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Manage Pandemics & align with VBC
iOS
ANDROID
WINDOWS
CRM
MICROSOFT
SOCIAL
CRM
DESIGN
EXPERIENCE
CLOUDJAVA
RWD
www.nalashaahealth.com
www.nalashaahealth.com
Agenda
2
• Current situation at Hospitals’
• Current patient journey and what's not right
• Where to focus?
• Here's one way to solve that
• Beyond Clinical, reducing operational overheads
• How to get there?
www.nalashaahealth.com
Hospitals’ situation
3
Maximize outreach Priority management Self-Screening Patient Tracking
Provider efficiency
Capacity Forecasting
Exception based intervention
During Pandemics
Under Value Based Care
• Maximizeproviderreach
• Enablepreventivecare
• Minimizeavoidableadmissions
• Improvequalityofcareandhealth
• Engage& Educatepatients
• Morecoordinatedcare
• Reduceprovideroverheads
All that different???
www.nalashaahealth.com
The Patient Journey – and what’s not right
4
What’s missing?
Pre-visit
Scheduling
What is happening? What should happen?
• Patientsforgettheappt.  Reachpatientcalendar
• Check-informalitiesatclinic
• Instructionsverbal/absent  Instructionsthatcanbereferredto
 Check-informsathome
 Pre-emptivescreening,prioritization
• Noeligibilitycheckdone
• Triagingandscreeningatthefacility
 Checkeligibilityandinformpatient
www.nalashaahealth.com
The Patient Journey – and what’s not right
5
What’s missing?
What is happening? What should happen?
Consultation
Lab Tests
Rx Pick-up
• PatientsforgetLabtestappt.  Remindersforpatients
• Onlyclinicalpicturepresent
• Rx asperproviderpreference
• Educationallinksshared
 Knowthe‘person’
 Evaluatealternativesaspercontext
 Trackpatientusageofcontent
• Instructionsverbal/absent
• Novisibilityintomed.adherence
 Instructionsthatcanbereferredto
 TrackRx pick-upandconsumption
www.nalashaahealth.com
The Patient Journey – and what’s not right
6
What is happening? What should happen?
IP Admission
Discharge /
Transfer
What’s missing?
• Discharge/Transfersummarygiven  Makeitaccessibleandbite-sized
• Verbalcomm.ofcarealternatives
• Financialrepercussionunknown
• Suspensearoundprocess,nextsteps
• No/Shallow/Cumbersomefeedbacks
• Tiresome/stressfulcollections
 Well-timed‘usable’statements
 PayerreconciledEOBs
 Continuousupdates&education
 Inform&Enablethe‘person
 Reconcileplanbenefits/careoptions
www.nalashaahealth.com
The Patient Journey – and what’s not right
7
What’s missing?
What is happening? What should happen?
Care plan
Execution
Wellness
Mgmt.
• Socialanglemissing  Tracesocialactivity
• Dashboardstoactionlooptoolong
• Careteamsstretchedfortime
• Don’tknowwhoneedsintervention
• Patient’swordastruth
• Careplanetc.sharedwithfamily
• Occasional,out-of-contextcalls
 Tangiblewellnessmeasurement
 Promotefamilyengagement
 Track‘person’health/behavior
 System-assistedprecisiontargeting
 Journeychartingforexceptionaleventnotifications
www.nalashaahealth.com
Focus Areas
8
Patient
journey orchestration
Unified Care
collaboration
AI powered alerts,
Notifications, Worklists
Contextual omni-
Channel outreach
Real-time Wellness
monitoring
360o
Patient view
What’s missing?
