Tag Archives: physician

3 Ways Through Which A Practice Can Enhance Patient Experience And Improve Patient Engagement

Patient experience is not just about the quality of care measurements and outcomes. Today, there are about 10 aspects that define the patient experience, and each one has its own impact to attract and retain patients within the network.

Patient experience and engagement can be defined by the following aspects,

  1. Meeting with a doctor
  2. Wait time
  3. Billing
  4. Scheduling appointments
  5. Appointment follow-up
  6. Staff interactions
  7. Pharmacy
  8. Online reviews
  9. Social media
  10. Website

Let us explore a few tips that will enhance the patient experience, improve patient engagement, drive better outcomes and keep staff engaged. We know patients actively involved in their health tend to have better outcomes, report higher overall satisfaction, and experience lower health-related costs.

Enhancing and transforming the patient experience and providing first-rate, patient-centered care revolves around the consistent development of processes to meet patients’ expectations and needs. Understanding patients’ preferences and priorities will allow practices to identify and optimize opportunities to increase comfort and reduce suffering which will ultimately strengthen the patient-provider relationship.

Let us first define exactly what patient engagement is and break down top-level strategies that practices can use to stay connected with their patients outside traditional clinic walls.

What is the difference between patient engagement and patient experience?

The patient experience is influenced by the perception of the care they received. Ultimately, patient experience represents the overall satisfaction of their personal experience with the practice, which, more often than not, is beyond control.  

Patient engagement, however, relates to the way a patient mobilizes their healthcare experience. What actions do they take that allow them to take an active role in their healthcare? What tools, technologies, and programs are available to encourage patients, caregivers, and families to play a more engaged role in administering their long-term health and wellness?

To improve patient engagement, a practice must recognize that engaging with patients is a triangular synergy between the physician, the patient, and the practice. It is about encouraging interaction between patients and providing meaningful opportunities for your patients to engage in the ways they know and are comfortable with.

1) Keeping patients engaged after they leave

Patient engagement is no rocket science. Patients want any practice to be accessible. They desire simple ways to schedule appointments, and perhaps most important of all, they want transparent and straightforward billing.

Technology has its purpose, but nothing can substitute for genuine interpersonal communication. Compassion and empathy are not something patients can get from AI or an app; they are, however, things the practice and their staff can use to promote greater engagement.

If a practice has the latest technological gadgets, it doesn’t mean that they can check patient engagement off your to-do list. Improving patient engagement is about that personal touch, human connection, feeling like taking an active role in managing healthcare delivery.

Therefore, how can a practice engage their patients? The answer lies in the space between a doctor’s visit and the following chapter in a patient’s care.

Patients have climbed on the digital bandwagon and ready for technological engagement. Patients already interact daily with different technologies, so practice should consider employing those to boost engagement. Here are some ideas that will work:

  1. Smartwatch health data monitoring
  2. Real-time educational opportunities through the website or Alexa-like devices
  3. Push notifications to remind patients to exercise, pick up their prescriptions, or invite them to special events or seminars

To impact patient experience, satisfaction, and engagement, it will be critical to concentrate on the tiny adjustments within the practice’s workflow that will have a significant impact on the patient.

2) Leverage Artificial Intelligence

Three-quarters of aging households are expected to adopt voice-assisted technology by 2020 making artificial intelligence (AI) the tech frontrunner to enhance patient engagement.

Not inconceivable is the presence of an Alexa like Bluetooth speaker running through exam rooms, performing like closed-loop HIPAA-compliant systems. Patients would be able to ask questions related to their file and diagnosis, change the TV channel or dim the lighting in the room.

Virtual reality (VR) can also drive patient engagement. Some hospitals in California are employing VR to show patients how specific brain surgeries will be performed, thus elevating patient satisfaction scores as well as reimbursements. There’s a real possibility of home care and wound care with patient and provider interacting one-on-one from different locations is just around the corner.

3) Remember who you are talking to

The language also has a great impact on patient engagement. Instead of focusing on “adherence and compliance,” the practice should try to discern the underlying social or environmental factors hindering a patient from complying with medical recommendations.

