IntellimedIntellimed

By Admin

Intellimed Releases IntelliMarket, a Big Data Healthcare Analytics Solution

Intellimed Releases IntelliMarket, a Big Data Healthcare Analytics Solution
Advanced Analytics of Claims Data Solves Critical Pain Points for Hospital Systems

PHOENIX, Ariz., October 2, 2018 – IntellimedInternational, a healthcare data analytics solution provider, announces the release of IntelliMarket™– a web-based tool that provides turnkey strategic direction based upon the advanced processing of billions of healthcare claims records. Using IntelliMarket™, healthcare strategy and marketing groups can quickly query diagnostic (DX) and procedure (PX) codes across specific geographic service areas (zip or county), by physician, service line, place of service, payor, patient location origin or disease.

“With IntelliMarket™ we’ve built a tool that supports and encourages healthcare systems leveraging claims data from 360 degrees,” said Rob Pickering CEO of Intellimed. “The application is built to support not just all types of healthcare users – for example analysts, marketers and senior level individuals – but also all skill levels, from novice to highly advanced users. Users can query data by disease state, referring or rendering physician, service area, place of service, payor, patient location and more, and view in a multitude of formats including dashboards and reports.”

Healthcare claims record processing requires a big data solution that frees users to control or customize his or her queries and that produces fast and accurate results. “Our new product fills the void for this critical need for hospitals and other healthcare providers,” stated Goodwin.

“Our goal was to create a big data healthcare analytics solution that solved a real pain point for hospitals and healthcare systems,” said Sarah DeSantis-Sullivan, Vice President of Product Solutions. Desantis-Sullivan added that the IntelliMarket™ tool provides three key solutions:

  • Providing transparency in the data and application to ensure hospital systems can make the most accurate decisions.
  • Accessing the data from almost unlimited vantage points to find the critical insights and market opportunities.
  • Delivering insights in formats that support the variety of end-users within a health system.

According to Pickering, “For years, Intellimed customers have come to rely on our quality data and analytics solutions, high-level of customer service and strategic value of our Intelliclient™and Physicians Pattern Insight solutions. Our IntelliMarket™tool continues in that mode and delivers turnkey big data healthcare insights to the users who are charged with favorably impacting the future of the health system.”

For information about pricing and availability, please contact us.

About INTELLIMED:

Since 1983, Intellimed has provided hospitals and healthcare providers with high quality, accurate and reliable healthcare data; insights and services that drive business results. The company is led by an executive team with on-the-ground experience in healthcare management and expertise in data analysis, market research and understanding patient and physician behaviors. INTELLIMED serves more than 400 of the nation’s leading healthcare companies and is known for exceptional personalized service. Learn more at www.intellimed.comor call (888) 214-1415 or contact us here.

By Admin

Red Carpet Customer Service: User Experience (UX) & Customer Experience (CX) in Healthcare Information Technology

We all know how important the user experience (UX) is in designing and evolving a healthcare information technology solution. We know that it’s important to design health IT solutions that are easy and intuitive to navigate and provide users with the information they seek.

Of course, as a healthcare data analytics technology company, we certainly appreciate and are mindful of the user experience when designing new products and evolving our existing solutions. But what about the human side of the user experience – the customer experience (CX)? In today’s uber-techie world, many companies are foregoing high-touch CX experiences in favor of email support, live chat and other technology-enabled support. And, for some products, that works just fine.

But for an industry like ours where we are serving healthcare analysts up to the C-suite within healthcare systems who rely on our data for business decisions with multi-million-dollar impact, support can’t end at UX. UX must be tied to meaningful customer experience (CX) to create a red carpet customer service approach.

Defining User Experience (UX)

UX is the customer’s experience with the technology, in our case our claims data analytics solution. UX is centered solely around the solution’s usability, structure, navigation and ease-of-use – all highly important. The ultimate goal of UX boils down to designing a product that efficiently and enjoyably meets the user’s needs.

