With over 90% of physicians and hospitals using electronic medical records, there’s more healthcare data available than ever before. But what’s being done with that data? Is it being used to propel forward the Triple Aim of better health, better care, better value?
Healthcare’s Most Pressing Challenges
We see one primary challenge preventing patients, providers and healthcare payers from realizing their true potential in the 21st century healthcare environment: lack of healthcare data interoperability. And its effects are undeniable:
These challenges are interconnected and interdependent. Solve the healthcare interoperability conundrum and measurable improvements in outcomes, efficiency, revenue and costs will surely follow.
When your current applications and their respective data are aggregated and standardized, imagine your flexibility to change direction or analyze trends or behavior across the entire healthcare spectrum.
“More than 50% of what is considered clinically relevant is unstructured free text in the medical record.”
“Data is reshaping healthcare. … These vast new troves of data from electronic medical records (EMRs), connected devices, and wearables offer the chance to make healthcare more predictive and preventive. If you can use it.”
Dean, Stanford University School of Medicine
“Claims data can be … up to 80% inaccurate, and yet when we’re doing analytics in healthcare, we are relying on rules and traditional statistics, all of which have at their base assumption the idea that the data will all be in one place, well-structured, and reliable.”
“It’s all about the data. With meaningful use [we have] bought the car and now it is time to drive it. The opportunity is … to realize the vision of a fast superhighway.”
Jonathan Perlin, M.D.
Chief Medical Officer, HCA
“Behind every line of data is a person. We do what we do because of the person, not the data.”
Chief Information Privacy & Security Officer, Henry Ford Health System
The Powered Health companies use pioneering, proprietary technology to harness the power of big data. Together, we are empowering healthcare organizations, providers and payers to unify the capture, analysis and use of data to drive smarter care and business decisions across the continuum of care.
Collect data from any clinical workflow and every patient story using raw data from emails, spreadsheets, images and more.
Run analytics on pooled dataset, though 80% of patient information is unstructured making it difficult to sift through.
Powered Health believes in applying proprietary analytics, AI, machine-learning and advanced statistical analysis to that data.
Use meaningful data to achieve smarter business decisions, optimize workflows, and provide better patient care.
“Data is the new oil. It’s valuable, but if unrefined it cannot be used. It has to be changed into gas, plastic, chemicals, etc. to create a valuable entity that drives profitable activity; so, must data be broken down, analyzed for it to have value.”
Chief Data Scientist, Starcount
What’s Powered Health’s misson?
The Continuum of Healthcare
Providers and payers want greater patient engagement in their own health and healthcare related decisions. Traditionally, electronic patient engagement has been inadequate, limited to online searches, appointment reminders and other narrowly focused channels.
Powered Health companies focus on technologies to make patients healthier, communicate with their providers and even make payments on a secure mobile platform. Integrating into a patient’s life through technology, specifically smart phones and tablets, allows providers to share important information and enable stronger relationships with their patients.
Closing the gaps in care, reducing readmissions through technology and allowing providers to manage their patient population is a reality with Powered Health companies.
Vatica Health’s preventive care automation software guides caregivers through a comprehensive wellness exam that identifies gaps in care, existing conditions and required follow-up to provide the patient with a baseline assessment of their health and a proactive, multi-year health plan.
Relatient’s mobile platform allows hospitals and physician offices to drive patient wellness through identification of gaps in care and then creating messaging campaigns to schedule visits for appropriate care. Further, Relatient mobile messaging engages patients post-discharge to push medication compliance and enable early identification of readmission risk.
BioVigil’s hand hygiene compliance solution visually reassures patients and family members with every patient interaction that hand hygiene has been performed, thus removing anxiety and questions about compliance.
Healthcare providers are looking for ways to be more present in their patient’s care. At the same time, health systems and payers are seeking better communication with providers and encouraging greater participation in the process to allow physicians to close gaps in care and take a greater stake in patient wellness. Powered Health companies empower providers to deliver the right services to the right patients at the right time.
Vatica Health provides cloud-based solutions that enhance the value of preventive care, including the Medicare Annual Wellness visit. Vatica’s innovative software allows care providers to identify symptoms of early chronic diseases that are too easily overlooked in the primary care setting.
