The basics -
What is the Enterprise Information Management?
Enterprise Information Management: the organization has access to 100% of their data, the data can be exchanged group / applications / databases, the information is verified, clean, and a method of MDM is applied. Outliers EIM data stores, such as an EHR Data Warehouse, Business Intelligence and Performance Management. Here is a roadmap, in secular terms, healthcare organizations continue to identify their needs for ADRs.
Fact 1: Each entity of health, agency, campus or nonprofit knows what software you use for your business. Applications can be in silos, which are not accessible by other groups or services, sometimes on the computer that takes care of it. If the group information is needed throughout the company, to be called in the terminology of the business, the host group, then go to the source of information (such as software and / or database) to retrieve this is necessary and to submit to the applicant - hopefully in a format that the applicant can work with (ie Excel for further analysis rather than a document or PDF).
Fact 2: Because the business terminology may be different in an organization, there will be more to "translate" requires the integration of information that emerges from different software. This can be a nightmare. Gathering information, making it a different format, translated into the language of the joint venture and prepare it for consumption is a long expensive process - which leads to the fact # 3.
Fact 3: consumers of the information collected (from management, analysts, etc.) must change the type of information required - Report specific requests that are continually reviewed so that they can change their dimensions viewpoint ( such as rotating rows of Rubik's cube that gives you a color cluster, having decided instead to keep the red tail, they really love green in the first group). In many cases, this process will start collecting because the initial set of data required information is missing. It also requires the attention of those who understand this information - usually an expert in the field of the value of each silo - time and costly distractions affecting the applicant and the owner of the information group.
Fact 4: While large organizations may face this expensive method to gather enough information to make decisions for effective and strategic affairs, the amount of time and money is an obstacle for smaller or the cash-strapped institutions Freezing necessary data in its silo.
Fact 5: If information is available (with security and access controls to prevent unauthorized or inappropriate access) time limits for the analysis improves the results are quick and strategic planning is efficient and cost effective in time and money are greatly reduced.
Integration (with data cleansing, also known as data quality) should not be a foreign concept to the average and small organizations. The price was the main factor preventing these levels of use of the information of the company. A "glass ceiling" based exclusively limited to the technology because of price, prohibits the consideration of the PII. This is because technology providers. Business Intelligence, Performance Management and Data Integration vendors have created unintentionally class struggle between healthcare organizations, large and small businesses. Data integration is the biggest culprit in this situation. The cost of integration in typical BI deployment is typically four times the cost of the part of BI. It is easy for BI vendors to try potential customers with features and a reasonable cost. But when integration comes in, the reluctance awards presented on stage. No action is the norm at this point.
What are the financial implications to constitute a health organization to maintain the status quo?
Fraud detection is the focal point of the CMS in its demands for health care organizations EHR Take a deeper, more meaningful impact EHR look. Integration, an important element of enterprise information management in the new approach provides data for all organizational silos, enabling a quality piece of data to check and clean. The next step would be return to its source in a state of health and / or put it in a repository where you can access verification (CMS think Sanctions accounts) solutions and electronic health records business intelligence applications. With EHR instantly accessible, hospitals and remote practices can check the paying patients, retrieve medical records of the decisions of diagnosis and treatment, and update / add patient information. What impact treatment offers an overview of the history of a new patient to the patient and practice? Here are some things to consider:
1. Diagnosis and treatments based on the above provisions of the patient - reducing recovery time, eliminating / Medicaid / Medicare denials payers (based on its interpretation as to the guilt of medical treatment or errors in the additional processing incur original).
2. Fraud immediate detection of patients seeking treatment for the same disease through practices within the organization. Fraud and abuse in Medicare Prescription saves money not only for taxpayers, but also the organization of health.
3. The Association of Fraud Examiners said that 9% of the income of a hospital each year is actually lost to fraud.
A neglected, but the impact is common in the cost of management of patient records. Thousands of storing file folders with new cases are added each time a new patient enters the system. Millions of pieces of paper capture patient information, data payer, graphics, states, and various items such as photocopies of the patient's identity are stored in these files. The files are stored in large archives - constantly accessible by filing clerks, nurses, doctors and varied staff. The contents of the files being misplaced or misfiled. Hundreds, if not thousands of square feet consumed for storage. AHA is planning a company relying on electronic health records at least 15,000 square feet of usable space will be recovered. This space can be used for additional services, opening up new sources of revenue. The reason is simple: how much will the hospital to build 15,000 square meters for a new service? The average cost to build the space used by health services is $ 65 per square foot or $ 975,000 in total. An EIM solution by the new approach would be less than 20% of this. Not only the reduced dollars EIM lost to fraud, to reimburse days of meetings to pay, the increase in cash but also open new services for the patient community and income for the organization of health.