Defining Customer Experience (CX)

Whereas UX is confined to the user’s experience within the technology, CX is broader in scope to include the customer’s experience with all aspects of the company, including:

  • Customer service
  • The sales process
  • Pricing
  • Branding and marketing
  • Company operations
  • Product delivery and updates

UX + CX = The Ultimate User Experience

Before the fancy UX and CX acronyms for user and customer experience came around, at Intellimed – for 35+ years – we have been rooted in two things:

  • Providing the best-managed and most insightful claims data in the industry
  • Offering a high touch solution-focused customer service experience

So, CX has long been part of our DNA. With our newest product IntelliMarket™, we are adding additional emphasis on UX with the goal of providing a customer experience that merges the best of both user and customer experience.

Here are some ways we have and will continue to support the full user experience:

  • Multiple points of contact:Our clients have access to not just their designated account representative, but to multiple points of contact within our company, including developers; data specialists; sales and operations; as well as our management team.Two of our company’s core values are to be relationship-focusedand responsive. To that end, we work hard to make it as easy as possible for our customers to reach who they need to reach for what they need when they need to – they do not need to go through layers of support wasting their time and energy.
  • Client-focused mindset:We are always asking the question “How can we make our clients’ jobs easier?” Being a data analyst within a hospital system comes with stress and pressure. From managers up to the C-suite, people are relying on the data teams to deliver insights from our solutions to inform strategic business decisions. We strive to stay in touch our analysts and ask questions to understand their pain points. We know first-hand that data teams have slept overnight at their jobs and worked long weekends to meet data deadlines for critical reporting. When we receive an SOS from an analyst, we take it seriously and collaborate until the problem is resolved or the necessary information is in-hand – hopefully avoiding as many long nights and weekends at the office, as possible.

Collaborative Product Development:

IntelliMarket™ was developed in collaboration with our customers, who helped create the use cases, test the product and provide critical feedback. As we iterate IntelliMarket™ as well as our original IntelliClient™  solutions, we will continue to seek our customer’s critical input along the way.

Nathan Schnell is Vice President of Service Delivery at Intellimed. 

By Admin

Intellimed Volunteer Day with Feed My Starving Children

Intellimed Volunteer Day with Feed My Starving Children

Our team had a great time taking a day off this week to volunteer with Feed My Starving Children, a national organization dedicated to providing nutritious meals to children worldwide. While we all work hard at Intellimed and it’s not always easy to find time to take a day to volunteer like this, we always find it’s well worth it for the contributions made and time together as a team.

Here’s the stats from our volunteer day:

  • 214 boxes packed
  • 46,224 meals
  • 126 kids feed for a year

By Admin

Sarah DeSantis-Sullivan Joins INTELLIMED as Vice President of Product Solutions to Lead Product Expansion and Growth

Sarah DeSantis-Sullivan Joins INTELLIMED as Vice President of Product Solutions to Lead Product Expansion and Growth

PHOENIX, Ariz., February 22, 2018 – INTELLIMED, a Phoenix, Ariz. healthcare data analytics company welcomes Sarah DeSantis-Sullivan to its team as Vice President of Product Solutions. In her new role, DeSantis-Sullivan will focus on expanding the capabilities of INTELLIMED’s flagship products – IntelliClientTM and Physician Pattern InsightTM (PPI) – as well as new product development.

“Sarah’s extensive experience in software engineering and product development is a major asset to the executive team at INTELLIMED,” said Bill Goodwin, CEO of the company. “Her skills will help bring our product vision to life in all aspects of application design and development, and through her leadership allow us to expand our current product capabilities and develop new products to meet our customers’ needs in a rapidly changing healthcare environment.”

DeSantis-Sullivan joins INTELLIMED following a career spanning 20 years at data-driven companies in a breadth of roles, including software engineering, project management, portfolio management and strategic consulting. Most recently, she was director in American Express Technologies, leading servicing analytics, big data transformation and the machine learning-based enterprise text mining platform. She also served as solutions manager of service delivery and product development for Ecological, LLC.

With a degree in electrical engineering from Cornell University and an MBA from The Wharton School, University of Pennsylvania, DeSantis-Sullivan is uniquely qualified to understand both the technical and business aspects of designing product solutions that exceed customer expectations.

“Healthcare is one of our nation’s greatest challenges,” stated DeSantis-Sullivan. “The right healthcare data delivered at the right time has the potential to help solve many healthcare problems and I’m pleased to join the INTELLIMED team and be a part of creating and refining products that solve our customers’ data challenges to deliver new insights.”

