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.
- CVS Ramps Up Retail Clinics with Provider Affiliations
- 4 Tectonic Shifts Shaking Up Healthcare
- Drug Pricing 'Tantamount to Greed,' Lawmaker Says
- Contradictory Obamacare Rulings Issued by Appellate Courts
- Study Puts Spotlight on Preventing Fall-Related Injuries
- Wanted: Nurse PhDs
- As HIPAA Breaches Accelerate, Tools Lag
- Roundtable: Life After a Healthcare Organization Acquisition
- The Infection-Busting Treatment Payers Don’t Want to Talk About
- Medical Errors Third Leading Cause of Death, Senators Told