The Future of Revenue Cycle - Big Data and Business Intelligence. You Need a Plan! Derek Morkel, President & CEO, GAFFEY Healthcare

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The Future of Revenue Cycle - Big Data and Business Intelligence. You Need a Plan! Derek Morkel, President & CEO, GAFFEY Healthcare"

Transcription

1 The Future of Revenue Cycle - Big Data and Business Intelligence. You Need a Plan! Derek Morkel, President & CEO, GAFFEY Healthcare

2 The Future of Revenue Cycle - Big Data and Business Intelligence. You Need a Plan! Call to Action: Hospital s typically lose 1-4% of Net Revenue due to Revenue Attrition this number is expected to grow with ICD-10, ACA & new methods of payment. Key Terms: Revenue Cycle, Big Data, Business Intelligence Key Concept: A central, dedicated enterprise data warehouse for use by your primary Revenue Cycle Workflow Application with integrated Business Intelligence and analytic query systems will yield much better results and allow for significantly greater flexibility and capacity than trying to analyze a distributed set of separate, independent data silos (Excel hell). Introduction: Revenue Cycle (RCM) is definitely not a new term, but for many Big Data and Business Intelligence are relatively new terms. In this White Paper we lay out how they can work together to improve results for your facility. The business fundamentals of healthcare are changing rapidly before our eyes due to the many new and different payment methodologies that have been introduced over the last 5 years. While they currently represent only a small portion of total reimbursement, this is likely to change over the next 5 to 10 years. Some of the broad changes/trends that are already taking place are: Changes in value proposition payments that are currently being made based on episodes of illness are moving to rewards for healthy behavior. Reimbursement by individual patient and individual encounter to group payments risk bearing contracts. Single provider payments to bundled payments across 2 or more providers ACO s. Payments and penalties tiered by outcome. These changes in addition to the cost pressure brought on by the fiscal crises, Obamacare/ACA, reduced reimbursements etc. are causing many hospitals to look very closely at what resources are going to be necessary to adapt to these and other changes to come. Getting an ROI from your IT Investments leverage all the data you have: This inevitably leads to the question how do I improve my RCM operations and leverage the value of all the investments that I have made in IT over the last 3-5 years? That is where Big Data and Business Intelligence come in. Healthcare data is nothing new, but yet, why do healthcare improvements from quantifiable data seem almost rare today? Healthcare administrators have a wealth of data accessible to them but do not have the tools to use it and aren t sure how much of that data is usable or even correct. Page 1

3 The Short Answer: Deploying a central, dedicated data warehouse that can organize all the Big Data for use by Business Intelligence & Analytic Query systems like GAFFEY s AlphaAnalytics platform will yield much better results and allow for significantly greater flexibility and capacity than trying to analyze a distributed set of separate, independent data silos. What is Big Data & where is it? Big Data Definition: In 2012, Gartner updated its definition as follows: Big data is high volume, high velocity, and/or high variety information assets that require new forms of processing to enable enhanced decision making, insight discovery and process optimization. In healthcare, Data is generated in many places. Think of all the data that your organization generates and what do you do with it? EMR & Clinical IS Patient Accounting Billing & EDI Data Quality & Risk Physician Practice Data The tantalizing promise of big data is that for the first time, with an abundance of data sources and efficient analytics tools, healthcare will finally have the information necessary to plan, achieve, and measure those quantifiable program improvements improve efficiency from the beginning to the end of the Revenue Cycle (and many other areas). How about the efficiency gained from having a single RCM analytic platform tied into your workflow analyzing the top areas for revenue attrition? Charge Capture & Late Charges ED Level Coding Underpayments Denials & RAC Appeals Potential Denials Having a single data repository Enterprise Data Warehouse with the right analytic tools provides the ability to not only have a single end to end view of your RCM operations but also a single point of truth to make sure that you are getting paid not only correctly, but timely for your services. These platforms also provide for data flexibility in changing RCM methodologies. Applying analytics to the world of healthcare data isn t a set it and forget it proposition. You need a lasting solution that can react to changes in the status quo and also predict new and impending disruptive technology. By applying good data against gold-standard improvement strategies, you can enjoy a wealth of improvements for years to come and avoid costly analytic disasters. Page 2

4 How does Business Intelligence fit into the plan? A significant issue with many applications today is that they are single purpose and do not interface with your primary workflow applications death by 100 work lists (Excel hell). The data is not integrated into how you do business it is data not actionable information. Business Intelligence (BI) is the process of transforming all of the raw data that companies (providers) collect from their various operations into actionable information. With all the data available today this is not as simple as it used to be. BI used to just be a set of tools that allowed you better insight into your data that is not enough today. With all the constraints on resources today it is critical that BI applications deliver not only an immediate ROI, but also interface with the primary RCM applications (workflow tools) so that efficiency along with revenue is improved. Integrated applications like AlphaCollector and AlphaAnalytics are the next generation RCM & BI applications all the key data generated by the BI application is completely integrated into the Billing & Collections Management platform. The result is a reduction in the 1-4% Revenue Attrition combined with improved Billing and Collection efficiency. Revenue Integrity queries from GAFFEY Revenue Detective are automatically directed to the correct person to resolve less spreadsheets more action. Page 3