Why is a particular patient unable to comply? A practice must take the time to connect with and understand their patients. They need to have conversations, put themselves in their patients’ shoes, and then find methods to boost patient engagement and enhance overall patient satisfaction.  

Roughly 40 million U.S. adults read at a junior high school level. However, most healthcare directions are written in much more complex language (usually in tiny fonts) which cause confusion and increase non-compliance, particularly among aging populations. To fully engage patients, practices must make sure they can comprehend the instructions we’re giving them.

What does it all mean?

At the end of the day, an engaged patient has superior outcomes, reduced costs of care, and greater satisfaction overall. The more a practice develops a culture beyond the clinical atmosphere to one that connects both patient and provider through a digital culture of wellness, communication and personalization, the more the patients and the practice will benefit.

Patients demand experiences be more custom to them, and one of the best ways to deliver is to keep them engaged outside of the office, leverage technology and utilize the proper language to drive your points and treatment plans home.

How Can Large Enterprise Hospitals Achieve Seamless EMR Interoperability And Operational Efficiency?

What are Large Enterprise Hospitals?

Hospitals which have typically 500 or more beds are categorized as Large Enterprise Hospitals. They are capable of serving the broader needs of the community. Some larger hospitals offer a combination of acute and long-term care services while also providing research opportunities in some cases and accommodating a variety of specializations.

What is EMR Interoperability?

Large Enterprise Hospitals which are mergers or acquisitions tend to handle multiple EMRs. In such cases, facilities within the hospital will have to share patient information with each other. EMR Interoperability is the ability to effectively communicate health information electronically between different EMRs. There are essentially 2 fundamental components, ability to,

  • Securely transport the data
  • Interpret and use that data

Why is EMR Interoperability important for Large Enterprise Hospitals?

A patient may need to see a specialist in a different facility within the same hospital. In most cases, the EMRs will be different. EMR Interoperability will allow facilities to share the patient’s records in real time without compromising patient security or privacy. Providers, patients and insurers all benefit from increased access to the patient’s medical information.

Also, interoperability is an essential part of the Government’s Meaningful Use Stage 2 requirements. Meaningful Use Stage 2 will affect Medicare payouts for health care providers in stages, eventually leading to reduced payouts to all providers that take Medicare and do not follow the guidelines.

  • Providers’ benefit – Providers within the large enterprise hospital will have easy access to patient records because of EMR interoperability. While referring patients, the referring provider can avoid hassles faced in sharing patient information. It will make the referral workflow a lot easier.
  • Patient Benefits – EMR interoperability allows patients’ medical records to follow them throughout the healthcare system. Patients benefit from
    • Increased access to their medical records
    • Faster communication
    • Better quality of care

Speedy transfer of information has a real impact on the patient’s health, as many conditions require immediate intervention to save the patient’s life or minimize long-term effects on their health.

  • Cost Benefits – There is debate about how much EMR adoption and EHR interoperability will reduce the cost of healthcare. Some studies point to a reduction of upto $100billion/year. The primary cost savings result from reducing
    • Malpractice lawsuits
    • Hospital stays
    • Patient visits
    • Redundant or inapplicable testing
    • Unnecessary procedures

In the past, healthcare providers viewed patient data as their property, unable or unwilling to share data with other providers outside their organizations. Today these barriers are coming down with benefits of all parties involved.

Major challenges faced in achieving EMR interoperability

The following are the challenges faced by healthcare stakeholders that prevent them from achieving true interoperability for optimal care delivery and improved patient health outcomes.

    1. Lack of a strategic approach to identify patients – There is no way to consistently identify a patient across multiple EMR systems. Patients give their name, date of birth, and other identifying data. As different EMR systems store this information in different ways, the data is prone to errors. There is a push towards having a unique patient identifier. This code could be used to categorically identify the same individual no matter in what EMR system the data is. Unfortunately, there is a long way to go before getting this functionality in place.
    2. No standardized way to measure and analyze the impact of EMR interoperability – It is difficult to quantify the cost, error rate and other issues caused due to the lack of interoperability. When there is no room for measurement, then there is no way of improving the process. Once providers can measure issues across the end-to-end healthcare supply chain, they can analyze problem areas, make improvements, and monitor how those changes are improving the quality of care and patient outcomes.
    3. Vendors Blocking Information or Charging Fees for Interoperability – Some EHR and healthcare system vendors are holding patient data for ransom. They charge fees for transmitting data outside the system, increasing operational costs and making providers less likely to send data to others in the healthcare supply chain. The government is acting to encourage interoperability, but not all vendors have taken this on board.