Electronic data is costly in its own way. Data aka "Dirty" Bad has a huge impact. The data can be corrupted by errors in data entry, system maintenance, changes in the updates of the platform or database, feeds and data exchange in an incompatible format, application changes the front end and fraud and identity theft. The impact of bad data has a cause and effect relationship that is pervasive in the financial landscape:
1. The data can lead to bad payers denials. Identification of mismatched members DRG codes are missing, empty fields where it is intended that the data are examples of immediate claims denials. The delay decreases the amount of cash on hand, as well as the implementation cycle transfers at least 30 days is extended.
2. incorrect mask data of the fraud. An investment of numbers in a social security number, a complaint as one person to treat another member of the family, the medical records do not reflect all of the diagnosis and treatment because the patient could not be identified. Fraud has the greatest impact on the price of the delivery of health care in the United States. Ultimately, the health system must absorb this cost - reducing the profitability and growth limitation.
3. The results of bad data in default. CMS has already begun and data architecture bag deployment sanctions. These exchanges are a data network of depots that are used to connect to the health system, CMS retrieve related data, and store it for auditing. The reversal is limited to encounters with patients who have a potential denial or fraud, so that the deposit will not be an all meetings store with Medicare and Medicaid patients. But change must be able to read data from your data source provider for CMS certain conditions are reading the information apply. What happens when the information is incomplete or incorrect? The health system is considered responsible for illegible meetings. This means automatic denials and non-recoverable receivables prior to an audit, regardless of the legitimacy of the claim.
Fix Business Award Big Box Healthcare Technology
They are the leading suppliers of software and Technologies in Health (Big Box) price gouging? Probably not. They are victims of their own solution strategies. Through organic and acquired growth (McKesson, Eclipsys, Cerner, etc.), which have their EIM solutions lose their agnostic approach. This is bad ... very bad for the health systems of all sizes. With few exceptions, the vast majority of health organizations NOT BUY all applications and solo battery modules. How could they? Health systems are developing in a similar way - some organic, some acquisitions. When a hospital organization over time, an application that is reliable as a billing system, there is enormous reluctance to remove proved that everyone knows how to use solution. Because the leading technology of the law on the healthcare space as a "One Stop Shop", which spend most of their time working on integration into their own range of products with little or no towards other applications. Subsequently, are taken: they must put all the products / modules to maintain the availability and integrity of your data. This is problematic for the hospital trying to solve a problem, but you must purchase additional solutions to be applied to areas that are not broken, just to be able to integrate the information. It's like going to the hardware store for a screwdriver and come back with a tool 112 pieces with a rolling, buy four feet built for NASCAR. Probably never used 90 +% of these tools and will no longer be able to park in their garage because the new toolkit takes too much space!
IT resources - including people - should be used. In today's economy, using the internal IT staff to manage post-implementation of the solution is a fact. If IT resources are not comfortable in support of the integration plan and status quo be justified. This is the approach "anti" to provide solutions in the health sector: the leaders of selling technology companies want their traders to large surface facing the business side of the organization and to stop selling to computer science. Although it is a common sense approach, the economy in 2010 mandates that at least validate their ability to manage new technological solutions. The prospect of working long-term professional counseling to follow after the installation has decreased at the same rate as health organizations profit margins.
Empower the organization of health care to use its existing IT staff to manage and develop new products that are not part of the business plan when Big Box market players in the industry. This is exactly the opposite - the commitments long recurring revenue and sometimes permanent services, professional consultation is part of the overall objective. The initial estimate for Big Box solution is scary enough, but the fact is that it is not representative of what the cost continues to maintain through consulting arrangements. It is a variable cost, which is difficult to predict, and leads managers and financial executives crazy.
The dilemma - a better solution through a new approach to a fraction of the cost
Healthcare Business Experts When combined with the talents Architects technology, the cost of the dramatic decline EIM solutions. This is the new approach to EIM health, providing the way health care organizations will be able to provide effective solutions at reduced costs significantly - open the door to health systems of all sizes.
Signature EIM (using the new approach) versus large box health technology Suppliers:
Smaller companies, more agile bring many benefits to healthcare organizations of all sizes. The advantages:
1. Focus on specific vertical markets - such as technology suppliers in the Big Box health. Subject matter experts (SMEs) in small businesses are usually industry veterans with years of experience and success in their approach they see your CV as a service that offers the best used when they are able to apply their methods effective strategy planning in relation to the learning methods of a great player in the box. Your income is better because their income is applied to a lower operating cost, extending the lowest price for solutions that are more effective and offer stronger customer / supplier relations that the SME limited to a certain number of customers .
2. Solutions based on approaches and proven strategies. Again, SME companies are able to define a methodology that can be reused or re-configure each client instance. This saves time and money for the customer and delivery is fast and cost Architecting is removed.