DeSantis-Sullivan is originally from Oswego, NY – a small town near Syracuse – and moved to Arizona in 2010 with her husband. She is an avid Yankee fan, enjoys DIY projects, gardening and travelling in her spare time.

About INTELLIMED:

Since 1983, Intellimed has provided hospitals and healthcare providers with high quality, accurate and reliable healthcare data; insights and services that drive business results. The company is led by an executive team with on-the-ground experience in healthcare management and expertise in data analysis, market research and understanding patient and physician behaviors. INTELLIMED serves more than 400 of the nation’s leading healthcare companies and is known for exceptional personalized service. Learn more at www.intellimed.com or call (888) 214-1415 or contact us here.

Media Contact: Brenda Bryan | bbryan@kalpanamarketing.com | (602) 561-9758

healthcare, healthcare IT, HIT, wearables, digital health

By Admin

4 Healthcare IT Trends to Watch in 2018

4 Healthcare IT Trends to Watch in 2018

As we head full steam into another year sure to be full of change for healthcare, we thought we’d offer a roundup of healthcare IT trends predicted for 2018 by health IT writers, editors and analysts. Ready? Here we go…

Artificial Intelligence

While artificial intelligence (AI) is currently used to automate simple tasks, 2018 is predicted to be the year where it will make its way into clinical support and decision making. Currently many healthcare organizations already use AI for clinical decision support, population health, disease management, readmission and claims processing. But experts believe 2018 will be the year AI will make inroads into cancer diagnostics, pathology and image recognition, according to a recent SearchHealthIT article.

Health Data Management predicts that by 2021, 20 percent of healthcare and 40 percent of life science organizations will have recognized a 15 to 20 percent in productivity gains by adopting AI technology, noting that adoption resides mostly in large academic medical centers at present. Industry analyst Forrester predicts that AI as well as the Internet of Things (IoT) will be part of the disruption of siloed healthcare ecosystems in 2018.

Digital Health

According to seed fund Rock Health, a record-breaking $3.5 billion was invested in 188 digital health companies in the first half of 2017, with the number of wearables is set to hit 34 million by 2022.

Digital health has been gaining momentum for many years with the wearable trend. According to a Forbes article, the most frequent users of wearables are the least likely to be hospitalized.

Additionally, the Food and Drug Administration (FDA) recently issued new guidelines that loosen regulations for some mobile health technologies, recognizing that clinical evidence supports better health outcomes with mobile device usage. This change will likely encourage healthcare organizations to better embrace the integration of consumer digital health device data.

Telehealth and telemedicine are predicted to grow as more states update laws to expand access to these services. With one in five U.S. adults suffering from mental illness, a noteworthy predicted area of expansion is telemental and telebehavioral health services, according an article by SearchHealthIT.

Blockchain

The promise of blockchain, the technology invented to power Bitcoin, has been around since 2008. However, this year may be the year its value starts to be recognized and leveraged within healthcare. HealthDataManagement predicts that by 2020, 20 percent of healthcare organizations will be using blockchain for operations management and patient identity.

However, as noted by SearchHealthIT, blockchain has “yet to prove itself in the demanding crucible of health IT systems and clinical healthcare settings,” but notes that “IBM, Intel, Google, Microsoft  and others have units dedicated to development of blockchain products, including for healthcare.” Federal health IT officials are promoting it heavily as well.

Electronic Health Record Analytics

To be successful, EHRs will need to move into providing analytics that support population health initiatives and value-based healthcare – and many predict 2018 will be the year where headway will be made by EHRs in analytics. The big players like Cerner and Epic already have population health products and other smaller vendors like cloud-based AthenaHealth do as well. More are predicted to join and more healthcare organizations will likely take advantage of these products.

Nathan Schnell is Vice President of Service Delivery at Intellimed. 

By Admin

Predictive Analytics in Healthcare: Trends, Challenges and Why We Need It

Predictive Analytics in Healthcare: Trends, Challenges and Why We Need It

Data from the National Academy of Medicine shows that the U.S. healthcare system spends $750 billion annually – almost a third of its resources – on unnecessary services and inefficient care.

