A recurring theme here on our blog is discussing the powerful effects a culture of analytics can have on hospitals and health systems. In this post, see how Wise Health System used MedeAnalytics solutions to cultivate this type of culture – leading to improved revenue cycle management and enhanced customer care.
The Challenge
Large, Texas-based organization Wise Health System was looking out at massive chasms between various operations strategies, multiple IT systems, and disconnected processes and people. Rather than continue to execute a piecemeal approach to decision-making, Wise aspired to build a culture driven by data and analytics.
In doing so, Wise leadership hoped to empower their staff to accomplish significant clinical quality improvement, enhance work flow and collaboration between and within financial and clinical teams, integrate technology more effectively, and improve clinical documentation practices.
The Solution
With MedeAnalytics Revenue Cycle Management, Wise Health System created efficiencies in patient access, mid-cycle processes, and business office functions. These improvements included:
- Real-time analytics to improve point-of-service collections
- Opportunities to improve revenue capture, minimize audit risk and succeed with ICD-10
- Identification of black holes, bottleneck and outliers to improve cash flow and collections
- Self-service dashboards and reports providing visibility into A/R and denials
These meaningful shifts brought about remarkable operational value and clinical outcomes. Beyond that, a shared source of data and insights allowed various teams and sites of care to work together more seamlessly for the benefit of the patient.
Measurable Impact
- 34.7% Increase in Case Mix Index
- 11% Improvement in Patient Satisfaction Scores
- 26% Reduction in readmission rates for heart failure
- 129.2% Improvement in CC/MCC Capture Rate
“The analytics and insights-driven collaborative culture has enabled us to grow, evolve and make Wise Health System a great place to work.” – Lynn Giddens-Branscum, Vice President of Revenue Cycle Management and Audits
Get our take on industry trends
2022 Rx: Your new, post-pandemic prescription for success
By Dave Schweppe, Chief Analytics Officer, MedeAnalytics Despite the common use of the term “post-COVID,” most leaders across the healthcare…
Read on...Combating the opioid epidemic in North America with Nobel Prize winning research
American Researchers Dr. David Julius and Dr. Ardem Patapoutian from California were awarded the Nobel Prize in medicine for their path breaking work on the development of non-opioid painkillers, showing immense promise for combating the epidemic.
Read on...Why managed Medicaid/Medicare health plans need analytics to improve outcomes
Managed care organizations that provide healthcare services to Medicare/Medicaid members are dedicated to improving the health and wellness of these underserved populations, especially those living in rural areas.
Read on...Using consumer analytics to steer health-related decisions
Companies tap into what people like to eat and drink, how we purchase consumables, where we like to shop, what shows we might like to stream, whether we vote, and so on. If you have ever created a profile on a streaming application (think Netflix or Amazon), you will receive recommended books, movies and other items just as soon as you start surfing.
Read on...