Automation Makes Population Health Management Scalable and Sustainable

The use of automation to replace manually laborious tasks that are better done by machines saves time, and allows clinicians to devote more time to higher-value roles, such as patient interaction. Identifying patient challenges is the foundation of care coordination. Multiple organizations use paper or EHR-based assessments to pinpoint social determinants of health and communicate the information to clinicians. Much of the process is manual and updates are time-consuming.

Automation drives efficiency in workflows, staff time, and associated costs devoted to manual data entry and ongoing data management. Clinicians and staff benefit from the reliability, quality, and presentation of data. In ad hoc reporting situations, automation is applied to accurately and quickly avoid time-consuming inquiries which may require one or many staff members to manually process data, making it financially feasible, scalable, and sustainable as patient criteria changes over time. Close the gaps in the manual process with the following tools:

Data Extraction

  • Automation and robotic process automation (RPA) tools can expediently locate, identify, extract, and organize large volumes of precise details involving open or discrete data from single or numerous sources and distribute it as needed in development, implementation, or maintenance of population health programs.
  • On the provider side, data retrieved from legacy systems, archives, present EHR systems, or other sources (custom, proprietary databases, etc.) for comprehensive population health insights.
  • Payer, research, government, and other healthcare data taken from vast data repositories is mined, combined, and refined to present to clinicians in the preferred system.

Risk Management

  • Risk management algorithms can be especially complex and lengthy. One error as a result of an incorrect keystroke or missed step can lead to misinformation. Automation and RPA systematically manipulates and processes even the most advanced risk management formulas with uniform accuracy and expedited speed.
  • Automation can be applied to multiple data elements in risk scoring required to calculate whether to accept, control, transfer, or treat it.
  • Automation can be used to develop, operate, monitor, and improve data relative to performance measurement based on seemingly insignificant changes in outcomes.

Reporting

  • Automation’s exacting ability to execute high-volume, simple, or complex selection and compiling of multiple data factors empowers it to readily produce uniform results for standard or ad hoc reporting purposes.
  • Automation allows auto-generating of routine large or small scale compilations of data pre-formatted and ready to produce with or without manual prompting.
  • In ad hoc reporting situations, healthcare automation is applied to accurately and quickly avoid time-consuming inquiries which may require one or many staff members to manually process data.

Successful Population Health Programs Use Automation

Providers can only manage population health if they have the necessary data. Traditional approaches to interpreting patient information rely heavily on human input, and are not suited for high-volume, routine clinical testing. Physicians and staff point to manual data input, staffing shortages, and accessibility as substantial issues in the development of population health initiatives. Automation drives population health success by allowing end users to focus on time with patients rather than tedious manual searches and pulling the information into the EHR. They can “do more with less.”

Automation provides a cost-effective digital workforce, operating at peak performance 24/7 regardless of staffing levels or workload and does not require expensive technical upgrades. It is technically accommodating, empowering users to include patient, provider, payer, and additional data sources. Vendors have great intentions, and good ideas about incorporating data from multiple sources, but the interoperability just isn’t there. Automation is precisely efficient, providing uncompromising accuracy, eliminating the deviations found in manual, human-driven processes where additional validation may be necessary.

Complex multi-step processes within and across disparate data silos are completed in a fraction of the time required by human manual data manipulation. Population health initiatives advance at higher levels of care and lower operating cost with the use of intelligent automation solutions, provided by Boston Software Systems.

Why Boston Software Systems?
Our commitment is to healthcare. We’ve been through the ups and downs of multiple challenges over 30 years and we continue to stand with all healthcare organizations to provide real-time solutions that enable you to care for your patients, protect your bottom line, and increase your productivity, even during these challenging times.

Contact us. We won’t take up much of your time and we can get the process started quickly: 866-653-5105. We’re also available to connect via Twitter, @bossoft. Let’s have a conversation about your challenges with population health data initiatives.

Automation is a Key Defense to Mitigate Losses in Healthcare

Playing defense is key to hospitals and provider organizations remaining financially healthy, according to the American Medical Association. A recent survey from the Medical Group Management Association (MGMA), on the financial impact on medical practices, found that physician practice revenue has been cut in half during this unprecedented public health crisis. In addition, a “majority of health systems are slated to lose an average of $2,800 per COVID-19 case if payers do not raise reimbursement rates for hospitalizations.” A defensive approach can help navigate disruptions and mitigate further losses resulting from the coronavirus.

