Hospitals are constantly trying to keep track of where patients in the region are being referred for care. Are they being referred to other organizations? What types of services are needed to fully serve the community?
Through HBI’s Patient Flow solution, all these questions can be answered by leveraging real world data. Real world data is comprised of billions of claims (26+ billion claims) consisting of both medical and pharmacy claims. Fields included in the data are procedures, facility primary diagnosis, physician detail, insurance payer, paid amount, reason codes, and more. HBI deploys the data into a solution using an interactive dashboard that allows organizations to drill down into specific subsets of data to obtain actionable insights.
Through recent conversations, one big area hospitals and health systems continue to struggle with is where physicians are sending patients for external services. No one seems to have the data necessary to answer this question. If they do, organizations still struggle to understand and making sense of “big data”. HBI’s patient flow solution allows organizations to easily identify physician referral patterns by physician detail, outgoing services, outgoing volumes, facilities, and health system affiliations.
Organizations leverage the patient flow tool to identify different opportunities where they can recruit, promote, partner, and educate the community to the benefits of their programs. For instance, let’s say an organization wanted to look at referrals of imaging services from independent or unaffiliated organizations, or those referrals originating from nearby facilities that end up at distant facilities. The patient flow would highlight a significant opportunity to better serve patients requiring imaging services based on trends and referral patterns seen amongst physicians. These physicians might not be aware that the organization has state of the art technology, specialized providers, and overall better quality scores. Identifying these physician patterns allows organizations to inform specific populations of the benefits their organization offers which can help to drive more referrals and improve the patients‘ overall experience while receiving imaging services.
HBI’s Patient Flow solution helps to solve multiple problems healthcare leaders struggle with every day. How are patients shared between physicians and health systems across the care continuum? What does my regional patient population look like? Could I offer additional services to better serve our community? If you are curious about how HBI can help answer these pressing questions for you, please reach out by filling out the form below.