5 Conclusion Every hospital organization has invested a significant amount of money into IT applications over the past 3-5 years and these applications are generating a massive amount of data. A new tool set is necessary to ensure that we provide an ROI from these applications while increasing the efficiency of our employees. An Enterprise Data Warehouse (EDW) is the foundation of this approach it not only allows each facility to have access to many different data sources it also provides the flexibility to change direction as needed. The second benefit to EDW is the ability to have all your primary workflow applications utilizing the same platform tying BI, Analytics and Workflow together = a better ROI. Deploying a central, dedicated data warehouse for use by your primary Revenue Cycle Workflow Application with integrated Business Intelligence and analytic query systems will yield much better results and allow for significantly greater flexibility and capacity than trying to analyze a distributed set of separate, independent data silos (Excel hell). About the Author: Derek Morkel is CEO of GAFFEY Healthcare and a pioneer in the use of Business Intelligence applications to drive Revenue Cycle efficiency. In the early 2000 s he helped build one of the first completely integrated BI systems at IASIS Healthcare. Aside from RCM operations, the BI platform also coordinated operational areas like Productivity, Cost Accounting, Case Management and Clinical Documentation improvement. He has put similar systems in place at several other hospital companies. Page 4

REVENUE CYCLE BASICS: The Future of Revenue Cycle Clue..It s the Data Warehouse. Derek Morkel, President & CEO, GAFFEY Healthcare

REVENUE CYCLE BASICS: The Future of Revenue Cycle Clue..It s the Data Warehouse. Derek Morkel, President & CEO, GAFFEY Healthcare REVENUE CYCLE BASICS: The Future of Revenue Cycle Clue..It s the Data Warehouse Derek Morkel, President & CEO, GAFFEY Healthcare REVENUE CYCLE BASICS: The Future of Revenue Cycle Clue..It s the Data Warehouse

More information

Effective Central Business Office (CBO) Management The 5 Best Practice Pillars. Derek Morkel, President & CEO, GAFFEY Healthcare

Effective Central Business Office (CBO) Management The 5 Best Practice Pillars. Derek Morkel, President & CEO, GAFFEY Healthcare Effective Central Business Office (CBO) Management The 5 Best Practice Pillars Derek Morkel, President & CEO, GAFFEY Healthcare A 5-15% cost reduction & performance improvement is possible using the 5

More information

REVENUE CYCLE PRINCIPLES SERIES

REVENUE CYCLE PRINCIPLES SERIES REVENUE CYCLE PRINCIPLES SERIES Part 7 Virtualize Your Revenue Cycle Using cloud-based applications to create a Virtual Business Office (VBO) to improve performance and lower costs by over 20 percent Derek

More information

Transformational Data-Driven Solutions for Healthcare

Transformational Data-Driven Solutions for Healthcare Transformational Data-Driven Solutions for Healthcare Transformational Data-Driven Solutions for Healthcare Today s healthcare providers face increasing pressure to improve operational performance while

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Choosing The Right Revenue Cycle Partner: 10 Questions to Ask

Choosing The Right Revenue Cycle Partner: 10 Questions to Ask WHITE PAPER: Choosing The Right Revenue Cycle Partner: 10 Questions to Ask 1 I Choosing The Right Revenue Cycle Partner: 10 Questions To Ask Did you know? The right revenue cycle partner can help your

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

REVENUE CYCLE PRINCIPLES SERIES

REVENUE CYCLE PRINCIPLES SERIES REVENUE CYCLE PRINCIPLES SERIES Part 3 The Fundamentals of Producing Clean and Complete Claims Derek Morkel, President & CEO, GAFFEY Healthcare REVENUE CYCLE PRINCIPLES SERIES Part 3: The Fundamentals

More information

Four Approaches to Healthcare Enterprise Analytics. Herb Smaltz, Ph.D., FHIMSS, FACHE Chairman & Founder Health Care DataWorks

Four Approaches to Healthcare Enterprise Analytics. Herb Smaltz, Ph.D., FHIMSS, FACHE Chairman & Founder Health Care DataWorks 1 Four Approaches to Healthcare Enterprise Analytics Herb Smaltz, Ph.D., FHIMSS, FACHE Chairman & Founder Health Care DataWorks 4 Options (plus a myriad of hybrid approaches) 1. Leverage Core Vendors EMR

More information

REVENUE CYCLE PRINCIPLES SERIES

REVENUE CYCLE PRINCIPLES SERIES REVENUE CYCLE PRINCIPLES SERIES Part 7 Virtualize Your Revenue Cycle Using cloud-based applications to create a Virtual Business Office (VBO) to improve performance and lower costs by over 20 percent Derek