Predictive analytics tools, long used in other industries like retail to forecast the likelihood of an event, are one of the critical tools for reducing healthcare waste and improving patient care and outcomes.

A 2017 survey by the Society of Actuaries looked at the trends in use and future use of predictive analytics in healthcare:

  • 57% of executives (providers and payers) forecast predictive analytics will save their organization 15% or more over the next 5 years, with 26% forecasting saving 25% or more over the next five years.
  • 47% of providers currently use predictive analytics.
  • 93% say predictive analytics is important to the future of their business.
  • Providers cite patient satisfaction as the most valuable outcome for using predictive analytics.
  • Payers cite controlling costs as the most valuable outcome for use of predictive analytics.

Despite what seems like strong support from this data, there are major barriers to the adoption of predictive analytics in healthcare.

Challenges to Using Predictive Analytics in Healthcare

The top 5 challenges for implementing predictive analytics from the Society of Actuaries study are:

  • Lack of budget – 16%
  • Regulatory issues (e.g. HIPAA) – 13%
  • Incomplete data – 12%
  • Lack of skilled employees – 11%
  • Lack of sufficient technology – 10%

In addition, a recent Harvard Business Review article notes that the success of predictive analytics in healthcare depends less on the tool used and more on the buy-in at all levels of an organization from the start. The authors cite the following major challenges:

  • Engaging the right people from the outset – Whether the tool is developed in-house or purchased off-the-shelf, the right people should be involved in the process, with a multi-disciplinary team comprised of clinical, analytics, data science, information technology and behavior change skill sets.
  • Change agents and clinical champions – Change agents are essential to successfully implementing predictive analytics, particularly for sustaining its usage. These individuals often work alongside clinicians to map workflows and identify changes and new processes. In addition, clinical champions are a must to promote the tool among their clinical peers.
  • C-suite commitment – Frontline buy-in is essential, but without the full commitment of the C-suite, predictive analytics won’t take off or be fully utilized. Identifying measures that resonate with management is important, such as financial penalties associated with hospitals readmissions.

Why Implement Predictive Analytics in Healthcare?

As noted in the HBR article, “Implementing predictive analytics is a means to an end – where the end should represent an improvement in health or health care outcomes, including lower costs.”

Additional major reasons as noted in Hospitals & Health Networks include:

  • Success in the shift from fee-for-service to value-based care, which may be impossible without the use of predictive analytics, along with data warehousing and integration.
  • Being able to understand a healthcare system’s current state is a must for being able to forecast a desired future state and associated plan to get there.
  • The ability to get in front of healthcare consumer trends.
  • Supporting population health initiatives.
  • Improving patient care: reducing hospital readmissions, reducing hospital stays, anticipate staff needs and more.

Ultimately, predictive analytics in healthcare is about translating data and science into practical applications to solve complex clinical and business problems that improve care and control costs. The end game? Strategic, cost-effective high-value care.

healthcare reform, BCRA, Senate Healthcare bill, healthcare senate bill, trump care, ACA, affordable care act, obamacare

By Admin

U.S. Hospital and Medical Associations’ Positions on the Better Care Reconciliation Act (BCRA), Healthcare Senate Bill

U.S. Hospital and Medical Associations’ Positions on the Better Care Reconciliation Act (BCRA), Healthcare Senate Bill

In my effort to stay current this week on the ever-moving Senate healthcare bill reform effort – the Better Care Reconciliation Act (BRCA) – I’ve been tracking the opinions coming from the major U.S. healthcare associations, notably the hospital and medical groups.

Just shortly before and after the much-anticipated analysis from the nonpartisan Congressional Budget Office (CBO) on Monday, letters to the Senate, press releases and other statements began pouring in regarding the BRCA.

CBO analysis on Monday found that:

  • The Senate bill would increase the number of people who are uninsured by 22 million in 2026 relative to the number under current law, slightly fewer than the increase in the number of uninsured estimated for the House-passed legislation.
  • By 2026, an estimated 49 million people would be uninsured, compared with 28 million who would lack insurance that year under current law.
  • CBO and the Joint Committee on Taxation (JCT) estimate that, over the 2017-2026 period, enacting this legislation would reduce direct spending by $1,022 billion and reduce revenues by $701 billion, for a net reduction of $321 billion in the deficit over that period

The full CBO analysis can be found here.

