The list of pain points for many healthcare organizations
today is a long one. Lingering economic woes and uncertainty about the future
has many a hospital administrator looking for new ways reduce costs, increase
revenue, and improve staff efficiency, among other necessary strategies.
Utilizing best practices, lean strategies or other
performance improvement tactics, hospitals have been able to achieve some
success in improving patient care and processes while decreasing costs. What
many don’t understand, however, is that they are sitting on a gold mine of
sorts—a trove of data that can be used to promote significant operational,
clinical and financial enhancements. Unfortunately, this information is locked
away in databases, information systems and file cabinets. And without the proper
tools to collect, extract and turn the data into knowledge, healthcare
providers are left to apply the same tired solutions to new, increasingly
complex problems.
Progressive healthcare organizations, on the other hand, are
not simply relying on processes to improve operations. They are leveraging
sophisticated business intelligence (BI) technologies to promote informed,
top-down decisions that can enhance the patient experience, drive better
clinical outcomes, improve staff efficiency and increase revenue.
With a BI strategy, provider organizations have a unique
tool designed to extract, consolidate and standardize many different data
elements from various information sources. Clinical, operational, revenue cycle
and other analytics are delivered to leaders via reports and dashboards,
customized to meet their personal preferences. BI software can also be
configured to deliver information in near real time, ensuring that
administrators can quickly change course before a little problem turns into a
major disaster. And many leaders create predictive models to help identify
trends that influence and direct the hospital's future course.
But these activities wouldn’t be possible without workflow
automation—a set of applications designed to strip manual, paper-based
administrative and clinical process from the healthcare system. Workflow
automation digitizes the information necessary to effectively perform business
intelligence analysis, which in turn improves staff efficiency by offloading
labor-intensive, often repetitive tasks. Introducing standardized digital forms
throughout the enterprise not only eliminates the need for manual data entry,
it frees staff to focus on other tasks that technology is not equipped to
handle.
There are a host of areas within a hospital that are ripe
for automated workflows. Once implemented, automation in these segments will
allow leadership to harvest previously inaccessible data.
• Medical record
review. Compliance assurance across an
entire, multidimensional healthcare organization is a daunting task. Medical
record audits are designed to ensure medical necessity, correct coding and
regulatory conformity. Handled manually, this can lead to confusion and produce
inaccurate data.
• Accurate coding
assurance. Automated workflow solutions ensure that the hospital enters charges
accurately and at the appropriately coded levels to maximize reimbursements.
And with efficiency added to the charge capture process, the billing department
can submit claims in a timely manner, leading to a healthier revenue cycle.
• Audit processes
management. Audits represent a significant challenge to revenues and profit
margins for any healthcare provider. With an automated workflow solution, users
can view timelines and share audit information with the appropriate individuals
to ensure the required data is received and processed in a timely manner—all
with an audit trail for accountability.
• Risk management.
Healthcare providers require the ability to record and report on events that compromise
patient safety and quality care. Automated workflow solutions improve reporting
efficiency by replacing paper forms with a rules-driven intelligence that
allows managers to document safety incidents, analyze electronic data and send
compliant documents internally as well to patient safety organizations (PSOs).
• Human resources
administration. Human resource departments produce an endless stream of
documents such as benefits forms and performance evaluations. With staff
management processes consolidated in a customizable workflow solution, not only
will HR personnel be more effective, staff members that interface with the
department will be better organized and informed.
With automated workflows permeating the organization,
hospitals will be in a much better position to leverage their BI platform to
access organized, real-time information. This, in turn, will drive a new level
of intelligent decision making necessary to succeed in the increasingly
complex, ever-competitive and wildly unpredictable healthcare marketplace.
Source: healthcareitnews
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