Automation is a Defensive Ally to Hospitals and Healthcare Providers

Using automation has allowed our customers and technology partners to quickly adapt to changing conditions and ease financial stressors. The projects below have proven to be the most impactful, allowing hospitals, providers, and organizations to address losses, reduce inefficiencies, and improve productivity during this uncertain time:

  • Accelerate COVID-19 testing by automating lab and remote site processes
  • Automate required reporting of test results, bed, and case counts as required by CDC/HHS and state agencies
  • Process revenue cycle transactions, tasks, updates, and reporting
  • Automate patient registrations, patient kiosk, and COVID-19 questionnaire data
  • Monitor and manage productivity gaps for a widely distributed, remote staff
  • Centralize data from multiple areas/units/facilities impacted by COVID-19
  • Accelerate HR and employee health functions, onboarding, and healthcare hiring
  • Enable materials management and procurement in supply chain and medical supplies

Are You Paying the Price to be on the Bleeding Edge of AI?

Artificial Intelligence (AI) is well established in some clinical areas, but when it comes to healthcare revenue cycle and automation, more data and training is needed for AI to make a noticeable improvement. There are alternatives that are far less expensive, easier to deploy, and largely deliver the same results. Our 30 years of healthcare experience and thousands of connections enable us to quickly implement automated processes. So, instead of shelling out money to help AI become a viable option in this space, use a proven and capable solution that provides a higher return on investment in the immediate and long-term.

According to the MGMA, “Physician practice revenue has been cut in half during the unprecedented public health crisis.” Fearing physician practices could shutter their doors during the crisis, 138 state medical societies and national physician specialty organizations urged lawmakers to adjust Medicare and Medicaid reimbursement.

Recent Boston Software Automation Projects

Claims Optimization
COVID-19 is putting a lot of demand on an overburdened healthcare system, overwhelming the capacity of hospitals, emergency departments, and outpatient centers. Automation helps providers and hospitals #bridgethegaps experienced by remote working situations that delay billing efficiency and productivity. Automation helps prevent interruptions or slowdowns in the claims process. There is a better way to execute on revenue cycle tasking and it’s through automation. Automation is 100% accurate, has no days off, and is productive 24/7, regardless of staffing fluctuations.

Testing and Reporting
Automation can create and transmit reports for testing results, bed counts, and cases to CDC, HHS, and state public health agencies on a routine basis. These automations can often be implemented in less than one week, automating daily reporting and alleviating a manual administrative burden on an already overwhelmed health system.

Productivity Dashboards
Remote work will likely continue in the future at some capacity, even for groups that don’t normally work remotely. Managing expectations, setting clear and concise goals, and monitoring results needs to be a seamless, transparent process. Boston Software Systems is offering a fully customizable Productivity Dashboard to hospitals and health systems, with no licensing or support fees for the first year.

Additional Reporting Needs
Automation can assess organization risk levels by compiling detailed reports with the latest information tailored to the organization’s needs. Whether compliance, security, human resources, supply chain, or materials management, automation can ease the burden of reduced staffing by automating critical tasks, workflow, and reporting.

Whether revenue cycle management, change management, onboarding, fraud detection, or acceleration of COVID-19 testing, Boston Software Systems is deployed in every part of the hospital, with connections in over 4,000 systems globally. We are healthcare-specific and have a broad range of use, allowing automation to work alongside humans and take over repetitive processes that can bog down a repeatable process, like claims checking, denial management, COVID-19 lab result/bed case/bed count reporting, and telehealth tracking.

Why Boston Software Systems?
In most cases, our automation solutions can be deployed in less than 30 days, with some in less than 10 days, with an immediate ROI. AI deployment takes much longer, is more expensive, and you never stop paying for “AI as a Service.” Turn to a team you can trust.

At Boston Software Systems, we have experienced the ups and downs of healthcare for the last 30 years, staying true to our values and healthcare centricity. This storm will pass. In the meantime, let us partner with you to improve workflows, reduce manual data entry, and take care of tasks, so your team can focus on the human aspect of healthcare, people.

Contact us. We won’t take up much of your time and we can get the process started quickly: 866-653-5105. We’re also available to connect via Twitter, @bossoft.

Automating Population Health Data Initiatives

The inherent value of a population health perspective is the ability to facilitate increased knowledge across multiple measures that can help a clinician understand or predict health outcomes. This includes looking at data inputs such as chronic conditions and treatment plans, and adding in a multitude of possible risk factors that may impede health in the future. To accomplish this, it is critical to collect enough data across multiple systems to provide a complete patient “view.” Otherwise, the measurements are incomplete, and don’t accomplish the goals of a population health initiative.

Patient information may reside in clinical, financial, payor, or ancillary systems. Often, healthcare organizations believe that HL7 or a HIE alone will solve their data exchange challenges. That is just not the case. Bolting together information from different tools, contexts, and data models is a difficult task and requires significant work. Automation becomes an ally to overcome the data challenges associated with the collection, organization, and comparison of key data elements.