3. The companies themselves agnostic develop solutions and methodologies. His understanding of the diversity of systems that exist in the technology of a health organization not only allows them to develop scalable solutions, but also add a Business Process Management Plan (BPM). BPM define exactly how to organize the information is received, processed, clean, store, share and access. You also define an action plan for the IT training for administration and support, as well as to end users at all levels on how they will use in the future. BPM planning in a health care organization is a low six-figure investment with a group of external consultants. Signatures EIA included in the cost of the solution. Basically, the difference being told what is wrong and here are the recommendations to secure the front here is what is wrong and what is the way it will be solved with the new solution.
What is a typical farm EIM solution?
1. evaluation of solutions, noting existing systems, data sources and methods of exchange of information and business processes, identifying key people who are responsible for the door if the information, the ability to provide information and overall effectiveness based on market information for strategic planning of the company. See Figure 1 for an example of the visual component information flow of a real evaluation process.
2. EIM solution containing an integration engine that accesses all data sources - read and write back to the database or application, providing data quality and maintain HIPAA requirements and HL7 . See Figure 2 for a chart.
3. Data Warehouse EHR. A repository to build electronic health records through integrated data flow.
4. DSE entry Patient Portal (when you need additional information added) via a browser.
5. panels business intelligence metrics, ad hoc analysis and performance management dashboards on the goals and objectives of the organization.
6. Implementation of the facilities and the integration of the EIM solution.
7. Training in situ during installation of IT and end users. Continuous training provided by webinars, documentation and technical support staff.
8. relations maintained by experts for the life of the solution.
9. Stimulus Act "HITECH" pays $ 44,000 per physician EHR solution implemented. The SME creates the grant application to be submitted to the organization of health care received stimulus funds to pay the total solution EIM
A key part of the solution
Delivery and support on site full time are key. But the most important element is training. Why? As noted above, it is imperative that existing IT investments, namely, personal, can not only manage, but also make development as required. Health, managed CMS Medicare / Medicaid is already margins are negative. As private payers follow suit, the number of bad encounters increase, affecting the current models of profitability and increased future costs for treatment. Mitigating IT costs, total cost of ownership (TCO) really qualifier should evolve to a return on investment (ROI). ROI is an immediate solution to this approach, but year after year is maintained by the internal use of IT to support and develop. Now the Health Organization removed costly consulting work in professional services and reinvestment in the new licensing function. This has a variable cost each year and makes an even lower fixed quantity - reasonable financial approach to achieving a proven strategy.
Executive Summary -
Why ADRs? What Omnibus, "Obama" Warning or problem (no check) the health industry, health organizations know these truths:
1. Electronic health records are needed for CMS fraud detection unit. Each organization must meet the accessibility, HIPAA and format. Fraud reduces the total income for the 9% hospital (ACFE)
2. HME / HME have proven very effective in the removal of internal waste, patient fraud, fraud practice and overhead of paper. Many interior space of the facility that had been used to store paper patient records can now be used to provide additional services and open new revenue streams.
3. The poor data or "dirty" in electronic or printed format is expensive. According to the AHA (September 2008), the average cost of a registry of patients with good or accurate information is 343 per year. The annual cost of a registry of patients with misinformation is $ 2.054 per year. On average, 18% of patient information within an organization are in poor health.
4. Strategies developed by health organizations without 100% ownership details is timely and relevant are ineffective. The objectives can not be defined, efficient processes can not be identified and improvement plans have little or no indicators that determine success.
5. Law pacing / HITECH pays $ 44,000 a doctor when EHR is part of the EIM solution. With small EIM businesses pay for stimulation of the entire solution.
Why a new approach EIM firm?
1. Purpose of the experience of the consultants who methodologies.
2. Agility to adapt to customer needs instead of Big Box customer orientation adapting their product limitations.
3. A better solution for a fraction of the cost. Its solutions are based on need, not features.
4. Relations with suppliers, resulting in improved services, the maximum values for solution providers and focus on the needs and customer focus objectives.
5. A return on investment compared to the total cost of ownership. Customers need solutions that pay for themselves immediately and then recover the lost income while providing new channels profit centers.
Scott, Schledwitz is an expert in the art of strategic planning for health, information integration, data quality and methodology of Balanced Scorecard. It has developed products and practical solutions for measurements compliance, reporting and planning used by various agencies in the United States federal and state. In health care, who consulted with the hospital systems ranging from 1 to 100 campuses, assessments and solutions to improve the efficiency of information, more information throughout the company, develop organizational strategies that start at the top and cascade to the individual part of the taxpayer. With a Balanced Scorecard methodology, advised those organizations on how to identify their objectives, efficient processes, define projects to overcome the shortcomings and see the results in an array of easy board to understand.