There has never been a more dynamically orchestrated change in healthcare. Provider challenges today are many, complex, and driven by both organizational and regulatory performance timetables.
Combine these challenges with over two solid decades of industry merger and acquisition—the result is larger hospital groups, care networks, and HIEs, all trying to connect brittle, heterogeneous infrastructure and meta-data sources into modern data platforms to meet increasing demands.
Healthcare Provider Challenges:
Billing Engine for Co-Morbidity Testing
Issue: This provider client has multiple hospitals and disparate EMR systems, and was not able to track ICD9-10 codes conducted on co-morbid patients. They were losing billable revenue as a result.
Impact: BlueMetal architected, designed, built, tested and deployed a customized solution integrating their disparate systems, processes, and billing requirements within 4 months.
ROI: Client estimates approximately $15 million dollars per year in additional billable revenue.
Cloud Based Clinical Data Repository and Quality/Patient Safety Analytics Platform
Issue: This ACO client has multiple acute hospital, ambulatory, specialty and community based care locations, but was unable to share and coordinate patient care across platforms. They were also unable to effectively measure quality and patient safety measures as well as regulatory measures associated with Accountable Care. Finally, their existing on premises data center was reaching capacity, and they needed to seek hybrid data architecture solutions.
Impact: BlueMetal architected and invested in a 90-day requirements gathering and discovery session on-site with the client, producing a validated hybrid (on premises and cloud-based) clinical data repository solution architecture and role-based security model blueprint, which was third-party validated for security and regulatory compliance. We also developed a TCO calculator for their data migration and capacity planning. After three months, we had completed phase 1 development and were loading data from multiple sources into the cloud based clinical data repository. In the fourteen months from development kickoff, we completed full integration of the CDR to the cloud based provider and patient portal, and built out the real-time data cube capability to drive ACO, quality and patient safety and operations data insights.
ROI: The custom hybrid clinical data repository was completed at a fraction of the estimated several hundred million dollars and three years to standardize on a single EMR platform. Clinicians continue to use familiar EMR systems and now have complementary portal tools to provide patient insights and alerts that drive coordinated real-time care decisions, making this a cost savings, solution velocity and user satisfaction win. The provider now has a full disaster recovery data back-up should their data center suffer a disruption.
Cloud Based HIPAA Compliant Portal to Meet Meaningful Use Stage 2 Requirements
Issue: This provider client had early timetables to achieve Meaningful Use Stage 2 compliance. They had no patient login portal infrastructure, and were challenged to evaluate multiple portal platform infrastructure and MU-2 compliant solution offerings against a very aggressive solution implementation timetable and performance deadline directly tied to federal funding. They wanted to avoid investing in and operating additional infrastructure, and annually re-certifying their MU-2 solution.
Impact: Armed with the technology experience and industry knowledge, within fourteen days BlueMetal had developed a MU2 compliant solution recommendation and provided two HIPA A compliant, cloud-based infrastructure as a service (IaaS) recommendations. When the client made their choice, BlueMetal worked to validate the entire solution and infrastructure in a three week Proof of Concept for security, scalability, and performance responses. In a total of six months, we have gathered the clinical and business requirements from multiple stakeholders; architected and developed the branded portal and phase 1 functionality; integrated it to multiple data source systems for the pilot; and validated the security model.
ROI: The client is meeting their MU-2 portal development timelines on budget for the project and are on target to capture over $10 million dollars in federal incentive funding in 2014.