Most Population Health Tools are Data-Driven

This is problematic, because population health initiatives begin with gathering demographic, clinical, and financial information from a variety of sources. Providers and payers stratify patient types, diseases, treatment paths, and associated financial risk by drilling-down and across vast stores of available data. Having only the information that is available in the EHR limits the scope for identification of patterns that may lead clinicians to a different treatment process. HIE is a prime example. A regional HIE may have a collection of ED visits, or hospital data, which would be important to include when formulating a population health strategy. But the population health platform does not sit on top of the HIE, scanning all of the inputs to be sure they are current and loading them into the EHR. Clinical staff still need to manually search for discharge notices, follow-up notes, and encounters and manually put the information into the EHR. Automation is the perfect partner in minimizing thousands of redundant searches across multiple databases, like the HIE, to search, select, organize, and compare patient information.

Vendor tools often sit on top of several data sources (HIE, payor data, insurance files, etc.) and aggregate data to present to an end-user, but the source of truth is still the EHR. There’s a lot of EHR data that’s needed to successfully pull off population health. In addition, sorting the information and documenting it in the EHR is a timely, manual process. Automation added to the workflow eliminates the need to toggle between multiple systems, applications, or databases. It does not require upgrades or disruptive changes in existing user interfaces, software, or systems. A few of the reasons this is beneficial:

  • Accurately, quickly performs short or long manual data entry, compiling, organizing, or processing volumes of data in disparate systems.
  • Continuously efficient 24/7, regardless of the volume or variety of data, staffing levels, patient caseloads, or type of information systems. If a patient is discharged at 2 am, the information is available right away, for treatment options.
  • Equally effective within and across clinical, financial, administrative, and technical system silos, facilities, and applications.

Leverage the Data – Empower the Clinicians

Data is a “huge pool” of information, that “lives” in multiple systems. Clinicians don’t know the data is useful without first organizing the data elements and setting standards for how they relate to one another. EHR systems have great reporting capabilities, but that’s after you’ve added all of the data elements, not before, which makes it time-consuming for clinicians. Leveraging the data means having the data in one central place, instead of asking care managers to log into multiple systems as many population health efforts require. From a day-to-day standpoint, leveraging the data means the ability to view complete information, dashboard views, alerts, and actions that improve patient outcomes. Empower the clinical staff and leverage the data sources for a complete population health view.

Automation Serves as a Digital Workforce

Automation is the resource to accurately, quickly, and comprehensively gather, organize, contrast, and compare data in multiple systems to determine risks, develop strategies, target patient types, and monitor outcomes. Automation serves as a digital workforce to support population health initiatives from inception through launch and ongoing program management. Because the distribution of health risks changes over time, the objective is to continuously monitor and identify factors that can exacerbate illness or prevention measures that need to be taken. Automation continuously and accurately sorts, organizes, and presents the right information to clinicians at the right time, without added complexity.

Why Boston Software Systems?
Our commitment is to healthcare. We’ve been through the ups and downs of multiple challenges over 30 years and we continue to stand with all healthcare organizations to provide real-time solutions that enable you to care for your patients, protect your bottom line, and increase your productivity, even during these challenging times.

Contact us. We won’t take up much of your time and we can get the process started quickly: 866-653-5105. We’re also available to connect via Twitter, @bossoft. Let’s have a conversation about your challenges with population health data initiatives.

Tracking Lost Productivity During COVID-19

Managing disruptions to people and productivity caused by the coronavirus is not an easy task. It’s likely that your team is adapting to temporary COVID-19 working conditions, even if that means sharing a kitchen table with a spouse, kids, and pets. Whether working remotely or social distancing, the danger of rapid declines in productivity, morale, and team performance increase as the pandemic continues. “The global work-from-home movement intended to maintain output and efficiency during the COVID-19 pandemic could actually generate a worldwide productivity slump and threaten economic growth for many years,” says Stanford economist Nicholas Bloom.

A recent Pulse study by PwC found that, “42% of CFO respondents were concerned about workforce productivity.”

The longer the stretch, the greater the potential for decline. We are navigating a “new normal” in terms of remote work. This is a good thing for many companies because they are finding they can work remotely, but a challenging time for hospitals and health systems to manage daily productivity.

Remote work will likely continue in the future even for groups that don’t normally work remotely. Managing expectations, setting clear and concise goals, and monitoring results needs to be a seamless, transparent process.

That’s why Boston Software Systems is offering a Productivity Dashboard to hospitals and health systems, with no licensing or support fees for the first year.

The Dashboard has been extremely successful in helping organizations manage the shift and disruption caused by remote work, by bringing meaningful, actionable data to department, group, or role-based users by displaying metrics in an easy to understand and meaningful way for the organization. We do this by taking the results from any automation or report, aggregating the data, and displaying the results in a customizable view with drill-down functionality.

Dashboard deployment is completed within days, without EHR vendor involvement and at a fraction of the cost of other approaches and products.