More information

Revenue Cycle Management Industry Trends and Tips to Improve Efficiency

Revenue Cycle Management Industry Trends and Tips to Improve Efficiency Revenue Cycle Management Industry Trends and Tips to Improve Efficiency Bob Svendsen, Chief Executive Officer February 7, 2013 CHMB Who We Are Founded in 1995 o Privately Held o Inc. 5000 Award Winner

More information

Better Analysis of Revenue Cycle and Value-Based Purchasing Data Improves Bottom Line

Better Analysis of Revenue Cycle and Value-Based Purchasing Data Improves Bottom Line Better Analysis of Revenue Cycle and Value-Based Purchasing Data Improves Bottom Line Written by Katy Smith Senior Business Analyst Health Care DataWorks Better Analysis of Revenue Cycle and Value-Based

More information

Decision Support & Business Intelligence. The Next Generation. Derek Morkel, CEO GAFFEY Healthcare

Decision Support & Business Intelligence. The Next Generation. Derek Morkel, CEO GAFFEY Healthcare Decision Support & Business Intelligence The Next Generation Derek Morkel, CEO GAFFEY Healthcare Measurement is the core of any process ---------------------------------------------------------------------------

More information

Business Intelligence in Healthcare: Trying to Get it Right the First Time!

Business Intelligence in Healthcare: Trying to Get it Right the First Time! Business Intelligence in Healthcare: Trying to Get it Right the First Time! David E. Garets, FHIMSS DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not

More information

Solutions and Services Overview

Solutions and Services Overview Solutions and Services Overview Origin is a premier provider of seamlessly integrated, data driven revenue cycle management and analytics solutions, all supported by world-class customer service and over

More information

Strategic Consulting Services

Strategic Consulting Services www.usa.siemens.com/healthcare Strategic Consulting Services from Siemens Enterprise Services Connecting care by providing executable strategies to help providers achieve meaningful outcomes Answers for

More information

Early Lessons learned from strong revenue cycle performers

Early Lessons learned from strong revenue cycle performers Healthcare Informatics June 2012 Accountable Care Organizations Early Lessons learned from strong revenue cycle performers Healthcare Informatics Accountable Care Organizations Early Lessons learned from

More information

10/3/2014. Business Innovation: Is your CHC Working. Harder or Smarter? Reflections on Implementing a Revenue. Cycle Management (RCM) Strategy

10/3/2014. Business Innovation: Is your CHC Working. Harder or Smarter? Reflections on Implementing a Revenue. Cycle Management (RCM) Strategy Business Innovation: Is your CHC Working Harder or Smarter? Reflections on Implementing a Revenue Cycle Management Strategy CPCA Annual Conference 2014: Some questions we ll answer today: Who am I? Who

More information

Big Data Analytics- Innovations at the Edge

Big Data Analytics- Innovations at the Edge Big Data Analytics- Innovations at the Edge Brian Reed Chief Technologist Healthcare Four Dimensions of Big Data 2 The changing Big Data landscape Annual Growth ~100% Machine Data 90% of Information Human

More information

GE Healthcare. Proven revenue cycle management supporting profitability in an era of healthcare reform.

GE Healthcare. Proven revenue cycle management supporting profitability in an era of healthcare reform. GE Healthcare Proven revenue cycle management supporting profitability in an era of healthcare reform. Enterprise-ready Profitability, efficiency, and enhanced quality of care A proven, next-generation

More information

Agile Analytics: A Faster, Less Risky Approach To Tackling Big Data

Agile Analytics: A Faster, Less Risky Approach To Tackling Big Data Agile Analytics: A Faster, Less Risky Approach To Tackling Big Data Identify a high-potential business opportunity Determine enabling analytic methodologies Assess required data resources (internal and

More information

Safeguarding the Revenue Cycle from ICD-10. January 22, 2014 James W. Akimchuk Jr.

Safeguarding the Revenue Cycle from ICD-10. January 22, 2014 James W. Akimchuk Jr. Safeguarding the Revenue Cycle from ICD-10 January 22, 2014 James W. Akimchuk Jr. Safeguarding the Revenue Cycle from ICD-10 Most healthcare providers are focused on how to be prepared for the October

More information

Big Data and Analytics

Big Data and Analytics Big Data and Analytics NC Allied Health Regional Skills Summit November 5, 2013 Big Data experience Our Dickson Advanced Analytics (DA²) Vision: Dickson Advanced Analytics Group (DA 2 ) of Carolinas HealthCare

More information

The CFO s Role in an Enterprise Data Warehouse Rollout

The CFO s Role in an Enterprise Data Warehouse Rollout Search the Site or Browse by Topic My Account JOIN EDUCATION PUBLICATIONS FORUMS CAREERS MARKETPLACE INDUSTRY INITIATIVES CFO FORUM ARTICLES TOOLS ASK THE EXPERTS LISTSERV FORUM DIRECTORY NEWS COLLECTION

