Case management frameworks built on business process management platforms help IT solutions architects deploy case-handling applications and offer an alternative to specialized case management applications and custom coding. According to Gartner, the complex architecture required to support case management has relegated it to the status of a niche application, typically addressed by specialist, commercial off-the-shelf application providers and system integrators. Case management as a process style is being applied in many sectors beyond government, legal and insurance, including healthcare, banking, higher education and retail. Industry and cross-industry case management frameworks are now available. "Adaptive case management" hype exceeds the reality of what buyers need. Gartner evaluated 12 vendors including Pegasystems against nine critical capabilities in four use cases.
Citizens rely on government social services programs to help combat poverty, disease, disabilities, and economic and physical hardships. Governments are also tasked with providing healthcare, security, and infrastructure services.
This paper provides a framework to help healthcare organizations achieve effective, affordable and measurable patient empowerment, encouraging populations of patients to take greater responsibility for their own care.
Clinicians and staff want to perform better, produce more and enjoy higher levels of satisfaction. Close the gap between a user’s experiences with technology as a consumer and her experiences with technology at work to maximize the impact on your organization’s bottom line.
Within six months of implementing ECM in just one department, Sharp HealthCare experienced so many benefits, it wanted to expand the solution across its entire organization, integrating it with its EMR and other core applications.
Fueled by new technologies, expanding regulations and greater patient expectations, there’s a clinical content gold rush in the healthcare market. Sources and types of clinical content grow at an exponential rate and through increasingly refined input methods, including voice and improved OCR, clinicians capture more unstructured information about their patients than ever before. Making all clinically relevant content available together, in one place seems like a simple request. Must the response be so complex?
To support a more robust exchange of health information across multiple systems and care settings, HIT must embrace future-state technology: A single data management solution built on a single platform that stores all content in its native format in a single archive.
Healthcare organizations are facing uncertain times, which are putting enormous strains on their revenue cycle management (RCM). Automation is proven to improve RCM measures, and even small improvements can significantly impact the bottom line. This whitepaper details how providers can embrace automation to help drive financial performance.
Children’s Mercy is not only one of the nation’s top pediatric medical centers, they have a strategy that improves organizational profitability in the face of constant change – all while delivering world-class care for their patients. Children’s Mercy accomplished what many have tried: integrating hospital and ambulatory revenue cycle activities with complete integration of all processes on a single IT platform.
Sharp is leading the way in the shift to shared risk. In this journey, they manage to the right financial metrics while still delivering appropriate care to their patient population. Watch the video to learn how GE Healthcare is helping Sharp make a difference.
The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement
This paper will explore some of the market dynamics driving the financial volatility in healthcare and will explore how advanced analytics, with the right IT backbone and organizational competencies, can help organizations successfully identify ways to manage revenue cycle profitability.
Published By: Allscripts
Published Date: Oct 29, 2014
Download this case study to learn how SAMA HealthCare Services uses an Open platform from Allscripts to customize its healthy EHR core and focus on preventative care that is keeping patients out of the emergency room. The results? An estimated savings of $2.6 million in unnecessary ER visits and $2 million earned for Comprehensive Primary Care Initiative and Meaningful Use.
The US healthcare industry has historically lagged behind others in the maturity of security capabilities, only recently catching up on data security and privacy in response to HIPAA. But there is a wide range of other mounting risks unique to healthcare that S&R pros in healthcare can’t ignore — greater regulatory pressure, increasing targeted attacks, the frightening uncertainty of IoT security, and global economic pressures. This report outlines the most important security capabilities for security leaders in this sector to implement in the face of these challenges.
IT leaders today are reinventing their infrastructure to support a mobile workforce and a complex array of connected devices. Against this backdrop of mobility and connectivity, Healthcare IT is tasked with meeting compliance challenges in an intricate and transformational regulatory environment. With a host of new data protection regulations and increasingly high settlement fees for data breaches, data security has never been more important to Healthcare organizations
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
This paper, the second in a series addressing four key challenges of healthcare reform, focuses on actions you can take now to streamline core administrative processes to drive efficiency and reduce costs.
The evolving healthcare landscape has created a wealth of fresh opportunities for payers. There is a sense of urgency for payers in leadership roles to leverage technology and successfully transition to a value-driven healthcare system that rewards top performers and high quality standards. Passage of the Patient Protection and Affordable Care Act (PPACA) quickly changed many aspects of payers' business with higher costs, new oversight, more competition and a longer-term promise of millions of new members. Since healthcare insurance reform became law, opponents have vowed changes, if not its outright repeal. While it may be tempting to take as little action as possible and hope that the 2010 mid-term election or 2012 general election will make this all go away, the reality is that repeal is not a likely possibility.
Published By: Infomatica
Published Date: Jul 15, 2015
The International Institute of Analytics presents healthcare results from their proprietary assessment tool, The Analytics Benchmark, including measurement of data-related tactical competencies and culture/leadership competencies necessary for data-driven decision-making to become ubiquitous inside organizations. Download this paper to benchmark where your organization stands in the five stages of maturity and the five elements of alignment needed for success.
Published By: Evariant
Published Date: Sep 07, 2016
Marketers face a unique challenge to allocate resources across a variety of tactics to target key audiences that need their product or service – with limited information on what combination of products or services will have the optimum impact, which target audience members are ideal fits, and what allocations will provide the best return on investment to the organization. Healthcare has its own myriad of challenges, including many local, regional, and national options for consumers, service line variations, and disparate demographics. The good news is that there is an emerging understanding of digital and multichannel marketing, and ample opportunity to define best practices, systematically calculate marketing effectiveness and return on marketing investment (ROMI), and use technology and data to create great business outcomes.
Published By: Evariant
Published Date: Sep 07, 2016
The physician liaison position is a relatively new one for most health systems, but individuals hired as physician liaisons are being held accountable for facilitating impactful, fast change. Where marketing drives incremental revenues by targeting patients and consumers (non-patients), physician liaisons drive incremental revenues by cultivating relationships with physicians and improving referral behavior.