Highlight problems when they occur, evaluate productivity, and address areas that require process improvement in:

  • Revenue Cycle Claims Status
  • Organizational Productivity
  • Materials / Resource Management
  • Quality Initiatives

Why Boston Software Systems?
Our commitment is to healthcare. We’ve been through the ups and downs of multiple challenges over 30 years and we continue to stand with all healthcare organizations to provide real-time solutions that enable you to care for your patients, protect your bottom line, and increase your productivity, even during these challenging times.

Contact us. We won’t take up much of your time. We can get the process started quickly so you can get back to caring for patients: 866-653-5105. We’re also available to connect via Twitter, @bossoft.

Why We Began a Daily “Crisis Series” on Social Channels

Recently, we began a “daily crisis” series of posts on our social channels to help people navigate this “new normal.” An integral part of our daily conversations revolve around social distancing, working remotely, sheltering in place, and staying home. The subject matter we are confronting makes it even more critical that organizational leadership address one of the most enduring features of this pandemic, the need to deal with the mental health of their employees, families, customers, and partners. This has been a game-changer in our lives and the lives of those important to us. We are all trying to create a pathway through this storm and build a foundation for growth as we move beyond the pandemic. We thought it important to reach beyond how we can help hospitals and health systems ease the daily burden of higher throughput and reduced resources.

We felt the need to help people in our communities with coping skills, life hacks, and shared resources that might be the light needed to get through the day.

We made it colorful, with splashes of blue and orange, to lighten the mood. We gave it a lot of white space, to be inviting and minimalist, and we designed the templates with the idea that we all need the help of others right now.

Whether it’s through making a job easier, because there is less time/people/resources, or making a day easier because someone provided a helpful tip, it’s one way everyone can help each other get through the most challenging times.

I want to challenge the community and other teams, instead of focusing just on the bad stuff, let’s do something to make each other smile every day.

Why Boston Software Systems?
Boston Software Systems is the high performance standard in healthcare automation. We exclusively focus on the hospital, health system, and healthcare provider organization industry sectors. No other RPA company possesses our 30 years of expertise, or level of experience in clinical, administrative, financial, and revenue cycle health.

If we can help in expediting orders or routing results, gathering data from disparate sources or putting together actionable reports during this pandemic, please give us a call. Our mission is to simplify tasks, so you don’t have to work harder in an already difficult situation.

Contact us. We won’t take up much of your time. We can get the process started quickly so you can get back to caring for patients: 866-653-5105. We’re also available to connect via Twitter, @bossoft.

Boston WorkStation Automates COVID-19 Lab Result Reporting Required by HHS

Today we are facing a global crisis. It’s time to leverage the power of technology resources. Boston WorkStation’s lab reporting automation platform was built for this.

A letter was sent to all hospitals Sunday requesting that they report their COVID-19 testing data to HHS on a daily basis. This applies to hospitals with in-house labs. Test results are due to HHS everyday by 5:00 PM EST.

In addition, hospitals are asked to report daily bed counts with the government. As part of the CDC’s ongoing COVID-19 response, Boston WorkStation can automate the daily reporting of cases and bed counts in facilities, alleviating the manual administrative burden, and allowing people to focus on caring for patients.

Our lab result reporting automation can be implemented immediately, freeing up your most valuable resource, people.

The Boston WorkStation automation platform has 4,000 unique system connections that align with all EHRs, lab systems, and applications. Our 30 years of experience allows for an agile process that can be easily implemented, sending comprehensive reports hourly or daily to HHS, with 100% accuracy, securely, and without the need of extra staffing. Vice President Pence stated, “We understand you may be reporting to your state, but the data is needed at the federal level to support FEMA and the Centers for Disease Control and Prevention in their efforts to support states and localities in addressing and responding to the virus.”

COVID-19 test results reporting:

  1. CDC is requesting that all hospitals report data on COVID-19 testing performed in your Academic/University/Hospital “in-house” lab
  2. Reporting is due every day at 5:00 PM EST

We are here to support healthcare workers, teams, and facilities during this pandemic. Through use of automation, labs and staff are able to automate portions of handheld and batch processing, speeding send-outs and results even as demand drastically increases.

Automate required reporting to HHS, state, and public health facilities. Boston WorkStation can help.

Why Boston Software Systems?
Boston Software Systems is the high performance standard in healthcare automation. We exclusively focus on the hospital, health system, and healthcare provider organization industry sectors. No other RPA company possesses our 30 years of expertise, or level of experience in clinical, administrative, financial, and revenue cycle health.

Having worked exclusively with healthcare organizations, we stand in solidarity with the healthcare workers on the front line of the COVID-19 pandemic. If we can help in expediting orders or routing results, gathering data from disparate sources or putting together actionable reports, please give us a call. Our mission is to simplify tasks, so you don’t have to work harder in an already difficult situation.

