disparate<\/a> \u2013 or siloed. This happens to organizations over time as they expand, replace old technologies, and even acquire and\/or merge with other organizations. It is virtually impossible for one system to handle all of the functions that a complex healthcare system needs, but it is important that these multiple systems are able to communicate and form an ecosystem that supports key functions. Fragmented data in revenue cycle systems always have unfavorable results \u2013 from slowing down processes to prompting cascades of problems like lack of claims processing visibility and inability to mitigate denials.<\/p>\nWhat types of data are needed by RCM? Well \u2013 a lot.<\/em><\/p>\n\n- EHR data<\/li>\n
- Practice management data<\/li>\n
- Referral and authorization data<\/li>\n
- RCM vendor data sources<\/li>\n
- Clearinghouse data<\/li>\n
- Patient account system data<\/li>\n
- Payer data<\/li>\n
- Unstructured paper data sources<\/li>\n<\/ol>\n
<\/p>\n
Any of those missing pieces yields an unsolvable puzzle \u2013 and represents hours and hours of time spent tracking down information.<\/p>\n
How Can Data Silos be Resolved?<\/h1>\n
First of all, organizations have to be willing to admit they exist. This is often a pain point because it means that somewhere along the way a decision was made that didn\u2019t quite work out.<\/p>\n
It is common to see organizations focusing on solving the effects of silos \u2013 like slow revenue cycle processes. Statements may fly around like \u201cWe need better communication! Better efficiency!\u201d \u2013 however, the reality may be that the root cause needs to be fixed \u2013 which is fragmented data.<\/p>\n
How do we break the silos forever and pave the way for smoother RCM processes?<\/p>\n
\n- Form an organizational cultural commitment.<\/strong> Healthcare is notorious for change resistance \u2013 more so than other major industries, like banking and entertainment. For many changes, it seems to take regulatory prompting to institute change; for example, in the cases of value-based care and meaningful use of technology. Leaders must make a strategic commitment to enhance data communication and obtain buy-in from key players across the organization. It is up to leadership to make sure that stakeholders understand the patient care benefits as well as the business benefits of shared data.<\/li>\n<\/ol>\n
<\/p>\n
\n- Add HIPAA-compliant integrations that join systems together. <\/strong>With revenue at historic lows and expenses up across the board, healthcare systems are reluctant to spend money right now. It is important that they realize the potential ROI for optimizing the revenue cycle by breaking down barriers that are preventing real improvements. It may be a barrier between RCM and clinical data, or between outpatient and coding, for example.<\/li>\n<\/ol>\n
\u00a0<\/strong><\/p>\n\n- Outsource functions that are time-consuming and don\u2019t make sense to do in-house \u2013 to companies that can integrate with existing systems. <\/strong>In some cases, purchasing integration technology may NOT make sense \u2013 it may be more lucrative to just outsource certain processes altogether. This puts the burden of integration on the partnering outsource company and immediately removes administrative burden and data sharing issues.<\/li>\n<\/ol>\n
<\/p>\n
\n- Put processes in place to assess each and every technology purchase or upgrade to prevent new silos from forming. <\/strong>Now that you have connected some of the silos in your organization \u2013 prevent them from recurring by establishing a clear risk assessment program for new IT purchases (or upgrades, new versions, etc.)<\/li>\n<\/ol>\n
\u00a0<\/strong><\/p>\n\n- Invest in automation that reduces<\/em> administrative burden \u2013 like digital patient intake forms that then route to billing, patient records, notes, and patient follow-ups. <\/strong>In the case of paper-based forms that don\u2019t translate or must be manually entered, digital solutions abound. HIPAA-compliant solutions that collect patient data and then distribute it to multiple destinations can solve several issues simultaneously.<\/li>\n<\/ol>\n
\u00a0<\/strong><\/p>\n\n- Adopt a patient-centric perspective.<\/strong> Data silos don\u2019t only affect workers. Disjointed technology feels clunky to patients as well, causing them to wonder just what is going on behind the scenes. It can often seem like \u201cone hand doesn\u2019t know what the other hand is doing\u201d and lead to repetitive questions and forms to fill out. If this sounds familiar, or you are getting feedback from patients that supports this, then a change in attitude and culture is warranted. It may help to have key stakeholders in IT decisions do a \u201cwalk-through\u201d of processes, just as a new patient would.<\/li>\n<\/ol>\n
<\/p>\n
Data silos are not always an easy fix \u2013 but one that has big payoffs. In the process of fixing RCM problems, patient financial experience issues, clinical data communication, and strategic decision-making can be enhanced as well.<\/p>\n
Don\u2019t wait \u2013 find and fix that fragmented data!<\/p>\n
If you are interested in fixing your data problem, learn more about how the Qodex Quality Audit and Productivity solution can help you.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"In spite of modern EHR technology, silos are still common, containing valuable information that is inaccessible to the rest of the healthcare organization. Learn how these silos can affect RCM activities and how to overcome them. What is Siloed Data? Simply put, it is data that doesn\u2019t play well with others. It isn\u2019t accessible across […]<\/p>\n","protected":false},"author":1,"featured_media":9495,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","om_disable_all_campaigns":false,"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[9],"tags":[],"acf":[],"yoast_head":"\n
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<\/p>\n