Kiriworks - Driving Digital Healthcare Payer Transformation
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July 19th Webinar
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Kiriworks - Driving Digital Healthcare Payer Transformation
- 1. Katie Panzica, Product Manager Mike Hurley, Manager of Healthcare Payers – Hyland Software Colin Gibb, Solution Architect – Hyland Software Driving Digital Transformation
- 3. Digital Transformation is about outcomes: • Eliminate obstacles • Eliminate manual tasks • Increase process insights • Make smarter decisions • Departmental collaboration • Ensure compliance • Improve productivity
- 4. The digital playing field has changed…
- 5. …and in order to play you need the right set of tools!
- 7. Kiriworks Healthcare Payer Platform: • Appeals & Grievances • Provider Contracting • Credentialing • Recruitment • Claims Integration • Mobile Medicare Enrollment • OnBase Mackinac
- 9. OnBase Mackinac Electronic Exchange of Healthcare Documents & Data Hyland Software Proprietary and Confidential
- 10. Intro to Mackinac Demonstration Hyland Software Proprietary and Confidential
- 12. HEALTHCARE RUNS ON FAX AMERICA RUNS ON DUNKIN
- 13. Faxes in Healthcare Cost and Hackability Poor Quality of Image and Data Non-Collaborative form of Communication Healthcare Ideal Human-friendly and Highly Secure Fast and Inexpensive High Quality Data and Documents in ANY Format
- 14. Mackinac Digital Transformation for Today’s Healthcare Hyland Software Proprietary and Confidential
- 15. Secure Workflows reduce paper, fax, email & portals ANY Healthcare Organization ANY data & content
- 16. Mackinac’s Value Per Transaction Savings >$90% Guaranteed Delivery & Audit History Workflow as Conversation Hyland Software Proprietary and Confidential No IT or Business Changes
- 17. Current Process Exchanging Medical Records with Fax and Paper Hyland Software Proprietary and Confidential
- 18. TCS Creates Request Letter Typical Request Process Flow Cart delivers letter to ROI department Payer Provider QNXT USPS USPS Mail Room Print Shop Mail Room Sort/Prep & Scan EMR Create medical record PDF Print Shop Mail Room Sort/Prep & Scan Approve Triage and Route Mail RoomDeny Nurse Review Hyland Software Proprietary and Confidential
- 19. OnBase Mackinac Secure Healthcare Workflows Hyland Software Proprietary and Confidential
- 20. OnBase, QNXT, TCS & Mackinac Flow ROI Request Queue OnBase OnBase EMR eForm (w/Medical Records) Provider Clearinghouse Payer Clearinghouse Payer Provider Hyland Software Proprietary and Confidential Status, Confirmations, Audit Trail & Reporting Mackinac Cloud Tracker (No PHI) QNXT OnBase eForm with Letter TCS Letter Nurse Review Queue OnBase updates QNXT
- 22. Revolutionize the way you do work! Thank You
Editor's Notes
- Hello and welcome to our Webinar. Today we will be discussing Digital Transformation and how it can impact you. My name is Katie Panzica. I am the Product Manager here at Kiriworks. And with me today is Mike Hurley, Manager of Healthcare Payers at Hyland Software the developer of OnBase. Before we get started I wanted to remind everyone that our lines are muted. If you have a question please type it in the question box. We will be monitoring this throughout the presentation. The webinar will be recorded and posted. So let’s get started….
- Digital Transformation, what is it? Some may think it is about going paperless and having everything electronic or going mobile so information can be easily access at your fingertip. You may hear the words optimization, innovation or flexibility. All of this is correct. These are all pieces of the digital transformation puzzle. When we discuss digital transformation we are talking about the broad range of technologies and applications that enable you to be more efficient, create automation within your processes, allow for better decision making and a better customer experience, which all lead to productivity improvements which is the lifeblood of all industries, not just healthcare payers.
- Which means Digital transformation is about outcomes. What do I mean by that? When you think Digital transformation, you should think organizational change! An opportunity to rethink the way you do business. How can we eliminate obstacles that we run into on a daily basis? These can range from not getting answers, delays in a process, unmanageable workload balance. What parts of our process can we automate? How many of our manual tasks can be done with technology? How can we collect data to improve our process and make better decisions? Communication is a key factor when a process has many moving parts. Some processes may involve 7 departments and touch 100 people before it is completed. So how can departments work better together? And all of these transformations need to meet compliance requirements while seeing improved productivity. So our end goal is to create better outcomes!
- But the digital playing field is changing and it is causing disruption for those who don’t embrace this change. For example, today people want things instantly and access things easily. Take taxis, what has disrupted this business…Uber. People like having the ability to order transportation from there phone and track the entire process from order to delivery (car arriving). Can also use AirBnB or Netflix. You need to get ahead of the change to create a stronger completive advantage.
- And to do that you need the right set of tools.
- And those tools are technology and applications on a single platform. With one platform you can simplify the management of your process, control the security around your information and everything is managed centrally. It’s a way to increase communication throughout your organization and see are more efficient and productive environment.
- Kiriworks offers a healthcare payer platform that helps you drive digital transformation within your organization. Whether you begin your digital transformation journey within A&G or Contracting, our platform is an enterprise wide solution. Allowing you to address the challenges you face in operations, compliance, customer service or IT. Our platform integrates with your existing technology investments to connect your systems, processes, departments and people. Our end goal is to encourage internal communication, increase process efficiencies, provide better outcomes and create a better experience for your member & providers.
- And we know that now a days working together is better. So joining us today is Mike Hurley of Hyland Software. He will be discussing OnBase Mackinac and how payers and providers can work better together.
- That gentleman on the left is Alexander Bain. A Scottish inventor and entrepreneur. He was the Steve Jobs of his time, he thought about technology combinations In 1841, he saw possibility of combining electricity and time keeping, he invented the first electric clock A couple of years later he thought that he could leverage electricity, telegraph and chemistry. He invented the first fax machine. This innovation now allowed documents to be sent between cities via telegraph lines
- Fast forward to today, America runs on Dunkin…. And the most expensive, technically advanced healthcare system on the planet runs on still runs on Alexander Bain’s 1843 invention … but unlike the Michigan Avenue Bridge, the fax has not aged well
- Problems Expensive and not a secure way to share PHI Very Poor Quality of Image and Data “Throwing Files” What’s the Ideal? Human-Friendly Inexpensive Ubiquitous Instantaneous Highly secure High Quality Data and documents/content Moves any type or format of content Works with any payer or provider system
- So how do we begin making strides away from Alexander Bain’s 1843 invention? Four years ago we were looking to build a bridge of our own. One that would 1. allow a secure workflow bridge between our payer and provider customers 2. eliminate the need for our healthcare customers to fax or portal 3. Reduce Costs AND improve patient wellness
- Then in 1957 they opened the Mackinac Bridge The five mile long Mackinac Bridge connects Michigan's Upper & Lower Peninsulas It is fast, safe and, for a modest fee, drivers can cross in about 7 minutes
- Reduced hard dollar costs by 90%+ per transaction Improved process speed to review and pay claims involving medical documentation Improved collaboration, communication and coordination of care Improved payers, provider and member/patient experience
- High Level Map of Mackinac