recommendations and corrective action plans, as well as trends over time, to quickly compare delegates and prepare for renegotiation when the time comes

    Audit and CAP

    Auditing delegated entities is essential for maintaining good governance, managing risk and ensuring compliance within an organization. Health plans can now efficiently oversee audits and perform file reviews of their delegated entities and vendors and maintain a system-wide overview of all compliance activities:

    • Deliver real-time audit results
    • Lower audit backlog, efforts and timelines
    • Help health plans with pre- and post-delegation audits of all areas of delegation
    • Create and manage Corrective Action Plans (CAP) for all audits that produce findings

    Pre-delegation audit

    The pre-delegation audit process involves a comprehensive review of the proposed delegates’ policies, procedures, and systems, as well as an assessment of their compliance with relevant technical and operational standards. The audit may also include a review of their financial stability and management structure. Our module helps guide the process through:

    • Facility Site Review audits
    • Medical Record Review audits
    • Credentialing Audits Pre- and Annual re-certification
    • Utilization Management audits including Quality Management (QM) audits
    • Special Needs Plan (SNP) audits

    Delegation repository

    Centralized database of your various delegate or vendor information, allowing health plans to easily track and manage relationships with its FDRs.

  • Demographic information
  • Contact information
  • Responsibilities or functions assigned
  • Audit activities and past performance
  • mongodb-event

    MongoDB.local Bengaluru | From ML Ops to Generative AI: How to Bring ML Into Your Apps with MongoDB

    September 12 2023
    Time: 11:30 AM IST
    mongodb-event

    Inovaare and MongoDB have partnered under the MongoDB AI Innovators Program to bring AI technologies and compliance solutions together to help organizations gain continual success around compliance. Inovaare participated in the MongoDB.local Bengaluru on Sept 12, 2023.

    Mohar Mishra, CTO and Co-Founder of Inovaare Corporation will be speaking on “From ML Ops to Generative AI: How to Bring ML Into Your Apps with MongoDB”, wherein he will demonstrate how the synergy between Inovaare and MongoDB will reshape the healthcare compliance paradigm. The partnership between Inovaare and MongoDB propels the healthcare compliance domain into an era driven by innovation with AI.

    The architecture of MongoDB Atlas, known for its scalability and flexibility, underpins Inovaare’s innovation roadmap. As Inovaare migrates to Atlas Vector Search, developers can build faster through tight vector integration with the transactional, analytical, and full-text search data services provided by the MongoDB Atlas platform.

    Inovaare’s comprehensive suite of healthcare compliance solutions empowers healthcare organizations to preserve audit readiness, manage non-compliance risks, and optimize operational efficiency. Beyond these compliance solutions, Inovaare’s no-code platform, powered by AI and complemented by low-code development, equips enterprises to swiftly design, develop, and deploy custom applications. The Inovaare Platform also includes a low-code Integrated Development Environment (IDE), offering developers a unified workspace for software application development. The platform dismantles traditional barriers that hinder rapid application development, and integration is fortified by managed cloud services, enabling partners to respond to changing needs with agility.

    To know about the partnership, read our blog “The Inovaare -MongoDB Partnership: Unlocking Excellence in Healthcare Compliance