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Today’s Agenda

Leveraging technology to create an information eco-system that supports and drives a successful lab outreach program. Outreach Laboratory Programs PAML background Opportunities and challenges Outreach Advantage The tool set – products and services

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Today’s Agenda

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  1. Leveraging technology to create an information eco-system that supports and drives a successful lab outreach program

  2. Outreach Laboratory Programs PAML background Opportunities and challenges Outreach Advantage The tool set – products and services How the workflow is improved and information is exchanged New product offerings and patient engagement strategies Today’s Agenda

  3. Pathology Associates Medical Laboratories • Based in Spokane, WA • 1,300 employees • $200 million in Enterprise revenue • 5 state core service area, 6 joint ventures • Virtual lab running 9 LIS, 18 databases • 90 IT staff – 8 integration engineers, 14 in physician connectivity • $12 million operating $3 million capital IT budget • 17 different EMR interfaces – 290 + total and growing quickly • 12 different LIS interfaces – 48 total • 4 web products – 700+ practices • 5 hospital portals integrated – fed from CDR with 170 million results • 57 active connectivity cases – 4 months of work – 2008 210 complete • Regional data sharing collaborative – outpatient lab, radiology and inpatient data • EMPI with 7.2 million patients – 46% of core service area population

  4. Outreach Laboratory Programs • Opportunities: • Incremental lab testing can be highly profitable • Hospitals and IDNs can leverage brand • Combined inpatient and outreach data is a competitive advantage • Challenges: • Investment capital for business expansion is tight • Lack technology tools – resources and implementation risk • Genetic and molecular testing proliferation, consumer driven healthcare As Managing Partner of several JV’s, PAML needed to develop a set of products and services to ensure the success of her Partnerships

  5. LOGISTICS MANAGEMENT OE / REPORTING / EMPI CUSTOMER RELATIONSHIP MANAGEMENT SALES AND MARKETING DEPARTMENT SCHEDULING OAMobile OAConnect OACRM OASFA Schedule Labs

  6. OA Mobile • What is it: Integrated route planning, scheduling, dispatch and specimen tracking system • Value: improved efficiency in logistics combined with specimen integrity process. When paired with OAConnect and OA CRM, laboratories can reconcile ordered tests to specimens received.

  7. OA Connect • What is it: A set of integration tools and web products to provide flexible connectivity for diagnostic orders and results in a patient centric fashion • Value: flexible branded products and integration suite that includes EMPI support and robust EMR interfaces, greatlyimproves outreach program effectiveness and competitive positioning OA has established a comprehensive library of electronic interfaces with advanced architecture and integration resources

  8. Connectivity workflow and process with EMRs • Client orders in EMR • Normalized results go to client EMR • Order goes to JavaCAPS • Results go to JavaCAPS • JavaCAPS validates order using web services • JavaCAPS translates and normalizes results UMCT MCDB Order for CBC JavaCAPS Interface Engine EMPI Exceptions LMRPs • Exceptions are returned to the EMR, if applicable Billing Edits • Test codes and message structure are denormalized • Testing is performed and results entered • Orders go to LIS systems in native format Results for CBC PAML or Testing Partner LIS

  9. OA CRM • What is it: Customized laboratory CRM with end to end workflow and business analytics tools that document client activities and patterns • Value: intimate client relationships and business intelligence that assists management with the appropriate monitoring and analysis of operational trends and client issues

  10. OACRM Case Study

  11. OA Sales Force Automation “SFA” • What is it: Sales and marketing system to target and obtain customer accounts and build outreach market share within a given region • Value: incremental revenues over a highly fixed cost structure drives improved financial performance; Sales Force Automation provides management tools, forecasting and sales campaign utility

  12. Schedule Labs • What is it: automated platform to create, change and communicate your lab department schedules • Value: reduced workload, saves time, optimized scheduling and credentialing and competency feature ensures appropriate resources are available for scheduling

  13. The information eco-system • A new client is set up • The client places an order • CRM SFA • Targets prospects • Documents sales process • Administers & approves pricing Sharepoint Specimen detail OAMobile Data Order for CBC OAConnect • OA Mobile • Receives order detail • Courier tracks & reconciles • Aggregates data • Provides accessioning dashboard for specimen volume by route completion Data Exceptions • OAConnect • Normalizes codes • Matches ID • Applies business rules for clean orders Data Data in an EMR, or Sunquest Lab web Product, • Reports route back to the client Data LIS Exceptions Data Results for CBC Client report Claims Data OACRM • LIS sends claims data to Billing EDI • Automation line • Orders to/results from instruments • 80% of volume • Testing & reporting Data • PAML or Partner LIS • Specimens tracked & racked • Reports generated • OACRM • Contains all customer service cases & activities • Drives customer contact ERA EOB • Periodic publication to data warehouse • Data marts • Business intelligence • Analytics & dashboards Billing System ERA ADR

  14. OA Business Intelligence • Ensure that all appropriate clinical and member elements are correlated for each result (CPT, ICD9, NPI, Payer ID, Member ID, Age, Sex, Result) • Consolidate provider data to mine utilization trends and benchmark payers (NPI, specialty, procedures, payer distribution, abnormal/normal result ratio, avg. age of patients, ICD9 frequency) • Ensure that key elements from external systems populate data in discrete data marts (Billing, Supplies, logistics, CRM, EMPI/PMPI) for full picture of all touch points throughout our Enterprise The result – rich information on all of our customer behaviors, patterns, profitability and relationships to better target services and proactively provide an optimum set of lab services that are relevant to them

  15. PAML, like other laboratories in the United States is also pursuing strategies to further link the patient to their Laboratory Joint Ventures and help their physician customers manage health in partnership with the patient

  16. HealthVault: Software + Services Platform SOFTWARE SERVICES HealthVault Connection Center is a utility that allows users to add data from health and fitness devices such as heart rate monitors, blood pressure monitors, peak flow meters, glucometers, and pedometers. Microsoft HealthVault is an online personal health database with a set of XML interfaces that allows third parties to create valuable health, wellness, and fitness services for HealthVault users.

  17. HealthVault Platform Architecture Partner Applications Devices

  18. Application CompaniesSigned and Live as of 07/22/08

  19. Device CompaniesSigned as of 07/22/08

  20. Consumers As The Aggregators

  21. Health Information labs, images, procedure notes manage my health scheduling, contact information, medication history

  22. Health Information labs, images, procedure notes manage my health scheduling, contact information, medication history

  23. Health Information labs, images, procedure notes manage my health scheduling, contact information, medication history

  24. The IDN Model Tools that are personal Data that is actionable Top consumer preferred tools: • Lab results online • Talk to my doctor via e-mail • After-visit summary (handed out at the end of each visit, but also available online in case you lose it) Kaiser Learnings: • At KP they are signing up new portal users at the rate of 80K / month – by eoy they will have 3MM users, or 47% of their base. They are 25% overdeveloped from an adoption standpoint amongst younger users. • KP did a survey recently and found that their ratings on trust, usefulness, and privacy were really high – and their conclusion is that because it’s your personal information, as a user you find it relevant and powerful.

  25. Summary take away points Technology is driving business growth, efficiency, insight and further brand recognition with patients and providers • Outreach support tools to ensure specimen integrity, seamless data exchange and integrated reporting • CRM and SFA are driving better customer relationships and targeted marketing of services and diagnostic campaigns • Business intelligence tools are providing managers and customers with comprehensive views of business process, operations and diagnostic trends • Patient engagement strategies are an important way to build brand and empower consumers to manage their health

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