Contact us. We won’t take up much of your time. We can get the process started quickly so you can get back to caring for patients: 866-653-5105. We’re also available to connect via Twitter, @bossoft.

How Technology and Data Science Are Used to Fight a Pandemic

In a global pandemic such as COVID-19, technology, artificial intelligence, and data science have become critical allies in helping societies deal effectively with ramifications of an outbreak. There are smart devices that help diagnose fevers in communities, antimicrobial textiles that help destroy bacteria on hospital gowns and scrubs, drones and chatbots to help with delivery and anxiety from the disease, and AI – powered technologies that help with the diagnostic process. This entrepreneur made a DIY ventilator. Blockchain has helped streamline medical supply chains, preventing contaminated items from reaching stores. The impact of a pandemic severely affects clinical and physician areas of healthcare. But the impact doesn’t stop there as it also impacts the business side of healthcare with a surge of patients, new regulations and billing requirements, closed offices, rescheduled appointments, changing staff schedules and callouts, inundated facilities of care, and so much more.

As cases of COVID-19 increase, it is great to see the increased utilization of online and telehealth services. This has been an eye-opener for how we can quickly and effectively deliver care through alternate methods, and one (we hope) that remains in effect after the virus subsides. In addition, mental health has received a boost from companies like Headspace and Calm. Anxiety levels are through the roof, so it’s good to know there are apps that can help with sleep, meditation, and mental stress. The World Health Organization recommends, “gather information at regular intervals, from the WHO website and local health authorities platforms, in order to help you distinguish facts from rumors. Facts can help to minimize fears.” It’s important to balance the news with activities that promote well-being like meditation, exercise, and music.

Other technologies are working behind the scenes to help hospitals, health systems, and patients deal with the ramifications of this pandemic. The focus is on consistent, automated, and standardized data collection, because data sharing and upholding privacy concerns is a paramount concern in combating this pandemic. Technologies like tokenization work to create a partnership between patients and their providers, which can lead to better outcomes. By placing patients in control of their complete medical data, instead of having it scattered through multiple health systems and electronic medical record databases, providers can quickly and reliably learn valuable information about the patient from a central source.

Examples of customers using automation to respond to drastic shifts in demand include lab testing. Through use of automation, labs and staff are able to automate portions of handheld and batch processing, speeding send-outs and results even as demand spikes. Automation is also used to access and evaluate patient data to see if a patient is in the EHR, record the lab results, and send them to the local lab or CDC. While it takes a human 4-5 minutes to complete for each patient, automation can execute this in seconds.

Digital health has flexed its muscles during this time of uncertainty. Our digital health solutions were built for this.

Automation can also handle rapidly changing clinical, laboratory, and billing regulations and responses much faster than EMR vendors, which may not be able to push updates until their next release. In HR, the processing of forms, sick leave, and PTO can be a time-consuming process made easier and 90% more efficient with automation. Response center and clinical dashboards, productivity reporting, gathering and updating critical information in multiple disparate sources are all great uses of automation during this crisis. And scalability is simple. Automation and RPA solutions can be up and running within 2-4 weeks, sometimes as little as 72 hours, providing a digital workforce that is not exposed to illness, alleviating hours of manual or human interaction, and allowing staff to focus on what matters most: taking care of sick patients.

Why Boston Software Systems?
Boston Software Systems is the high performance standard in healthcare RPA. We exclusively focus on the hospital, health system, and healthcare provider organization industry sectors. No other RPA company possesses our 30 years of expertise, or level of experience in clinical, administrative, financial, and revenue cycle health.

Having worked exclusively with healthcare organizations, we stand in solidarity with the healthcare workers on the front line of the COVID-19 pandemic. If we can help in expediting orders or routing results, gathering data from disparate sources or putting together actionable reports, please give us a call. Our mission is to simplify tasks, so you don’t have to work harder in an already difficult situation.

Call us at 866-653-5105, or let’s hop on a quick call as we’re happy to answer any questions you may have regarding healthcare automation solutions. We’re also available to connect via Twitter, @bossoft.

Transforming the Health System with Automation – Where to Start in 2020

Healthcare is always in need of help. We thought EHR was going to be a panacea for record keeping, and in many ways it was an excellent concept, yet one fraught with workflow inefficiencies and alerts that made no sense to clinical users. Next came HIE, also a great concept. Having access to relevant, up-to-date information from a variety of sources at the point-of-care is a game-changer, yet the reality of SSO and interoperability have made it difficult in real life. It is great to share records across the country, have more consistent and detailed documentation, but with added complexity comes new and added challenges that are now in need of solutions to take these advancements to the next level. In comes AI, RPA, and healthcare automation. The ability to make the documentation process more efficient and speed reimbursements through the use of machines seems like the future of technology. But, where to begin in 2020?

