Once an insurer or hospital has acquired a medical practice, what is next? Acquirers should proactively ensure a seamless integration of services within their new practices. The success of a major medical foundation in acquiring and integrating a pair of specialty physician practices offers six rich lessons other organizations should consider with their integration implementations.
Depending on which types of patients you serve, your health plan audit may be made by many regulatory entities. Your compliance department should be notified when an audit will be conducted. If you do not have a compliance department, your point of contact will typically be in your C-Suite, such as your CEO or CFO.
A new workflow automation tool was burdened with a difficult-to-learn user interface and workflows which didn’t fully match users’ jobs, resulting in employees who didn’t use the tool or did so incorrectly. Because managers didn’t believe the tool facilitated their employees’ work, they didn’t recommend it or use the tool’s reporting features to drive decision-making.
More providers and health care organizations are forming clinical integration networks (CIN) to collaborate on improving the quality and efficiency of care, while allowing themselves to continue to operate independently.
Rather than becoming frustrated by the potential vastness of a data warehouse build, consider instead the advantages of thinking small. As in, start with a single data warehouse pilot project, learn your best practices from that experience, and expand accordingly from there.
Blockchain, the digital ledger technology that can securely maintain continuously growing lists of data records and transactions, has the power to potentially transform health care, according to industry experts.
Many health care organizations’ business intelligence teams lack the experience, bandwidth and/or big-picture strategic and analytical skills needed to adequately respond to their organizations’ heightened needs.
A leading health care system sought to develop, in partnership with a national insurer, a new health plan marketed to fully insured individuals and self-insured employers. This joint venture would emphasize using data analytics and population health technology to identify at-risk patients sooner and provide them with earlier care access.
A well-thought and skillfully delivered training plan can help health organizations realize a return on their investments, reduce operational risks, heighten the skills, engagement and productivity of employees and improve the quality of care and services.
By having an agreed-upon governance structure and ranking approach, you will have a sound basis for objectively prioritizing, sidelining or abandoning projects. It also helps you choose projects that align with your organization’s strategic goals and promote competitive growth.
A premortem process is a managerial strategy that asks project team members to envision the failure of their project, to think backwards and determine how and why this failure occurred, and to create ways to address any risks identified.