Perception Health connects the large amount of health data that exists in particular communities to help hospitals and providers make decisions based on their area’s needs. With the data, Perception Health can build community profiles for hospitals and healthcare systems so they can better serve their patient base.
XSOLIS provides real-time access to patient status and a snapshot of the patient situation to the referring physician to track care throughout the hospital admission process.
Data-Driven Decision Support
The rise in data collection through EMRs and the myriad other electronic systems has created silos of data throughout the care continuum, which render that data inaccessible or inconveniently accessible. Powered Health companies unlock the data housed by these silo-ed systems to provide user-driven reporting that is delivered in context to help providers make better decisions throughout the care and revenue cycle continuums.
XSOLIS applies proprietary analytics to data already within the electronic medical record (EMR) to proactively protect revenue opportunities in the level of care decisions that nurses, case managers and clinical staff make hundreds of times every day.
Advent developed CAVO® technology as a SaaS-based solution to leverage efficiency gains in denial review. CAVO® aids the decision-making process by gathering relevant data surrounding a claim to correct inefficiencies pre- or post-billing. As a user, you can search across structured and unstructured data to find pertinent documents from multiple systems in near real-time.
Interoptex integration Platform as a Service (iPaaS) eliminates the high costs and long timelines that often prevent organizations from integrating their electronic systems effectively. Integrating this data into a single platform provides the opportunity for point-of-care insights not otherwise available.
It is estimated that the breakdown in communication in hospitals causes 60-70% of the estimated 200,000 fatal medical errors that happen each year in the USA and have an estimated annual economic impact of $1.75 million per US hospital and more than $11 billion industry-wide.
Healthcare-associated infections are another issue affecting patient outcomes with over 700,000 HAIs in U.S. acute care hospitals every year. When healthcare facilities are aware of infection problems and take specific steps to prevent them, rates of some targeted HAIs can decrease by 70%.
Powered Health companies are improving patient safety and outcomes and reducing audit risk for payers and providers with breakthroughs in compliance technologies.
BioVigil hand hygiene awareness delivers hand-washing compliance levels of over 98% and reduces HAI rate by 20-50%.
The XSOLIS solution is coupled with a rules engine that addresses regulatory, compliance and payer requirements that ensures at-risk cases are flagged for review and addressed prior to claims submission.
Relatient’s Health Campaign Manager is focused on closing gaps-in-care, driving patients to their provider, and providing easy access for patients to receive educational and instructional information specific to their patient demographic. Post-Event Campaigns are focused on ease of access for patients to get crucial questions answered after they leave your facility, including medication compliance, discharge instructions, and next visit scheduling steps.
Vatica Health’s solution employs computer-assisted coding to support provider coding at the time of service to increase compliance and reduce audits.
Improve Revenue for Payers & Providers
Maintaining and growing revenue is the new reality for most hospitals, healthcare systems, and payers. By automating manual processes and channeling healthcare data into predictive intelligence, healthcare providers and payers can make better decisions faster and positively impact the bottom line.
In most markets, hospitals compete for patients among their active admitting physician populations. Highlighting breakdowns in provider relationships with hospitals helps reveal physicians referring patients elsewhere. Perception Health identifies out-of-network referrals allowing facilities to better directed patient flow and have more control over the long-term financial health of the hospital.
XSOLIS breaks down the silos housing critical clinical information to proactively eliminate denials, improve case management workflow, and maximize compliance to CMS guidelines. On average, providers experience an 18.2% increase in conversion rate, 52% reduction in denials, 6% reduction in length of stay and 10x return per discharge.
ClarisHealth’s technology platform Pareo® and technology-enabled services allows payers to expand avoidance opportunity, optimize recovery costs and maximize the efforts of third-party vendors. Results are a 2-4% decrease in medical expenditures, 30% increase in vendor efficiency, and 3-5% decrease in administrative costs leading to a 10x return on the software investment.
Relatient allows providers to turn the uncontrollable cost of statement generation into a guaranteed return for every patient balance reminder while engaging patients with easy-to-use mobile payments. Deploying timely notifications for open patient balances and giving the patient the ability to pay straight from their smart phone continues to enhance the patient’s experience with their providers.