www.nalashaahealth.com
US-Healthcare with D365
9
VBCTenetsWhatD365doesforyou
Wellness ManagementPre-visit During visit Post Visit Adm. & Discharge
Send - Appointment on patient
calendar, Check-in / Screening forms,
instructions
Alert patient of eligibility lapse
Check eligibility
 Patient Engagement  Patient Engagement
 Quality of care
 Patient Engagement
 Quality of care
 Interoperability
 Patient Engagement
 Quality of care
 Interoperability
 Population Health
Patient Engagement
Quality of care
Interoperability
Population Health
Mass outreach – Preventive care
Present complete patient picture
Track Rx pick-up and alert provider
Cal. Invite and reminders for test
Instructions and educational content
Alert billers of closed encounters
Loop patients in on Lab tests
Measure access to end. resources
Alert providers of incomplete charts
Payer reconciled patient statements
Referral tracking & alerts
Enable program choices & enrolment
Share with patient – Discharge
summary, Care options, Financial
repercussions, Care plan
Involve family/Social workers
Collection reminders & payments
Chart patient journeys – Identify at-
risk patient, real-time adverse event
notification, pre-emptive intervention
Auto-assign care team members
Auto-trigger billing
RPM & social engagement tracking
Benefits
 Reduced wait time & No-shows
 Fewer Claim denials
 Lower effort for check-ins
 Better Medication adherence
 Shorter payment cycle
 Informed patients
 Better PR collections
 Faster Cash flows
 Informed patients
 Better PR collections
 Healthy patients (preventive care)
 Engaged patients
 Better provider utilization
 Healthy patients (preventive care)
 Reduced overheads  Costs
 Accelerated dollars
Clinical Financial Admin
Artificial
Intelligence
Custom process
orchestration
Ubiquitous
Connectivity
Robotic Process
Automation
Device
Integrations
www.nalashaahealth.com
Non-clinical Challenges– To be avoided
10
Admin/Operations Billing Customer Support
ChallengesYouwish
 Manual intake, Clinician/Equipment
allocation draining resources
 No unified care collaboration view
 Urgency/Specificity of action missing
in Population health dashboards
 Engagement for clinical trials difficult
 Staff performance tracking inaccurate
 No real-time allocation of closed
encounters for billing
 Cumbersome coordination with
providers for claim fixing
 Patient statements lag payer
payments by too much
 Missed eligibility, Auth.; No/Delayed
actions for negative responses
 Limited/No access to conversational
& feedback history, social context
 Ineffective/Missing/Cumbersome link
with care teams
 No unified comm. – Internal/external
 No targeted pre-emptive care ability
Performance-outcome attribution
Actionable population journey
Event-based ‘At-risk’ worklist
Centralized coordinated Comm. Auto-reminders/notifications/follow-ups
Customized auto-run campaigns
Auto-gen. invoices and payment reminders AI-assisted customer service
360-degree Patient viewRules-driven biller worklistsRules-driven resource management
Well-timed satisfaction surveys
Marketing
 No customization/personalization in
Campaigns – targeting, messaging,
timing, channel
 Manually push relevant educational
content to patients
 No empirical patient engagement
measurement
Patient-event driven content
Digital engagement footprint tracking
Conversational provider collaboration
www.nalashaahealth.com 11
Patient &
provider portals
Marketing
Automation
Care
Management
Predictive
analytics
Intelligence
driven processes
Mobile enablement
Billing operations IoT
(Device integrations)
Conversational AI
RPA
Kick-Off
Artefact
analysis
Administration Patient
Profiling
Customer
Service Rules engine
Analytics
(PHM & more)
Final Delivery Go-live
W1 W2-8 W9 W10-11 W12-14 W15-18 W19 W25-26 W27 W28
CoveredFeatures
• Appointment scheduling
• Eligibility checks
• Follow-up tracking & capability
• Patient journey setup
• Precision targeting
• Internal/external communications
• Customer support/billing operations
• LMS to help support staff
• AI driven resolution/processing
• Chat-bot to minimize incoming calls
• Conversational AI
• Automate mundane tasks (RPA)
• Implement HC interoperability standards
• Integrate data from solutions & devices
• Alerting mechanism
• Notification & reminder setup
• Lab & eRx orders (patient reminders)
• Channelized marketing (post analysis)
• Custom educational content
• Resource management/allocation
• Population Health Management
• Patient engagement insights
• Feedback analysis
• Clinical & financial reports
• Predictive reports, pre-emptive care
• Marketing insights & analysis
• Care collaboration view of patient
• Family tree (family history, etc.)
Implementation: How simple is it?
Req.
gathering
UAT
W20-24
Integrations
Toppings &
Add-ons
Administration Customer Service Integrations
Patient Profiling
Rules Engine Dashboards/Analytics
www.nalashaahealth.com
For more information, contact info@nalashaa.com
Nalashaa Healthcare Solutions LLC.
510, Thornall Street, Ste 210, Edison, NJ 08837
+1-732-602-2560 Ext: 200
13
Thank You
www.nalashaahealth.com

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Webinar on Using MS D365 for Hospitals During the COVID-19 Pandemic

  • 1. Manage Pandemics & align with VBC iOS ANDROID WINDOWS CRM MICROSOFT SOCIAL CRM DESIGN EXPERIENCE CLOUDJAVA RWD www.nalashaahealth.com
  • 2. www.nalashaahealth.com Agenda 2 • Current situation at Hospitals’ • Current patient journey and what's not right • Where to focus? • Here's one way to solve that • Beyond Clinical, reducing operational overheads • How to get there?