As of today, here’s a roundup of where the various groups stand. Our intent is not to take a political position in this article, but rather to provide a roundup of hospital and medical association’s stance on the BRCA at this time.

Hospital Associations’ Positions on BCRA, Senate Healthcare Bill

American Hospital Association

In a public statement issued by Rick Pollack, President and CEO of the American Hospital Association, he stated:

Unfortunately, the draft bill under discussion in the Senate moves in the opposite direction, particularly for our most vulnerable patients. The Senate proposal would likely trigger deep cuts to the Medicaid program that covers millions of Americans with chronic conditions such as cancer, along with the elderly and individuals with disabilities who need long-term services and support. Medicaid cuts of this magnitude are unsustainable and will increase costs to individuals with private insurance. We urge the Senate to go back to the drawing board and develop legislation that continues to provide coverage to all Americans who currently have it.

National Rural Health Association

Alan Morgan, CEO of the National Rural Health Association (NRHA), said, “Members of Congress seem to be working toward a solution that perhaps makes things even worse.” NRHA has acknowledged that while the goals of the ACA were laudable, the legislation has failed in part to provide for the needs of health care in rural America.

A statement issued by Erin Mahn Zumbrun, NRHA’s Government Affairs & Policy Manager further expanded on NRHA’s position of the Senate bill:

While the bill appears to have some changes from the House version, the bill maintains some of the provisions that led to NRHA’s opposition. NRHA is disappointed that the bill includes deep Medicaid cuts that change the program from an open-ended federal commitment to a capped federal payment that limits federal spending, leaving either states, patients, or providers to struggle with the loss of funds.

The Medicaid expansion is also eliminated, being phased out over a four-year period from 2020 to 2024. Tax credits to assist individuals in purchasing insurance remain but are substantially reduced, likely leading to many more individuals unable to afford health insurance. The bill also repeals billions of taxes included in the Affordable Care Act (ACA) to pay for the coverage expansion, as well as eliminating the individual and employer mandates.

Federation of American Hospitals

On the Federation of American Hospitals (FAH) blog on June 22, the association stated its position on the BCRA:

Most providers and clinicians, including FAH, are deeply concerned by the Better Care Reconciliation Act (BCRA) discussion draft released today.  The opportunity is still there for the Senate to make critical revisions to keep the promise of accessible, affordable health care coverage and ensure Medicaid remains a viable program because it is essential to our most vulnerable neighbors. FAH has been explicit about our health reform core principles: maintain coverage levels, reasonable Medicaid structural reforms, sustain affordable, high quality individual coverage, protect employer-sponsored insurance and roll back untenable cuts to hospital reimbursement.  At this time, the BCRA draft does not sufficiently meet those principles which are so important to those Americans our community hospitals serve and our employees who care for those patients every day. Now is the time for the Senate to hit reset and make key improvements to this legislation. 

America’s Essential Hospitals

A press release issued on June 22 by America’s Essential Hospitals on BRCA stated:

Senate leaders today have put ideology ahead of lives with a plan that puts health and home at risk for millions of working Americans and that would badly weaken essential services for everyone in communities across the country.

Today’s Senate bill makes few material improvements to the deeply damaging House legislation, and might be worse overall. For the hospitals that protect millions of Americans and their communities — our essential hospitals — this bill might even accelerate decisions by some to reduce services or close their doors.

This could leave many people without local sources of lifesaving services, such as trauma, burn, and neonatal intensive care.

America’s Essential Hospitals stands by two guiding principles: affordable health care coverage for all Americans and sufficient resources for essential hospitals to meet their vital community mission. The Senate plan violates both principles and will make our nation sicker, less productive, and less secure.

We oppose this plan and appeal to senators to consider the needs of all Americans and work with us and other stakeholders — in an open and transparent process — to fix what’s wrong with our health care system while preserving progress made toward coverage and stability for all.

