Healthcare Providers

Provider Challenges in the Current Eco-System

The last decade has reshaped the entire US healthcare ecosystem and unfailingly all of the changes found providers as the central target. The providers are at the cross-hairs of technology, regulations, changing reimbursement models, coordinated care to name a few. While providers grapple with these challenges, their IT departments are the best allies they can hope to have. Below are a few areas that frustrate providers and warrant financially viable innovative solutions to address their challenges.

Security

With all the build-up and awareness in place, now Office of civil rights (OCR) is turning the gun to providers. Starting 2016 it will conduct HIPAA audits of the hospitals, healthcare providers, health plans and business associates. Non-compliance is expected to attract harsh monetary penalties. So while most providers are cognizant of HIPAA regulations, they are forced to reevaluate their systems and processes to make sure they will pass the test when the roll call happens for them.

Interoperability

With over 600 ACOs in existence, CIOs are juggling multiple EHRs and allied systems from different vendors. In the absence of true interoperability across these systems, information exchange is a challenge. Till the time the standards for interoperability evolve to an unambiguous and consistent form, this struggle will continue.

Care Coordination

With shift from FFS to VBP, the paradigm of care provisioning is changing. Providers are required to “follow” patients and Care teams are being constituted especially for high risk patients for preventive care. Care teams need be technologically empowered, trained in the processes and must have access to the right data at the right time. Coordination of clinical staff, social workers, relatives, volunteers and other members is a challenge that organizations are facing today.

Patient Engagement

With the patient at the center of the care equation, onus is on providers to deliver the right care and also ‘engage’ patients. With MU3, providers will now need to ensure that 80% of their patients are provided access to their health information within 24 hours of the visit. Providers are tasked with not only provisioning of care but also the administrative work in order to satisfy regulations. Providers need a helping hand in their struggle to find innovative ways to engage patients on digital platforms where patients spend most of their time.

Wearables and IoT

Focus on coordinated care has resulted in several initiatives to educate and motivate consumers about healthy living. This has propagated an influx of several wearables that track and report wellness data of consumers. All this data needs to be connected to the rest of the health record of consumers for better coordinated care and make sure that wellness initiatives translate into monetary savings for payers as well as consumers. Providers are finding it difficult to collect, integrate and visualize the value that this data adds.

Regulatory Reporting

As initiatives such as Infection surveillance, reporting to state registries, and population health among many others become a norm in US healthcare, providers need to understand their systems better than ever. Deciphering the requirement is only the first step. Once that is done, they need to organize their data in the required format, figure out the channels available to share it with the regulatory authorities and finally have a mechanism in place to do that. This is an added responsibility and providers wish there was a simpler way to achieve this.

With the understanding of HIPAA and the rich experience in building healthcare applications, we are well positioned to:

  1. Conduct an assessment of your applications and processes
  2. Analyze individual areas and recommend best way to address the gaps
  3. Implement the necessary changes
  4. Support you through the audit if and when that happens

Having stitched-up multiple systems with several others, we understand the data elements that are typically exchanged. Also, having worked with several integration techniques such as web services, PTP and bidirectional interfaces and database – level integrations, we have the necessary technical know-how to overcome your challenge of silos across your IT landscape. We can help you integrate your systems so that you have a single and complete view of your organization and workflows.

Increased adoption of mobile devices by consumers offers an immense opportunity for healthcare providers to connect with consumers in a more encompassing way. Also, coordination among the staff has never been easier. We have been helping our customers leverage cross-platform mobility solutions to extend their reach to deliver and pull information when they need it. Such solutions have made their life easier by allowing them to coordinate their care teams better and engage their consumers.

Healthcare organization deal with enormous data that they create, receive and/or transmit. Owing to the variety of the sources and form of this data there is a need to organize, manage and analyze it to derive meaningful insights. Also, with a lot of providers switching their EHRs, migration of historical data is another common need.

We can help healthcare providers through the following to enable a 360 degree view of their organizations:

  1. Extract
  2. Transform
  3. Integrate
  4. Manage and
  5. Analyze data

Be it consumer wearables or monitoring devices employed by organizations (health homes, rehab centers etc.) to facilitate proactive care, we can help you collect, integrate and make sense of the data that these devices generate. Acting as your eyes and ears, these devices can leveraged to automate patient monitoring. You can receive alerts when there is an anomaly noticed by the system and act on it immediately before the situation worsens.

In this fiercely competitive market all the solution providers are striving to delight their customers through innovative capabilities. This results in frequent upgrades to the systems and might be tricky for those with on premise solutions. Every time a patch/upgrade is released, it needs to be thoroughly tested to make sure that all the workflows perform as configured. This is tedious for providers as they need to find time out of their busy schedules for this. We can help you by testing those for you in such situations so that your staff can focus on their core responsibilities.

Most if not all providers rely on ISVs for their life-blood systems such as EHR, PMS, RCM etc. However, there are occasions (especially in case of large IDNs and Academic centers) when provider organizations evangelize a system that can augment their capabilities to deliver proactive care. As their IT departments are busy keeping the systems running without hiccups, these initiatives might take a hit. With deep understanding of US healthcare, we are well positioned to support providers through product engineering services by acting as their extended teams.