Small Steps

Incremental progress is the best use of automation and AI in healthcare. We can’t automate everything, and robots cannot take over many of the human-like processes required for healthcare to operate on a daily basis. But, we can infuse it with an improved process that eliminates bottlenecks and increases productivity. Revenue cycle health is an excellent place to start. These technologies can sift through vast amounts of data and adjust or correct nuances in ways that can make tasks in claims management vastly more efficient and effective. A small revenue cycle project often kick-starts other ways to incorporate AI and automation in the healthcare ecosystem. Most revenue cycle projects are up and running within 30 days, and a fast ROI is achieved through greater efficiency, reduced days in A/R, and more “dollars in the door.”

Deloitte states: “RPA represents an opportunity to accelerate business strategy and maximize both growth and organizational performance through the automation of select processes and the redeployment or removal of excess capacity.”

Data Migrations

EHR data migrations are often a slow, expensive process for the health system. Data is not always migrated from the legacy system to the new system, resulting in hundreds of hours of manual data entry, organizing, and checking to be sure the information makes the transition. Automation makes data migrations easier to manage, simple and fast. Legacy systems are often used to “toggle between” for information, which means licensing agreements must be continued, making it difficult to sunset the old when implementing the new system. Automation helps #bridgethegaps, establishing a one-place-shop for improved operational efficiency and data management. In every data migration project, data was available sooner, there were fewer hiccups, and role-based users were able to improve system use. This is because automation works differently than an HL7 feed. It organizes the information, making sure there are no duplicates, and that the information being brought over is useful and meaningful to end-users. Appointments, schedules, registrations, immunizations, and physician preference cards – data that is not possible to bring over via traditional methods are available from day one of “Go Live,” increasing satisfaction and furthering adoption efforts.

Look Outside the Box

Sure, revenue cycle tasks are easy and make absolute sense to infuse with AI and automation. After you see the value, it might be interesting to look at additional areas like human resources and change management for a boost. HR functions and updates, or upgrades to systems and users can be more efficiently managed with automation. Adding automation to HR enhances the efficiency of the HR department by freeing employees from tedious manual tasks, and allowing them to focus on complex areas that require human interaction. Population health initiatives can also benefit from automation, as it can accurately perform sorting, processing, complex calculations, and organizing data from multiple systems. The process is efficient and effective across financial, administrative, and clinical areas. This provides a wider lens into issues that could require follow-up, like chronic care management, social determinants of health, or medication adherence. Information is gathered effortlessly, without the administrative data burden associated with manual searches and data entry.

Performance and Analytics

An automated productivity dashboard delivers drill-down capabilities for exploring the data behind performance metrics. This brings value to health systems, teams, or role-based users looking to run productivity reports, metrics, KPI’s, or any type of reporting. With a totally customizable view, a productivity dashboard can be implemented within days, without vendor involvement. In addition, automation can pull reports from multiple applications, departments, or systems, load the data to compare contractual adjustments, run calculations and comparisons, then format to meet your organizational needs, delivering to the system of choice. This style of reporting can be completed with or without a dashboard, providing a savings in time and productivity from the hours spent organizing data and generating reports. Analytics, updates, and any type of reporting can be improved using healthcare automation. Results can be delivered to Excel, SharePoint, spreadsheets, individuals, or ancillary software solutions.

Patient Portal Integration

Patient portal updates are often done manually, with the integration from portal or kiosk to EHR, a bulky one. Maybe handhelds are used, or other applications are needed to speed information from the patient to the portal or kiosk. Automation aggregates data inputs from multiple sources, contextualizes information checking against all sources, and can even run analytics before delivering it to the physician in an actionable format needed for patient care. Whether patient kiosk, portal, or telehealth solution, automation allows efficient data transfer to another system, in the format, feature, and functionality needed for care delivery. Notes and additional information can be included, speeding the time from messaging to contact. Optimizing the user experience allows for faster adoption of portal and telehealth technology. Providers have a vehicle to connect with patients, and patients can participate in their care by powering navigation from the portal, kiosk, and telehealth solution to the EHR.

There are numerous ways to increase productivity, eliminate manual data entry, and improve operational processes with the addition of automation, AI, and machine learning solutions. Having an ally like Boston WorkStation, a digital workforce, allows a myriad of possibilities to optimize or eliminate repetitive tasking, reduce administrative data fatigue, and increase time for high-touch processes that require a “human” component.

Why Boston Software Systems?
Boston Software Systems is the high performance standard in healthcare RPA. We exclusively focus on the hospital, health system, and healthcare provider organization industry sectors. No other RPA company possesses our 30 years of expertise, or level of experience in clinical, administrative, financial, and revenue cycle health.

