5 Data Challenges for Health Care Providers
Nearly 10 million Americans—and counting—are insured under the ACA; are providers really prepared for the access needs of these new participants? Analytics, specifically quality metrics, are fundamental to successful compliance, care coordination and subsequently ensuring quality based reimbursements. Quality reimbursement examples include assessing what percentage of patients have had the right diabetic testing, what percentage are on the right medication, or are providers complying with the regulatory guidelines that allow appropriate participation in government or exchange programs?
Effective EHR implementation, integration and management can be the difference between a practice thriving or struggling. And yet, widespread frustration with EHR systems plagues the industry. Many practices are either disappointed or planning to go back and install a different model. In fact, a recent Black Book study concluded that roughly a third of practices are dissatisfied enough with their EHR vendor to consider making a change. Engaging best-in-class vendors remains an essential challenge for providers.
Group health care coordination and care management is a burgeoning marketplace demand. Through a combination of analytics, platform technology and operations, group health providers are striving to achieve the optimal level of operational efficiency and effectiveness to function differentially in an ever more challenging climate marked by low margins and high service demands.
Health care workforce management has evolved into an essential component for assessing efficiency and maximizing profitability. Effective platform technology empowers providers to identify and monitor performance and productivity through analytics, and critically isolate and differentiate which of their clinical and administrative functions are adding maximal value.
In a tough labor market, no less, there are still not enough people in health care analytics, and not enough clinical resources to perform needed analytics services. The net result leaves providers increasingly reliant on vendors to fulfill their analytics staffing needs.
This slide show was originally published by Health Data Management, a sister publication of Information Management.
Between securing reimbursements, ACA regulations, EHR system variations and complexity, security, guidelines and deadlines, big data can bury health care providers. Dr. Jerry Osband, Chief Medical Officer at EXL, a business process consultancy and analytics firm, identifies the top data challenges that providers face in the coming year.