  • 3. www.nalashaahealth.com Hospitals’ situation 3 Maximize outreach Priority management Self-Screening Patient Tracking Provider efficiency Capacity Forecasting Exception based intervention During Pandemics Under Value Based Care • Maximizeproviderreach • Enablepreventivecare • Minimizeavoidableadmissions • Improvequalityofcareandhealth • Engage& Educatepatients • Morecoordinatedcare • Reduceprovideroverheads All that different???
  • 4. www.nalashaahealth.com The Patient Journey – and what’s not right 4 What’s missing? Pre-visit Scheduling What is happening? What should happen? • Patientsforgettheappt.  Reachpatientcalendar • Check-informalitiesatclinic • Instructionsverbal/absent  Instructionsthatcanbereferredto  Check-informsathome  Pre-emptivescreening,prioritization • Noeligibilitycheckdone • Triagingandscreeningatthefacility  Checkeligibilityandinformpatient
  • 5. www.nalashaahealth.com The Patient Journey – and what’s not right 5 What’s missing? What is happening? What should happen? Consultation Lab Tests Rx Pick-up • PatientsforgetLabtestappt.  Remindersforpatients • Onlyclinicalpicturepresent • Rx asperproviderpreference • Educationallinksshared  Knowthe‘person’  Evaluatealternativesaspercontext  Trackpatientusageofcontent • Instructionsverbal/absent • Novisibilityintomed.adherence  Instructionsthatcanbereferredto  TrackRx pick-upandconsumption
  • 6. www.nalashaahealth.com The Patient Journey – and what’s not right 6 What is happening? What should happen? IP Admission Discharge / Transfer What’s missing? • Discharge/Transfersummarygiven  Makeitaccessibleandbite-sized • Verbalcomm.ofcarealternatives • Financialrepercussionunknown • Suspensearoundprocess,nextsteps • No/Shallow/Cumbersomefeedbacks • Tiresome/stressfulcollections  Well-timed‘usable’statements  PayerreconciledEOBs  Continuousupdates&education  Inform&Enablethe‘person  Reconcileplanbenefits/careoptions
  • 7. www.nalashaahealth.com The Patient Journey – and what’s not right 7 What’s missing? What is happening? What should happen? Care plan Execution Wellness Mgmt. • Socialanglemissing  Tracesocialactivity • Dashboardstoactionlooptoolong • Careteamsstretchedfortime • Don’tknowwhoneedsintervention • Patient’swordastruth • Careplanetc.sharedwithfamily • Occasional,out-of-contextcalls  Tangiblewellnessmeasurement  Promotefamilyengagement  Track‘person’health/behavior  System-assistedprecisiontargeting  Journeychartingforexceptionaleventnotifications
  • 8. www.nalashaahealth.com Focus Areas 8 Patient journey orchestration Unified Care collaboration AI powered alerts, Notifications, Worklists Contextual omni- Channel outreach Real-time Wellness monitoring 360o Patient view What’s missing?
  • 9. www.nalashaahealth.com US-Healthcare with D365 9 VBCTenetsWhatD365doesforyou Wellness ManagementPre-visit During visit Post Visit Adm. & Discharge Send - Appointment on patient calendar, Check-in / Screening forms, instructions Alert patient of eligibility lapse Check eligibility  Patient Engagement  Patient Engagement  Quality of care  Patient Engagement  Quality of care  Interoperability  Patient Engagement  Quality of care  Interoperability  Population Health Patient Engagement Quality of care Interoperability Population Health Mass outreach – Preventive care Present complete patient picture Track Rx pick-up and alert provider Cal. Invite and reminders for test Instructions and educational content Alert billers of closed encounters Loop patients in on Lab tests Measure access to end. resources Alert providers of incomplete charts Payer reconciled patient statements Referral tracking & alerts Enable program choices & enrolment Share with patient – Discharge summary, Care options, Financial repercussions, Care plan Involve family/Social workers Collection reminders & payments Chart patient journeys – Identify at- risk patient, real-time adverse event notification, pre-emptive intervention Auto-assign care team members Auto-trigger billing RPM & social engagement tracking Benefits  Reduced wait time & No-shows  Fewer Claim denials  Lower effort for check-ins  Better Medication adherence  Shorter payment cycle  Informed patients  Better PR collections  Faster Cash flows  Informed patients  Better PR collections  Healthy patients (preventive care)  Engaged patients  Better provider utilization  Healthy patients (preventive care)  Reduced overheads  Costs  Accelerated dollars Clinical Financial Admin Artificial Intelligence Custom process orchestration Ubiquitous Connectivity Robotic Process Automation Device Integrations
