A Single Version of the Truth Takes a Whole Toolbox
Arriving at a "single version of the truth" from all of these data sources has enabled MSHA to detect surgical volume moving from inpatient to outpatient, Pigg says. "These shifts can really affect your bottom line," he says.
"It takes business analytics, digging into the details to figure out why the revenue isn't there, and why it legitimately isn't there," says Pigg. A traditional inpatient surgical DRG might get $20,000, but the same type of procedure done on an outpatient basis may only bring in $10,000.
As a result, MSHA has started shifting more low-margin surgeries out of its tertiary hospital, 445-bed Johnson City Medical Center, and into its clinics and surgery centers.
"We're going to have to find the lowest-cost settings to care for patients. We're not going to transfer patients to our tertiary hospital just because we have vacancy," Pigg says.
One thing is constant across the different providers I've talked to about analytics. You need a whole toolbox, not just one tool. MSHA uses a bunch: Siemens Soarian (EMR and data warehouse), Avantas Smart Square (scheduling software with demand forecasting), SCC Soft Computer's SoftLab (laboratory management), Surgical Information Systems (OR management) and others, Pigg says.
- CFO Exchange: Smartphones Poised to Disrupt Healthcare, Says Topol
- Consumerism Drives Healthcare Branding, Rebranding Efforts
- 3 Traits Personality Assessments Can't Reveal
- Antibiotic Overuse a 'Huge Threat' to Patient Safety, Says CDC
- PA Ranks See 'Phenomenal Growth,' Lack of Diversity
- CHS Hacked, 4.5M Patient Records Compromised
- CNO on Hospital Redesign: 'You Can't Over-Communicate'
- CFO Exchange: Healthcare Leaders Share 5 Innovative Ideas
- How Digital Strategy Shapes Patient Engagement at Boston Children's Hospital
- Carondelet to Pay $35M to Settle Fraud Allegations