More information

Investor Presentation December 2013

Investor Presentation December 2013 Investor Presentation December 2013 Knowledge Management for Healthcare Providers NASDAQ: STRM Disclosure Statements SAFE HARBOR STATEMENT: FORWARD LOOKING DISCLOSURE This presentation contains forward

More information

MANAGING THE REVENUE CYCLE WITH BUSINESS INTELLIGENCE: June 30, 2006 BUSINESS INTELLIGENCE FOR HEALTHCARE

MANAGING THE REVENUE CYCLE WITH BUSINESS INTELLIGENCE: June 30, 2006 BUSINESS INTELLIGENCE FOR HEALTHCARE MANAGING THE REVENUE CYCLE WITH BUSINESS INTELLIGENCE: June 30, 2006 BUSINESS INTELLIGENCE FOR HEALTHCARE Hospital manager and leadership positions face many challenges in today s healthcare environment

More information

Context. Accessibility. Relevance.

Context. Accessibility. Relevance. CLINICAL COLLABORATION PLATFORM Context. Accessibility. Relevance. CLINICAL DATA WORKFLOW FOR MEANINGFUL COLLABORATION. Connect. Collaborate. Care. Give physicians and administrators the clinical support

More information

Operational Excellence, Data Driven Transformation Now Available at American Hospitals

Operational Excellence, Data Driven Transformation Now Available at American Hospitals Operational Excellence, Data Driven Transformation Now Available at American Hospitals It's Time to Get LEAN White Paper Operational Excellence, Data Driven Transformation Now Available at American Hospitals

More information

The Power of Business Intelligence in the Revenue Cycle

The Power of Business Intelligence in the Revenue Cycle The Power of Business Intelligence in the Revenue Cycle Increasing Cash Flow with Actionable Information John Garcia August 4, 2011 Table of Contents Revenue Cycle Challenges... 3 The Goal of Business

More information

Business Intelligence: The Wow Factor

Business Intelligence: The Wow Factor Business Intelligence: The Wow Factor A MedeAnalytics Presentation 1 MedeAnalytics Vision for Healthcare PHYSICIAN HOSPITAL PAYER Patient Access Revenue Cycle Clinical Operations Compliance Patient Access

More information

Solutions for Clinical Documentation Improvement and Information Integrity

Solutions for Clinical Documentation Improvement and Information Integrity Solutions for Clinical Documentation Improvement and Information Integrity Improve patient care. Optimize reimbursement. Ensure regulatory compliance. Each of these mission-critical imperatives depends

More information

Challenging Economic Conditions Change BI Investment Strategies

Challenging Economic Conditions Change BI Investment Strategies Challenging Economic Conditions Change BI Investment Strategies A White Paper from: Pervasive Performance Group, LLC www.pervasivepm.com 9/12/2011 Table of Contents Introduction... 3 The Economic Implications

More information

The Leader of Real-Time

The Leader of Real-Time Delivering Comparative Analytics The Leader of Real-Time Comparative Analytics Accelerate the growth of your medical billing business by supplying your clients with greater clarity into their reimbursement,

More information

Revenue Cycle Management Transformation

Revenue Cycle Management Transformation Revenue Cycle Management Transformation Daniel R. Frietze, Partner 1 Company at a Glance Offices: Virginia Beach, Virginia / Dallas, Texas Clients include: Integrated Delivery Networks Critical Access

More information

Think bigger about business intelligence create an informed healthcare organization.

Think bigger about business intelligence create an informed healthcare organization. KNOWLEDGE DRIVEN HEALTH Think bigger about business intelligence create an informed healthcare organization. Help every healthcare professional contribute to better decision making. Help everyone in your

More information

Traditional BI vs. Business Data Lake A comparison

Traditional BI vs. Business Data Lake A comparison Traditional BI vs. Business Data Lake A comparison The need for new thinking around data storage and analysis Traditional Business Intelligence (BI) systems provide various levels and kinds of analyses

More information

The new revenue cycle imperative: A data-driven approach to minimizing risk and optimizing performance

The new revenue cycle imperative: A data-driven approach to minimizing risk and optimizing performance The new revenue cycle imperative: A data-driven approach to minimizing risk and optimizing performance An Experian Healthcare white paper Shifting reimbursement, evolving payment models and growing regulatory

More information

www.sryas.com Analance Data Integration Technical Whitepaper

www.sryas.com Analance Data Integration Technical Whitepaper Analance Data Integration Technical Whitepaper Executive Summary Business Intelligence is a thriving discipline in the marvelous era of computing in which we live. It s the process of analyzing and exploring

More information

Business Intelligence

Business Intelligence WHITEPAPER Business Intelligence Solution for Clubs This whitepaper at a glance This whitepaper discusses the business value of implementing a business intelligence solution at clubs and provides a brief