  • 10. www.nalashaahealth.com Non-clinical Challenges– To be avoided 10 Admin/Operations Billing Customer Support ChallengesYouwish  Manual intake, Clinician/Equipment allocation draining resources  No unified care collaboration view  Urgency/Specificity of action missing in Population health dashboards  Engagement for clinical trials difficult  Staff performance tracking inaccurate  No real-time allocation of closed encounters for billing  Cumbersome coordination with providers for claim fixing  Patient statements lag payer payments by too much  Missed eligibility, Auth.; No/Delayed actions for negative responses  Limited/No access to conversational & feedback history, social context  Ineffective/Missing/Cumbersome link with care teams  No unified comm. – Internal/external  No targeted pre-emptive care ability Performance-outcome attribution Actionable population journey Event-based ‘At-risk’ worklist Centralized coordinated Comm. Auto-reminders/notifications/follow-ups Customized auto-run campaigns Auto-gen. invoices and payment reminders AI-assisted customer service 360-degree Patient viewRules-driven biller worklistsRules-driven resource management Well-timed satisfaction surveys Marketing  No customization/personalization in Campaigns – targeting, messaging, timing, channel  Manually push relevant educational content to patients  No empirical patient engagement measurement Patient-event driven content Digital engagement footprint tracking Conversational provider collaboration
  • 11. www.nalashaahealth.com 11 Patient & provider portals Marketing Automation Care Management Predictive analytics Intelligence driven processes Mobile enablement Billing operations IoT (Device integrations) Conversational AI RPA Kick-Off Artefact analysis Administration Patient Profiling Customer Service Rules engine Analytics (PHM & more) Final Delivery Go-live W1 W2-8 W9 W10-11 W12-14 W15-18 W19 W25-26 W27 W28 CoveredFeatures • Appointment scheduling • Eligibility checks • Follow-up tracking & capability • Patient journey setup • Precision targeting • Internal/external communications • Customer support/billing operations • LMS to help support staff • AI driven resolution/processing • Chat-bot to minimize incoming calls • Conversational AI • Automate mundane tasks (RPA) • Implement HC interoperability standards • Integrate data from solutions & devices • Alerting mechanism • Notification & reminder setup • Lab & eRx orders (patient reminders) • Channelized marketing (post analysis) • Custom educational content • Resource management/allocation • Population Health Management • Patient engagement insights • Feedback analysis • Clinical & financial reports • Predictive reports, pre-emptive care • Marketing insights & analysis • Care collaboration view of patient • Family tree (family history, etc.) Implementation: How simple is it? Req. gathering UAT W20-24 Integrations Toppings & Add-ons Administration Customer Service Integrations Patient Profiling Rules Engine Dashboards/Analytics
  • 12. www.nalashaahealth.com For more information, contact info@nalashaa.com Nalashaa Healthcare Solutions LLC. 510, Thornall Street, Ste 210, Edison, NJ 08837 +1-732-602-2560 Ext: 200 13 Thank You www.nalashaahealth.com

Notes de l'éditeur

  1. The current situation, & why is there such a crisis in hospitals across US today! Educating patients on preventive measures and better lifestyle choices to stay healthy – Maximize outreach Keeping the unwarranted cases out of the hospital to prevent clogging of the front-desk – Priority management Patient engagement with scale to ensure self-screening – Patient empowerment Keeping track of patient health and prioritize the needed outbound efforts – Patient health & status tracking Easing provider burden to prevent their burn-out – Provider efficiency Knowing and forecasting capacity to optimize quality and cost – Accurate capacity planning Spend time on what needs to be acted upon instead of figuring it out – Automated orchestration/Exception based intervention
  2. What do we want to show Notifications/Alerts to providers Reminders to patients Educational material to Patients Health/Behavior monitoring/progress of Patients Periodic screening of patients – triaging outside the clinic Coverage of patients to be ensured Engagement of patients
  3. What do we want to show Notifications/Alerts to providers Reminders to patients Educational material to Patients Health/Behavior monitoring/progress of Patients Periodic screening of patients – triaging outside the clinic Coverage of patients to be ensured Engagement of patients
  4. What do we want to show Notifications/Alerts to providers Reminders to patients Educational material to Patients Health/Behavior monitoring/progress of Patients Periodic screening of patients – triaging outside the clinic Coverage of patients to be ensured Engagement of patients
  5. What do we want to show Notifications/Alerts to providers Reminders to patients Educational material to Patients Health/Behavior monitoring/progress of Patients Periodic screening of patients – triaging outside the clinic Coverage of patients to be ensured Engagement of patients