The large amounts of paper and other disparate data sources that payers handle make it virtually impossible to accurately evaluate the relevant data when making a claims decision. And even if they are able to thoroughly examine all the information at their disposal, they often lack the data required to determine accurate risk scores and quality measures in a compliant and cost-effective manner across all business lines.
Powered Health companies help payers better serve their members and improve relationships with providers while maximizing their revenue goals and productivity.
Advent Health Partners’ CAVO® SaaS technology allows insurance companies and other commercial payers to automate claims analysis to get to a “yes” or “no” faster instead of dedicating skilled labor to reading thousands of pages of documentation. Results are a 20% lift in cost savings and a 5x productivity increase.
Vatica Health’s innovative technology drives a measurable increase in the accuracy and quality of HCC coding, improves STAR ratings, enhances financial performance, and reduces compliance risk.
ClarisHealth’s comprehensive payment integrity solution Pareo® empowers health plans to maximize the effectiveness of internal and third-party resources. Pareo integrates pre-pay cost avoidance and post-payment recovery insights to allow payers to easily follow each transaction throughout the claim cycle and get claims right the first time while minimizing provider abrasion.
Lower Healthcare Costs
In 2016 the United States spent more than $3 trillion on healthcare. The National Academy of Medicine has estimated the healthcare system wastes around $765 billion a year — about a quarter of what we spend. With drug prices and treatment costs rising, providers exiting the industry and government payers working with razor-thin margins, re-thinking healthcare spending and finding a way to control costs is essential.
What if you could take data from all sources and consolidate it to better understand total cost and activity around the patient? By aligning the long-term incentives of insurers, payers, providers and patients, the strategic use of technology can ensure healthcare dollars are spent wisely.
Advent Health Partners developed CAVO® technology as a SaaS-based solution to eliminate waste in the healthcare system. Instead of inefficient manual processes, users are able to find pertinent documents from multiple systems in near real-time. Insights allow providers identify operational and contractual root causes for process improvements.
Vatica Health allows providers and payers to improve their patients’ lives and lower healthcare costs by efficiently delivering preventive services that are detected during the wellness visit. Vatica’s patented solutions perfectly satisfy the need to deliver more efficient care as it facilitates the simultaneous delivery of AWVs and the collection of ICD-10/HCC Codes for accurate risk adjusted payments.
ClarisHealth’s agile provider solution Pareo® uses healthcare analytics and billing system integrations to reduce credit accounts and expedite payer and patient refunds while reducing overhead expenses dedicated to credit account management.
Enhance Healthcare & Security
Maintaining security and compliance around Patient Health Information (PHI) is a primary concern for many hospitals, not only because it can result in large fines when it is not accomplished. Understanding who has access to critical data is a fundamental step to ensuring your data is secure. New regulations also allow patients to request a report detailing access to their medical records. Unfortunately, long lists of accesses are often uninformative for patients, potentially creating confusion.
At the same time, the increased number of silo-ed electronic systems, and the non-standardized data they house, has compromised data integrity and access to important information, hindering timely decision making. Secure, HIPAA-compliant healthcare data interoperability enhances healthcare and security.
Maize Analytics provides EBAS (Explanation-Based Auditing System), a patented technology that provides a highly automated solution for privacy officers to protect hospital records and easily comply with stringent privacy regulations. EBAS reporting and filtering capabilities allow security officers to more quickly identify and distinguish suspicious activity in your EHR – from snooping to identity theft. EBAS enhances access reports with text explanation describing why each access occurred, making the reports from EBAS more interpretable.
Interoptex HIPAA-compliant web hosting and cloud storage includes around-the-clock monitoring of servers at the network, operating system, and hardware levels by trained technicians with extensive experience in HIPAA-sensitive environments and enforced intrusion prevention, intrusion detection, and data leakage protection on all servers. In addition, Interoptex uses identity management techniques such as Active Directory, group policy, and private/public key pairs to keep identity management tight and ensure minimum necessary access for your staff and your employees.
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