More information

Clinical & Business Intelligence: An Analytics Executive Review

Clinical & Business Intelligence: An Analytics Executive Review Clinical & Business Intelligence: An Analytics Executive Review Industry Capabilities Available Tools, How & Where Applied February 2013 Introduction Healthcare analytics is the systematic use of data

More information

AdvantEdge Healthcare Solutions October 2012

AdvantEdge Healthcare Solutions October 2012 AdvantEdge Healthcare Solutions October 2012 Enabling Healthcare Providers to Thrive AHS is a technology enabled provider of Revenue Cycle Management Services, Informatics, and Expertise that enables healthcare

More information

Road Map Identifying Financial Opportunities Through Data Analytics

Road Map Identifying Financial Opportunities Through Data Analytics Optimizing the business of healthcare ROAD MAP Road Map Identifying Financial Opportunities Through Data Analytics Identifying Financial Opportunities Through Data Analytics How important is collecting,

More information

Data Warehousing Dashboards & Data Mining. Empowering Extraordinary Patient Care

Data Warehousing Dashboards & Data Mining. Empowering Extraordinary Patient Care Data Warehousing Dashboards & Data Mining Empowering Extraordinary Patient Care Your phone has been automatically muted. Please use the Q&A panel to ask questions during the presentation. Introduction

More information

The Importance of Data Quality for Intelligent Data Analytics:

The Importance of Data Quality for Intelligent Data Analytics: The Importance of Data Quality for Intelligent Data Analytics: Optimizing the Financial and Operational Performance of IT White Paper IT decisions are only as good as the data they re based on. And that

More information

Unlocking the Value of Healthcare s Big Data with Predictive Analytics

Unlocking the Value of Healthcare s Big Data with Predictive Analytics Unlocking the Value of Healthcare s Big Data with Predictive Analytics Background The volume of electronic data in the healthcare industry continues to grow. Adoption of electronic solutions and increased

More information

Revenue Cycle Management: What s Next in Healthcare

Revenue Cycle Management: What s Next in Healthcare Revenue Cycle Management: What s Next in Healthcare FEBRUARY 2014 Table of Contents Introduction... 3 Background... 3 Study Design... 3 Common Overall Business Priorities... 4 Management Priorities...

More information

Leveraging Population Health to Meet Value-Based Care Goals. 19 out of 25 Organizations view population health as a high priority today.

Leveraging Population Health to Meet Value-Based Care Goals. 19 out of 25 Organizations view population health as a high priority today. Leveraging Population Health to Meet Value-Based Care Goals Value-based reimbursement is no longer a futuristic concept. It s a reality that healthcare organizations need to face today. 19 out of 25 Organizations

More information

HST Improves Productivity, Cuts IT Costs, Increases Revenue, and Cuts $284,000 in Operating Expenses with Ingenix CareTracker

HST Improves Productivity, Cuts IT Costs, Increases Revenue, and Cuts $284,000 in Operating Expenses with Ingenix CareTracker HST Improves Productivity, Cuts IT Costs, Increases Revenue, and Cuts $284,000 in Operating Expenses with Ingenix CareTracker Highlights n Staff productivity has increased by 33%, allowing existing staff

More information

Do In-house What You Do Best, Outsource the Rest:

Do In-house What You Do Best, Outsource the Rest: Do In-house What You Do Best, Outsource the Rest: The Shared Services Model for Release-of-Information (ROI) Processing that Lets Healthcare Organizations Maintain Control, Work Efficiently, and Generate

More information

Creating a Business Intelligence Competency Center to Accelerate Healthcare Performance Improvement

Creating a Business Intelligence Competency Center to Accelerate Healthcare Performance Improvement Creating a Business Intelligence Competency Center to Accelerate Healthcare Performance Improvement Bruce Eckert, National Practice Director, Advisory Group Ramesh Sakiri, Executive Consultant, Healthcare

More information

Data Analytics Solution for Enterprise Performance Management

Data Analytics Solution for Enterprise Performance Management A Kavaii White Paper http://www.kavaii.com Data Analytics Solution for Enterprise Performance Management Automated. Easy to Use. Quick to Deploy. Kavaii Analytics Team Democratizing Data Analytics & Providing

More information

How a Business Intelligence Roadmap Saves Hospital and Health System Executives Time, Money, and Aggravation

How a Business Intelligence Roadmap Saves Hospital and Health System Executives Time, Money, and Aggravation How a Business Intelligence Roadmap Saves Hospital and Health System Executives Time, Money, and Aggravation Written by Jyoti Kamal, Ph.D. President Health Care DataWorks How a Business Intelligence Roadmap

More information

Business Intelligence

Business Intelligence Business Intelligence What is it? Why do you need it? This white paper at a glance This whitepaper discusses Professional Advantage s approach to Business Intelligence. It also looks at the business value

More information

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,

More information

www.ducenit.com Analance Data Integration Technical Whitepaper

www.ducenit.com Analance Data Integration Technical Whitepaper Analance Data Integration Technical Whitepaper Executive Summary Business Intelligence is a thriving discipline in the marvelous era of computing in which we live. It s the process of analyzing and exploring

More information

Predicting From the Edge in an

Predicting From the Edge in an Predicting From the Edge in an IoT World IoT will produce 4,400 exabytes of data or 4,400 billion terabytes between 2013 and 2020. (IDC) Today, in the Internet of Things (IoT) era, the Internet touches

More information

A Single Vision for Healthcare.