Medical Associations’ Positions on BCRA, Senate Healthcare Bill

American Medical Association

In a letter issued by the AMA CEO James Madara to Senate Majority Leader Mitch McConnell on the BCRA on June 26, Madara wrote:

On behalf of the physician and medical student members of the American Medical Association (AMA), I am writing to express our opposition to the discussion draft of the “Better Care Reconciliation Act” released on June 22, 2017. Medicine has long operated under the precept of Primum non nocere, or “first, do no harm.” The draft legislation violates that standard on many levels. We believe that Congress should be working to increase the number of Americans with access to quality, affordable health insurance instead of pursuing policies that have the opposite effect.

The full letter can be read here.

American Congress of Obstetricians and Gynecologists, American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association and the American Psychiatric Association

In a joint press release on BRCA issued June 22 by the above six major medical groups stated:

The physician leaders of six organizations representing more than half a million of America’s frontline physicians are strongly opposed to the Better Care Reconciliation Act. The U.S. Senate’s proposed health reform bill contains provisions that would do great harm to patients by repealing and undermining essential coverage and key patient protections established by the Affordable Care Act and make health care unaffordable for millions of Americans.

Given the broad impact of this bill and the magnitude of the changes made, including to the Medicaid program, our organizations are deeply concerned with the hidden and hurried manner with which this bill was drafted. We are concerned that no public hearings were held and no physician or patient expertise was sought during the bill’s development.

Payer Perspectives on BRCA

A spokesperson for America’s Health Insurance Plans told The Hill in a recent article, “We are not taking a support or oppose position.”

The Blue Cross Blue Shield Association, which represents insurers covering more than 100 million Americans stated in the same article, “We are encouraged that the draft Senate legislation funds cost-sharing reductions.”

Bill Goodwin is CEO of INTELLIMED, a leading healthcare analytics company.

healthcare data security, healthcare patient privacy, healthcare cybersecurity

By Admin

Healthcare Cybersecurity: The Current Landscape and Critical Prevention Steps

Healthcare Cybersecurity: The Current Landscape and Critical Prevention Steps

Last month Ascension Health, which runs Seton Healthcare Family hospital network in Austin, TX, announced that a computer virus was discovered on its computer network.

Seton’s response? They shut down around 3,600 devices as a precautionary measure while the incident was investigated. Fortunately, Seton was prepared for such a cyberattack, implemented a fast response and was able to reduce the impact of the attack.

Cybersecurity continues to rank a major concern for healthcare executives. HealthIT Security recently reported that with two years of a steadily increasing cyber threat landscape with record number of patient records compromised, health organizations extorted financially and hospital operations disrupted, things will continue to be challenging in this space.

Furthermore, on average, a single cyberattack instance costs a whopping $4 million.

Digital transformation is fueling changes to security strategies and is rapidly occurring and reshaping all businesses, including healthcare. In a recent Forbes Insight report entitled Enterprises Re-Engineer Security in the Age of Digital Transformation, 69% of senior executives surveyed believe that digital transformation is forcing them to rethink their cybersecurity strategies.

The Forbes Insight report notes the following four assets executives cited as most important to protect against a security breach:

  • Corporate financial information
  • Customer information
  • Brand reputation
  • R&D and other intellectual property

The report notes the following technologies with the biggest security implications:

  • Public-cloud software
  • Big data applications
  • Mobile business applications
  • Hybrid clouds

At INTELLIMED, a healthcare IT data analytics company, we provide data that becomes part of a hospital’s larger big data set. We know how important protecting data is, notably around patient privacy and safety.

A January 2017 article in HealthcareITNews notes the following as critical steps for healthcare systems to take to reduce their vulnerability to cyberattacks, according to security experts:

