CASE STUDY

Hospital Chain Improves Quality of Care Using Payer and Patient Analytics

Sep 23, 2016

Business Challenge

Payer and patient analytics for improving care management

A leading US-based hospital chain wanted a detailed analysis of its care delivery structure in order to improve the care management process.

Situation

Improving the quality of healthcare service

The client wanted to improve the quality and safety of patient care, ease the burden on physicians, and strengthen the hospital administration and supply chain efficiencies. The objective was to support the overall care delivery across its hospital chains, through optimized access to, and understanding of, payer and caregiver information.

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Solution/Approach

Consolidation of various hospital records and performance analytics

We consolidated all the patient and provider data from electronic health records (EHRs), paper-based records, pharmacy records, claim records, and other internal and external data. We used performance analytics for deep drill-down analysis of all of the complex data sets and generate insights to design and deploy best practices and care paths across the hospital chain.

Impact

Improved collaboration and staff efficiency, and reduction in erroneous claim payments

The client streamlined its workflow and was able to improve collaboration between patient, pharmacy, payer, care provider, and employer; which improved the efficiency of its staff. The client was able to make all medical records available online within 48 hours of discharge, resulting in up to 10% reduction in erroneous claim payments.

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