A Single Vision for Healthcare. A Single Vision for Healthcare. The new paradigm of healthcare defined by smaller budgets, mounting regulatory requirements and declining reimbursements demands that providers increase quality of care

More information

Business Intelligence for Fundraisers

Business Intelligence for Fundraisers Business Intelligence for Fundraisers AKA Leveraging New Technologies such as Data Visualization, In Memory Storage and Predictive Analytics in order to make better and faster Fact Based Decisions. David

More information

Advancing Analytics in Your Organization

Advancing Analytics in Your Organization Advancing Analytics in Your Organization Sarah Shillington Leidos Health, EVP Annette Savage Leidos Health, Senior Solutions Manager Bryan Fiekers HIMSS Analytics, Director leidoshealth.com Uniting 25

More information

ANALYTICS PAYS BACK $13.01 FOR EVERY DOLLAR SPENT

ANALYTICS PAYS BACK $13.01 FOR EVERY DOLLAR SPENT RESEARCH NOTE September 2014 ANALYTICS PAYS BACK $13.01 FOR EVERY DOLLAR SPENT THE BOTTOM LINE Organizations are continuing to make investments in analytics to meet the growing demands of the user community

More information

Revenue Cycle Management Excellence Easily improving bottom line!!!!!

Revenue Cycle Management Excellence Easily improving bottom line!!!!! Revenue Cycle Management Excellence Easily improving bottom line!!!!! SN Academy Seminar 9 th May 2014 PRR 5/5/14 Revenue Cycle Management ; Are you doing it right? Are you earning what you deserve? Do

More information

THE JOYS OF REVENUE CYCLE MANAGEMENT & MEDICAL BILLING

THE JOYS OF REVENUE CYCLE MANAGEMENT & MEDICAL BILLING THE JOYS OF REVENUE CYCLE MANAGEMENT & MEDICAL BILLING 1 A RAPIDLY CHANGING ENVIRONMENT RAC Audits Insurance Overpayments (take backs) PPACA ICD-10 PQRS, MU Penalties LIMITED TOOLS, LIMITED PERFORMANCE

More information

Big Data and the Data Lake. February 2015

Big Data and the Data Lake. February 2015 Big Data and the Data Lake February 2015 My Vision: Our Mission Data Intelligence is a broad term that describes the real, meaningful insights that can be extracted from your data truths that you can act

More information

Business Intelligence Decision Support Through Better Data Management

Business Intelligence Decision Support Through Better Data Management Business Intelligence Decision Support Through Better Data Management Thursday, 16 August 2012 1 "Do not go where the path may lead; go instead where there is no path and leave a trail." -Ralph Waldo Emerson

More information

Is it Time to Purchase a Fashion Enterprise Solution?

Is it Time to Purchase a Fashion Enterprise Solution? Is it Time to Purchase a Fashion Enterprise Solution? Determining whether to replace an ERP, PLM or other system is a major decision for any apparel and fashion business. Fortunately, recent technology

More information

Business intelligence requirements for IT: What every IT manager should know about business users real needs for BI

Business intelligence requirements for IT: What every IT manager should know about business users real needs for BI Business intelligence requirements for IT: What every IT manager should know about business users real needs for BI January 2011 p2 Business users and organizations need the ability to quickly analyze

More information

HEALTHCARE REFORM WILL TALK SMAC

HEALTHCARE REFORM WILL TALK SMAC HEALTHCARE REFORM WILL TALK SMAC Disruptive Technologies Key to Success of Outcome-Based Delivery By Al Denis, Director www.isg-one.com INTRODUCTION The Affordable Care Act creates a powerful set of incentives

More information

Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA

Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA Learning Objectives Industry Transitions Challenges and Changes ACO s Look at the Future

More information

Large Clothing Retailer Broadens Use of Business Intelligence Enterprise-Wide, Reduces Costs, and Gains 7,699,330 in Benefits with WebFOCUS

Large Clothing Retailer Broadens Use of Business Intelligence Enterprise-Wide, Reduces Costs, and Gains 7,699,330 in Benefits with WebFOCUS HIGHLIGHTS Goal: Reduce costs, improve decision-making, and enhance overall business performance by deploying business intelligence enterprise-wide. Solution: Information Builders WebFOCUS Results: With

More information

Reaping the Rewards of Big Data

Reaping the Rewards of Big Data Reaping the Rewards of Big Data TABLE OF CONTENTS INTRODUCTION: 2 TABLE OF CONTENTS FINDING #1: BIG DATA PLATFORMS ARE ESSENTIAL FOR A MAJORITY OF ORGANIZATIONS TO MANAGE FUTURE BIG DATA CHALLENGES. 4

More information

Management Accountants and IT Professionals providing Better Information = BI = Business Intelligence. Peter Simons peter.simons@cimaglobal.

