rhonda draper, rn director of clinical care services mona reimers, facmpe, cpc director of revenue...

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Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

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Page 1: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

Rhonda Draper, RNDirector of Clinical Care

Services

Mona Reimers, FACMPE, CPC

Director of Revenue Services

BETTER DATA,BETTER DECISIONS

Page 2: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

OUR STORY & EXAMPLES

• It’s easier than you think• Days and Weeks • NOT Months and Years!• We are here to foster creativity• Not a one-size fits all

Page 3: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

BUSINESS INTELLIGENCE

DEFINITIONReporting and Tools that improve

business performance by integrating previously disparate

data to realize higher level decision-making and effectiveness

Page 4: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

BUSINESS INTELLIGENCE

• Technology has improved and data storage costs are cheaper than ever and seem to be going down further.

• Integrating previously disparate data

• Its about competitive advantage through FOCUS.

Page 5: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

BUSINESS INTELLIGENCE

TOOLS• Applying BI concept to the end user can have the greatest ROI

• Make it easy for the staff to:Do the right thingAt the right time

Every time

Page 6: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

FOCUSED REPORTING

• Eliminate the distracting data like too many alert notes, 2000 page reports, etc.

• Eliminate un-necessary reporting. Notify ME when I need to know something.

Page 7: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

DIY REPORTING TOOLSChoose your first project - ideally a

small step first successes should be in a few weeks

Discuss exactly where the data is entered (the software screen), who enters it, does it stay the same or change, if changes when & who

Is it free text or specific

Page 8: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

GET STARTED!

Clearinghouse

PMDatabase

New ReportServer

Full Backup

Page 9: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

INITIAL PROJECTS

Page 10: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

A CANNED REPORTS

That goes on for 1,766 pages!

Page 11: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

SIMPLIFIED TOOL

Page 12: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

EASIER TO USE

Page 13: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

FOCUSED TOOL

Page 14: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

FOCUSED TOOL

Rather than a report that lists appeals to send:

Page 15: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

FOCUSED REPORTING

Old Way•Run reports monthly for Days in A/R per provider, per payer, etc.

•Run reports everyday for pre-cert to look for Add on patients

•Plot on a graph month after month

Page 16: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

FOCUSED REPORTING

New Way: A report in your email box on the 5th of the month with rolling averages ranked by degree of change A report that refreshes every 15 minutes that highlights what needs to be one based on the date of the event, payer and type of event

Page 17: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

CLINICAL QUALITY REPORTS

Page 18: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

CLINICAL REPORTING

Page 19: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

MANAGEMENT REPORTING

Page 20: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

ELIMINATE CHART REVIEW

Page 21: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

AUTOMATED REPORTING

Page 22: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

MANAGEMENT REPORTING

Page 23: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

PRECERT REPORT – BEFORE

Page 24: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

PRECERT REPORT – AFTER

Page 25: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

SIMPLIFIED

Page 26: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

INTUITIVE REPORTING

Page 27: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

INTUITIVE REPORTING

Page 28: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

AUTOMATED REPORTING

Page 29: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

AUTOMATED REPORTING

Page 30: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

MANAGEMENT REPORTING

Page 31: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

MANAGEMENT REPORTING

Page 32: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

STAFF REPORTING

Page 33: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

LAY THE GROUND RULES

• Does the report need to refresh on its own?

• And how current will the report data be?

• What if different users need to change the data’s view? Will you have to re-run the report every time you change a filter

• Will end users be able to double click” for transactional detail?

Page 34: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

RETURN ON INVESTMENT

Less Staff Time on TasksError proofing (i.e. pre-cert or appeals)

Some are soft costs and are immeasurable but important * Less frustration

* Trust that data is correct * Increase adoption of software

Page 35: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

SUCCESSFUL ROLL OUT

• Roll out needs a marketing plan.

• Market what your project is doing to deliver value to the organization.

Page 36: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

SUCCESSFUL ROLL OUT

• Involve some end-users in the sessions that identify the issue (problems) being solved and the conceptualizing of new or better BI tools.

• You can’t over DISCSUSS!

Page 37: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS

IN SUMMARY

You can get the data you want and use it in a way that only your practice needs to use it

Typical metrics are easier to get to and access to multiple data sources, trending and refreshing is easy and provides much more information than ever before

The ROI is nearly limitless if you put the information to work for your business

Page 38: Rhonda Draper, RN Director of Clinical Care Services Mona Reimers, FACMPE, CPC Director of Revenue Services BETTER DATA, BETTER DECISIONS