Call us at 866-653-5105, or let’s hop on a 30-minute call. We’re also available to connect via Twitter, @bossoft. We’re happy to help you present revenue cycle optimization to your C-Suite. It’s a valuable resource to decrease days in A/R and increase bottom line revenue.

Zeroing In On Claim Denials with RPA

Hospital leaders understand that it’s difficult to get claims out the door in the revenue cycle, but especially difficult to prevent claim denials. The complexity of revenue cycle management makes it hard for providers and healthcare organizations to identify the root causes beforehand. It’s a time consuming, administrative burden that is made easier with Robotic Process Automation (RPA). Sometimes referred to as Artificial Intelligence (AI), RPA is a trained digital employee, working 24/7 to identify gaps in claims management and correct mistakes before they are submitted. Gaining control over denials to reduce chronic revenue losses requires accurate information about where, when, and why the denials are occurring. This “digital employee” becomes a valuable resource to the claims management team, clocking in and working like an FTE, gaining more knowledge over time and making the process easier for the human workers.

Emergency Department Billing

Two-thirds of all inpatient admissions originate in the Emergency Department (ED), making it essential to capture the right information from insurance at the point-of-care. However, the hectic pace of the ED makes it easy to gather the wrong or missing information from the patient’s insurance. The patient may have been discharged or moved to inpatient (different billing). The nature of emergency care makes it difficult for patients and personnel to jump through insurance hoops that would otherwise be fairly straightforward. Some of the challenges with ED billing include contractual issues, like delays or underpayments for ED visits, labs, surgery, testing, or medication. Claims can be missing key identifiers for coding, not checked for crossovers between supplemental and primary insurance, or missing information from medical records. It’s easy to see how ED claims are denied. This makes the ED a great area for Robotic Process Automation (RPA). Bots can sort through mountains of claims, update statuses, check for missing information, access payor and third-party websites to check on crossover claims for Medicare and Medicaid, or verify eligibility and authorization codes. Boston WorkStation is a healthcare automation platform that eliminates the expense of manual data entry resources.

“Saved 10 hours a week and recovered $2 million per year,” the Manager of Business Information Services used Boston WorkStation to identify and load procedures done in the Emergency Room that were not being charged.

Eligibility Checking

Hospitals and other health systems just don’t have the bandwidth to solve claims management complexities. There are overly complicated systems, lack of interoperability, and simply a lack of resources. Boston WorkStation is a digital employee, working in real-time to validate, check, and correct claims. With a complete audit trail and the availability of daily reports, automation allows eligibility checking to work 4x faster and with 100% accuracy. Like a human employee, Boston WorkStation is able to estimate charges based on CPT codes, send information to multiple queues or facilities, look for crossover payment scenarios, and verify plan codes. This type of 24/7/365 workflow is even more important today, with administrative resources stretched, and revenue streams in jeopardy. Automating the workflow involved in processing claims and updating hundreds of providers could be difficult to track. But, Boston WorkStation’s logging capability enables managers to see the detailed steps of the workflow process, and review the information if a problem arises.

“Saved 10 hours a day and $1.2 million per year,” this particular automation takes patient Medicare billing information as provided by the patient and checks it against information that is in the Medicare screens to identify potential problems with Name, Gender, DOB, Secondary Insurance, etc. The automation also prints the differences to an exception report for manual intervention.

Sharing Data Across Systems

In the emergency, nursing, and lab departments, we developed two-part Boston WorkStation projects that share information between Meditech and McKesson systems. The first part creates a spreadsheet of accounts for the previous day’s discharges – then the discharge summary, nursing notes, and other information is pulled in by account from Meditech and into McKesson’s Horizon Performance Manager. The savings are significant. The CHRISTUS IM and nursing staff were previously required to manually input the information – a process that could take six people up to eight hours of data entry. This is the beauty of implementing an automation solution within healthcare, whether it’s build or buy, hospitals and health systems around the world use Boston WorkStation to accomplish error-free automation for every application and eliminate the expense of data entry resources. Boston WorkStation saves time, money, and improves data sharing across the healthcare ecosystem.

“I would say keep it simple. That’s one thing about Boston. It needs to be something that’s simple to use and simple to implement and simple to maintain, and that’s where Boston WorkStation has really shined for us.”

Why Boston Software Systems?
Boston Software Systems is the high performance standard in healthcare RPA. We exclusively focus on the hospital, health system, and healthcare provider organization industry sectors. No other RPA company possesses our 30 years of expertise, or level of experience in clinical, administrative, financial, and revenue cycle health.

Call us at 866-653-5105, or let’s hop on a 30-minute call. We’re also available to connect via Twitter, @bossoft. We’re happy to help you present revenue cycle optimization to your C-Suite. It’s a valuable resource to decrease days in A/R and increase bottom line revenue.