Management Accountants and IT Professionals providing Better Information = BI = Business Intelligence. Peter Simons peter.simons@cimaglobal. Management Accountants and IT Professionals providing Better Information = BI = Business Intelligence Peter Simons peter.simons@cimaglobal.com Agenda Management Accountants? The need for Better Information

More information

Making Business Intelligence Relevant for Mid-sized Companies. Improving Business Results through Performance Management

Making Business Intelligence Relevant for Mid-sized Companies. Improving Business Results through Performance Management Making Business Intelligence Relevant for Mid-sized Companies Improving Business Results through Performance Management mydials Inc. 2009 www.mydials.com - 1 Contents Contents... 2 Executive Summary...

More information

2013 North American Physician Practice Management Customer Value Enhancement Award

2013 North American Physician Practice Management Customer Value Enhancement Award 2013 2013 North American Physician Practice Management Customer Value Enhancement Award 2013 Frost & Sullivan 1 We Accelerate Growth Customer Value Enhancement Award Physician Practice Management North

More information

Next Generation Revenue Cycle Management for Value-Based Healthcare

Next Generation Revenue Cycle Management for Value-Based Healthcare Next Generation Revenue Cycle Management for Value-Based Healthcare December, 2014 402 Lippincott Drive Marlton, NJ 08053 856.782.3300 www.challc.net Next Generation Revenue Cycle Management for Value

More information

Navigating Today s Healthcare Ecosystem. Providers, Billing Companies and Vendors Share Top Business Concerns and RCM Solution Requirements

Navigating Today s Healthcare Ecosystem. Providers, Billing Companies and Vendors Share Top Business Concerns and RCM Solution Requirements Navigating Today s Healthcare Ecosystem s, Billing Companies and s Share Top Business Concerns and Solution Requirements Introduction We no longer have the luxury of looking at healthcare as we have for

More information

Enterprise Analytics Strategic Planning

Enterprise Analytics Strategic Planning Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management

More information

Healthcare Data Management for Providers

Healthcare Data Management for Providers White Paper Healthcare Data Management for Providers Expanding Insight, Increasing Efficiency, Improving Care This document contains Confidential, Proprietary and Trade Secret Information ( Confidential

More information

OPEN MODERN DATA ARCHITECTURE FOR FINANCIAL SERVICES RISK MANAGEMENT

OPEN MODERN DATA ARCHITECTURE FOR FINANCIAL SERVICES RISK MANAGEMENT WHITEPAPER OPEN MODERN DATA ARCHITECTURE FOR FINANCIAL SERVICES RISK MANAGEMENT A top-tier global bank s end-of-day risk analysis jobs didn t complete in time for the next start of trading day. To solve

More information

PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS

PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS An Availity Research Study April, 2014 TABLE OF CONTENTS 1 Introduction 2 Definitions 3 Key Findings 5 Survey Results 6 Revenue sources and experience

More information

How automation helps steer the revenue cycle process

How automation helps steer the revenue cycle process How automation helps steer the revenue cycle process While the goal of revenue cycle management remains essentially the same, healthcare reform will make it infinitely more complex. Phil Colpas June 2013

More information

Care Management Strategies Require Better Tools

Care Management Strategies Require Better Tools Care Management Strategies Require Better Tools The ripple effect of healthcare reform is beginning to impact care delivery strategies as care management now falls increasingly to providers. According

More information

The Changing Landscape of Healthcare and What it means to you!

The Changing Landscape of Healthcare and What it means to you! The Changing Landscape of Healthcare and What it means to you! Marc Leighton Imagination at work. How do hospitals/providers get paid? Introduction to Payment Mechanisms DRG- or APDRG-based mechanisms

More information

3 MUST-HAVES IN PUBLIC SECTOR INFORMATION GOVERNANCE

3 MUST-HAVES IN PUBLIC SECTOR INFORMATION GOVERNANCE EXECUTIVE SUMMARY Information governance incorporates the policies, controls and information lifecycle management processes organizations and government agencies utilize to control cost and risk. With

More information

Is your practice prepared for ICD-9 to ICD-10 Transition?