  • Risk Assessments – With the limited funding most healthcare organizations experience, risk assessments help identify what most needs protected.
  • Disaster Recovery and Contingency Plans – These plans should include not only medical and billing records, but contingencies for email, departments reliant upon the network and departments with high-tech equipment like lab, pharmacy or imaging.
  • Dedicated Sec-Op Teams – These dedicated teams handle security, hunt threats, educate staff and perform pen tests.
  • Business Associate/Vendor Security – Proper vetting of vendors’ risk assessment, requirement of indemnification provisions and cybersecurity insurance in business associate agreements along with selecting vendors with a demonstrated track record with ‘security by design.’
  • Employee Training – Simplifying the education so it’s easy to remember and practicing the action plan for an attack often. Create a secure-aware organization with customizable digital online cyber security training.
  • Layered Defense – Looking to target areas where layers of cyber defense can be added.
  • Improved Tech Hygiene – System upgrades and patches should be kept up-to-date and routinely checked to minimize system vulnerabilities.
  • Cybersecurity Partnerships – Finding the right partners can greatly reduce the chances for attack and increase the cybersecurity strategy.
  • Better Software – A short list of technologies includes next-generation firewalls, advanced malware detection, email and web gateways, multi-factor authentication, encryption, vaulting solutions and outsourcing security information and event management.
  • Forensic Consultants – Before a crisis does occur, it’s good to have a forensic consultant on-hand to provide insights on weaknesses, liabilities and security reports.

The earlier referenced Forbes Insight report notes the four areas as primary initiatives undertaken by organizations to be less attractive to hackers, which aligns with the recommendations from HealthcareITNews.

  • Expanded vulnerability discovery and breach remediation
  • Invested in employee security training
  • Upgraded or introduced antivirus software, anti-malware software or intrusion detection/prevention systems
  • Put more resources into defending against zero-day exploits

The report notes these areas for the highest security investments in the near-term:

IT and automated patching systems

  • Cloud-based security tracking and management systems based on data analysis
  • Break detection systems
  • Data protection and compliance, such as encryption and data-loss prevention systems

Cybersecurity within all industries, including healthcare is a never-ending challenge as well as a moving target. It’s worth a final note that while this article focuses more on the technological issues around cybersecurity, preventing cyberattacks has as much to do with culture and organizational structure as it does with technology.

Nathan Schnell serves on INTELLIMED’s leadership team as vice president of service delivery, where he focuses on providing stellar customer service to clients, expanding products and market growth.

By Admin

Insights from The Healthcare Marketing & Physician Strategies Summit

Insights from The Healthcare Marketing & Physician Strategies Summit

INTELLIMED was both an exhibitor and participant at this month’s 22nd Annual Healthcare Marketing & Physician Strategies Summit on May 8-10, 2017 in Austin presented by The Forum for Healthcare Strategists. The Summit is for senior-level healthcare marketing, strategy, physician relations, sales and business development executives from hospitals, health systems, academic medical centers, options and conditions of senior living in Somerset County, integrated networks and medical groups.

After the event, our team got together and compared notes on the event. Here are the key themes and insights we heard:

  • Reputation Management – With 84% of patients trusting online reviews the same as a personal recommendation and 47% of patients saying they would go out of network to a doctor with better reviews, online reviews matter and are on hospital’s radars. Doctors are also complaining about negative reviews and demanding hospitals do something about them. Having data and insights around online reviews about their physicians and facility is an area of increasing interest to hospitals and health systems.
  • Mergers & Acquisitions, Convenience Clinics and Brand Cohesion – With continued activity in mergers and acquisitions, rebranding continues to be a challenge as systems struggle to create a cohesive brand across their various facilities. Jeremy Harbour seminars proved very helpful. Health systems are also seeking to create more outpatient sites – notably “convenience care” clinics with similar models to Walgreens and CVS. A challenge with such expansion is placing these facilities in locations that complement rather than compete with primary care physicians in their system. Having strong partnerships with local physicians will be critical to successful placement and business for these convenience care facilities.
  • Healthcare Consumerism and the Patient Experience – Momentum for the patient experience continues to grow with the rise of healthcare consumerism. Leveraging marketing strategies in the areas of advertising, social media and online marketing geared toward branding and patient experience are being seen across more healthcare systems. Healthcare has not typically been focus on the consumer brand experience and this is changing.
physician leakage, outward migration, healthcare data analytics, big data healthcare

By Admin

Physician Leakage & Using Data to Prevent Outward Migration

Physician Leakage & Using Data to Prevent Outward Migration

Physician referrals are a link between primary and specialty care and are vital to patient management and volume within a healthcare system. In fact, visits to specialists constitute more than half of outpatient physician visits in the United States. Physician leakage refers to the process of physicians referring patients to competing hospitals or providers outside of their network.