With over 95% of our healthcare automation projects being completed in under 30 days, savings are right around the corner.

Gaining Support from the C-Suite for Revenue Cycle Optimization

Gaining support from the C-Suite is the first step in optimizing revenue cycle management systems, services, and resources. Revenue cycle leadership should prepare to align the strategic needs of the organization with revenue cycle goals and proposed changes. Gaining buy-in from the C-Suite requires information that illustrates why change is needed, and where gaps can be closed. Align the initial cost with the projected savings on a month-to-month basis and focus on presenting the benefit as well as a timeline for success.

Don’t think of it as a one-time investment, think of it as a solution to workflow.

Demonstrate what you’re doing today versus what you could do. This includes gains in efficiency, productivity, faster reimbursements, and greater alignment to workflow. Think of how the entire organization will be better equipped to deliver value, improve processes, and realize a fast ROI. Revenue cycle management is a complicated process, one that delays workflows. The claims denial process is a great illustration. More than 80% of the processes involved in claim denials are manual, paper-based steps that require human operations. Therefore, utilizing proven operational changes can lead to reductions in manual processes. Reducing redundant processes and associated technology costs that accompany the claims denial process can yield hundreds of thousands of dollars in savings for an organization. This makes it a winning investment for healthcare.

Align change management needs to people.

Simplify the graphs, cut the jargon. Executives have many decisions, problems, and projects in their pipeline. They don’t have time to decipher the meaning of a slide deck. Present data that shows why the status quo isn’t working for the people who use it. What’s the story behind the data points? One of the chief complaints we often hear is the “busywork” or “duplicate documentation” needed by staff, to complete everyday tasks. By illustrating the benefit to people, you’re better able to paint an accurate picture of the return on investment.

Recognizing that there must be a clearly defined and communicated strategy behind any change management effort, it may be necessary to dive into claim-level detail to uncover the process people go through on a daily basis, and how operational success can be improved with the addition of an automation strategy. Accurate documentation on a healthcare claim means dollars in the door, reduced denials, automatic corrections, and improvements to bottom line revenue targets.

Lead with insights, present the solution around bottom line results.

Facts matter. And nothing matters more to C-Suite executives than the hard data. Don’t waste time presenting generalities that have no relation to the subject at hand. Whether it is RPA, machine learning, AI, or automation solutions, C-level officers are taking it very seriously from the point of view of business impact. The biggest gain for a business is that it cuts down on manual entry and data complexity, and provides an easily understood ROI on productivity and revenue. Automation is a cost-cutting and efficiency-improving strategy. Implemented quickly, and with little disruption to the larger healthcare ecosystem, an RPA or AI solution offers an easy implementation timeframe, and a fast ROI.

According to HFMA, “One out of four executives in health systems and large hospitals suggest they are using advanced health IT, including RPA, to help increase economies of scale across revenue cycle operations.”

Present the solution as a strategic investment.

Embracing the goal of value is essential as healthcare organizations today are fighting an uphill battle to contain costs in a performance-based environment. The ability to identify tools that improve workflow, reduce duplication of time and effort, and improve revenue targets allows hospitals and health systems to operate more efficiently. Labor-intensive processes result in errors, create gaps in productivity, and delay reimbursements. When it comes to managing risk, hospitals and healthcare organizations face many challenges. Automating revenue cycle tasks with 100% accuracy allows the organization to re-allocate human resources to higher-touch areas.

When presenting value to the C-Suite, it’s important to look not only at features, but to dig deeper and look at the true return on value that the investment provides. Success stories like at ECHN, where “fifty percent of the operations we now use Boston WorkStation for were completed during the third shift. By adding Boston Workstation, we now only need two shifts.” Or in an Emergency Department where “being able to identify and load procedures done in the Emergency Room that were not being charged, saved one organization 10 hours per week and $2 million per year.” Another application “automated the upload of all ethnicity and racial reporting for the Massachusetts Casemix submission. They were able to “accurately update over 20,000 medical records, 6 months worth of manual data entry, in the course of a month, saving the organization $40,000.” There are many more success stories. Revenue cycle health is an important aspect of any health system, hospital, or provider organization. Point out the hard facts, look at the way the problem is solved, then #bridgethegaps to people, workflow, and revenue. It’s a winning strategy.

Why Boston Software Systems?
Though #HIMSS20 is cancelled due to coronavirus concerns, we’d love to speak with you about how to power your revenue cycle health with a fast ROI. Reach out to us, @bossoft. Call us at 866-653-5105, or let’s hop on a 30-minute call. We’re happy to help you present revenue cycle optimization to your C-Suite. It’s a valuable resource to decrease days in A/R and increase bottom line revenue.

With over 95% of our healthcare automation projects being completed in under 30 days, savings are right around the corner. #healthcareautomation #machinelearning #AI #ROI