Is your practice prepared for ICD-9 to ICD-10 Transition? Is your practice prepared for ICD-9 to ICD-10 Transition? How to embrace the change and be prepared. Is Your Practice Prepared for ICD-9 to ICD-10 Transition? ICD-10 implementation is now required for

More information

Using EHRs, HIE, & Data Analytics to Support Accountable Care. Jonathan Shoemaker June 2014

Using EHRs, HIE, & Data Analytics to Support Accountable Care. Jonathan Shoemaker June 2014 Using EHRs, HIE, & Data Analytics to Support Accountable Care Jonathan Shoemaker June 2014 Agenda Allina Health overview ACO framework- setting the stage Health Information Technology and ACOs Role of

More information

Preferred Strategies: Business Intelligence for JD Edwards

Preferred Strategies: Business Intelligence for JD Edwards Preferred Strategies: Business Intelligence for JD Edwards For the fourth year in a row, Business Intelligence software tops the list for IT investments according to Gartner Research. If you are not currently

More information

Spil Games Enables 500% ROI, Cuts Week from Reporting Timeline

Spil Games Enables 500% ROI, Cuts Week from Reporting Timeline CUSTOMER SUCCESS STORY Spil Games Enables 500% ROI, Cuts Week from Reporting Timeline Spil Games, which publishes and distributes mobile games to more than 100 million monthly users, was playing a game

More information

Products CRM and Business Intelligence for DNA

Products CRM and Business Intelligence for DNA Products CRM and Business Intelligence for DNA Leverage Your Financial Institution s Rich, Robust Data to Analyze Performance and Build Stronger Accountholder Relationships Products Knowledge is power.

More information

Advanced Solutions for Accountable Care Organizations (ACOs)

Advanced Solutions for Accountable Care Organizations (ACOs) Advanced Solutions for Accountable Care Organizations (ACOs) Since our founding more than 21 years ago, Iatric Systems has been dedicated to supporting the quality and delivery of healthcare, while helping

More information

June 15 th -17 th, 2015 Optimizing Operations in the Ever-Changing Environment of Healthcare Providers

June 15 th -17 th, 2015 Optimizing Operations in the Ever-Changing Environment of Healthcare Providers 4:30pm 6:00pm June 15 th -17 th, 2015 Optimizing Operations in the Ever-Changing Environment of Healthcare Providers Roundtable Sessions Track 1: Achieving Goals: Patient Engagement Track 2: Managing the

More information

Insurance Authorization Process Inefficiencies & Opportunities

Insurance Authorization Process Inefficiencies & Opportunities Insurance Authorization Process Inefficiencies & Opportunities INTRODUCTION Medical practices, hospitals, and health systems are losing substantial money and business to inefficient and costly insurance

More information

The Next Wave of Healthcare Evolution: Accounting ERP Solutions Becomes a Top Priority

The Next Wave of Healthcare Evolution: Accounting ERP Solutions Becomes a Top Priority The Next Wave of Healthcare Evolution: Accounting ERP Solutions Becomes a Top Priority Table of Contents Investment in ERP is trending up in the healthcare industry... 2 Why has Healthcare Accounting ERP

More information

Breakthrough BI: Mobile. Big Data. Social. Predictive. Cloud. Peter Walker Country Manager UK & Ireland

Breakthrough BI: Mobile. Big Data. Social. Predictive. Cloud. Peter Walker Country Manager UK & Ireland Breakthrough BI: Mobile. Big Data. Social. Predictive. Cloud. Peter Walker Country Manager UK & Ireland 1 Agenda Information Builders at a Glance Focused Software and Services Business Intelligence & Analytics

More information

Office Business Applications (OBA) for Healthcare Organizations. Make better decisions using the tools you already know

Office Business Applications (OBA) for Healthcare Organizations. Make better decisions using the tools you already know Office Business Applications (OBA) for Healthcare Organizations Make better decisions using the tools you already know Page 1 A B S T R A C T Healthcare information is getting more and more difficult to

More information

Building a BI/Analytics Foundation

Building a BI/Analytics Foundation Building a BI/Analytics Foundation for Effective Population Health in the Era of Value-Based Care Bill O Connor, Vice President, Consulting Services, Orion Health and Akshay Srivastava, Implementation

More information

The Evolving Comparative Analytics Market:

The Evolving Comparative Analytics Market: The Evolving Comparative Analytics Market: Benchmarking Key Business Metrics Against Peers to Reduce Risk, Pinpoint Areas for Improvement, and Optimize Performance March 2013 UNDERSTANDING THE OPPORTUNITY

More information

How a Vendor-Neutral Archive Can Support You Through Stage 2 Meaningful Use and Beyond

How a Vendor-Neutral Archive Can Support You Through Stage 2 Meaningful Use and Beyond How a Vendor-Neutral Archive Can Support You Through Stage 2 Meaningful Use and Beyond By Dr. James Whitfill April 2015 Sponsored by: Hitachi Data Systems Contents Executive Summary... 2 Demystifying Stage

More information

Creating A World-Class IT Integration Strategy

Creating A World-Class IT Integration Strategy Creating A World-Class IT Integration Strategy 2014 PARALLON BUSINESS SOLUTIONS, LLC What Does Integration Really Mean? Integration encompasses more than the clinical integration of medical devices. Full

More information

Guide to Population Health Management

Guide to Population Health Management Guide to Population Health Management presented by the Healthcare Intelligence Network Note: This is an authorized excerpt from the Guide to Population Health Management. To download the entire guide,

More information