A recent article Dropping the Baton: Specialty Referrals in the United States notes the following breakdowns and inefficiencies in all components of the specialty-referral process:

Outward migration affects both patient care and a hospital’s bottom line:

  • Reduced continuity of care
  • Delays in diagnosis and treatment
  • Duplication of services and testing wasting hospital resources
  • The simultaneous use of multiple drugs to treat a single ailment or condition, or polypharmacy
  • Increased risk of malpractice lawsuits
  • Weakened physician-patient relationships

Physician Leakage and Outward Migration

Looking more closely at the financial impact of outward migration, let’s look at this example provided by Lance Fusacchia in an HFMA article:

“Consider for a moment the potential financial losses of referral no-shows in terms of actual dollars. As an example, a typical healthcare system with 200 providers, each serving a panel of 2,000 patients. Of those 400,000 patients, it is fair to estimate that 50 percent visit their physicians and 30 percent of those visits result in a referral. That makes 60,000 potential referral visits. If 30 percent of those referrals don’t happen (the average number of no-shows, as cited previously), that’s approximately 18,000 lost referrals. According to findings in one study, a single no-show costs a provider, on average, $210. Multiplying that amount by 18,000 no-shows results in $3.78 million in lost revenue. If a health system could avert even 25 percent of those lost referrals, it could recover nearly $1 million in lost revenue.”  

The Role of Data in Preventing Outward Migration

Data plays a major role in the prevention of outward migration. Having data alone, however, won’t solve the challenges. Being able to have the data analytics tools to gain key insights from the data will provide the needed information to adjust physician referral management programs and processes.

  • Comparing Past to Present Data – Historical data can allow for a view of events that may be factoring into lost business. A referral drop is a cause for concern to be investigated and resolved.
  • High-Tail & Long-Tail – These are common terms in marketing and should be applied to outward migration data analytics. Basically, high-tail means that 80% of monitored events occur in the first 20% of a population metric. Low-tail comprises the remaining 20% of monitored events, but it can often outweigh the overall high-tail impact. By analyzing where business is coming from on both ends of the tail, you may be surprised that the long-tail is equally, if not more, responsible for driving volume.
  • Where You Stack Up in the Industry – Data analytics can show you where you stack up with your competitors, helping you to establish a baseline to measure performance against.
  • Interoperability – One of the holy grails of healthcare is interoperability both within and outside of a healthcare network. Healthcare systems have long operated private health information exchanges within their networks and the Affordable Care Act has helped to promote public exchanges to share data across systems. The continued advancement of this data sharing effort will progressively close the referral tracking information gap that challenges both physicians and hospital executives.

At Intellimed, we have provided healthcare data analytics solutions to the U.S. hospital marketing for 30 years. Contact us to learn more about leveraging data to prevent outward migration and stop physician leakage.

Ed Willard serves as INTELLIMED’s Executive Director of Business Development and is a member of the INTELLIMED leadership team. In his free time, he enjoys soccer and is involved in several local soccer organizations.

1 2 3
Red Carpet Customer Service: User Experience (UX) & Customer Experience (CX) in Healthcare Information Technology
Intellimed Volunteer Day with Feed My Starving Children
Sarah DeSantis-Sullivan Joins INTELLIMED as Vice President of Product Solutions to Lead Product Expansion and Growth
healthcare, healthcare IT, HIT, wearables, digital health
4 Healthcare IT Trends to Watch in 2018
Predictive Analytics in Healthcare: Trends, Challenges and Why We Need It
healthcare reform, BCRA, Senate Healthcare bill, healthcare senate bill, trump care, ACA, affordable care act, obamacare
U.S. Hospital and Medical Associations’ Positions on the Better Care Reconciliation Act (BCRA), Healthcare Senate Bill
healthcare data security, healthcare patient privacy, healthcare cybersecurity
Healthcare Cybersecurity: The Current Landscape and Critical Prevention Steps
Insights from The Healthcare Marketing & Physician Strategies Summit
physician leakage, outward migration, healthcare data analytics, big data healthcare
Physician Leakage & Using Data to Prevent Outward Migration