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
Why Social Determinants Need Analytics for Success
Many challenges face healthcare’s underserved. There are issues with food, housing, reliable transportation, steady employment and more. Each contributes to and is one element of social determinants of health (SDH). In communities around the world, public and private organizations are taking steps to address SDH-related issues and challenges that negatively impact healthcare.
Read on...Healthcare Organizations Recognize Importance of AI for Reporting
Healthcare providers continue to recognize the value of using AI in reporting operations throughout the organization. AI has many strengths when applied to the healthcare industry:
Read on...Why It’s Time for Healthcare to Move Toward AI Reporting
Business intelligence (BI) was a dramatic and significant step forward in healthcare industry reporting and a natural transition to artificial intelligence (AI) enabled real-time insights.
Read on...Why Healthcare Should “Double-Down” on Exploring AI-powered BI for Reporting
Many areas in healthcare rely not only on the collection of data but, importantly, the ability to decipher and act upon it. In that intersection, reporting was born.
Read on...