HealthViewX Patient Referral Management Features for Large Enterprise Hospitals

  • Multi-channel referral consolidation – The HealthViewX solution can capture fax, phone, email, online form referrals or any other referrals in a single interface. It makes it easy to monitor and manage all channels of referrals in a single queue.
  • Intelligent Provider Match – The HealthViewX “Smart Search” feature makes it easy for the referring provider in finding the right provider. It has smart filters and search options that help in narrowing down the specialist based on the requirements. This saves a lot of time for the referring provider.
  • Insurance pre-authorization process HealthViewX automates the insurance pre-authorization process. The provider need not coordinate with the insurance company for prior authorization. The HealthViewX solution will do it for them. This reduces the manual effort of the referral coordinators.
  • Patient coordination framework – After finding the receiving provider, the referral coordinator refers the patient. When the receiving provider receives the referral, the provider will get notified of the referral. Even the patient will be notified of the referral. The receiving provider can schedule appointments based on the patient’s comfort. This will cut down patient no-show rates.
  • Timeline View to track referralsWith the help of a referral status, the referring provider can get to know what stage the referral is. A timeline view shows a history of stages through which the referral has progressed. The chances of a referring provider missing out on referral updates are very less.
  • Referral closure and feedback – The referring provider can close the referral when it gets completed. The receiving provider and the patient can give a feedback on the referral process to the referring provider. Thus the referring provider can make it easy for the other the next time.
  • Referral Analytics – Helps in tracking the number of referrals and gives complete information about the referrals processed, missed, scheduled etc with the help of a Referral Data-centric Dashboard.

Are you a large enterprise hospital looking to solve EMR interoperability challenges? HealthViewX Patient Referral Management Software and seamlessly integrate with your existing EMR. Schedule a demo with us to know how we solve EMR interoperability issues!

How Can Large Enterprise Hospitals Overcome The Challenges In Patient Referral Workflow?

Did you know? There are about 8000+ large enterprise hospitals in U.S. Recently, Becker’s Hospital Review released the list of top 50 large health systems. How is a hospital classified as a large enterprise hospital?

Hospitals which have typically 500 or more beds are categorized as Large Enterprise Hospitals. They are capable of serving the broader needs of the community. Some larger hospitals offer a combination of acute and long-term care services while also providing research opportunities in some cases and accommodating a variety of specializations.

Considering the huge number of patients in such hospitals, the referral numbers are also high. So such large health systems face challenges such as operational inefficiency, patient dissatisfaction, care discoordination and missed referral updates in their referral process. Let us go through the patient referral workflow in detail to understand their challenges better.

Patient Referral Workflow in Large Enterprise Hospitals

In order to understand how a patient referral works in a large enterprise hospital, let us consider a scenario,

XYZ hospital is a large enterprise hospital with 10,000 plus PCPs and specialists. It is a busy hospital that sends and receives 1000 plus referrals in a day. In the workflow explained below, Mark is the patient who visits his PCP, Dr.James.

  1. Mark visits the hospital – Mark hurt his leg and was bleeding. Even after three days, the wound did not heal. He visited his PCP, Dr. James. After examining Mark, Dr.James wants him to consult a diabetologist.
  2. Dr.James does the insurance pre-authorization – The PCP does the insurance prior authorization manually. He places a request with the insurance company and waits for their response. The process takes time and forces Mark to wait. After about four hours, Dr.James gets the consent of the insurance company for the diagnosis.
  3. Dr.James has difficulty finding the right specialist – The hospital had recently acquired a specialty clinic. Dr.James is not aware of the specialists recently added to the network. So he misses the famous diabetologist within the network and looks for someone outside the network. After considering many factors like the patient’s comfort, specialist’s availability, distance from the patient’s residence, specialist’s experience etc, he finally chooses a receiving provider.
  4. Dr.James sends the referral – Dr.James finally sends the referral to Dr.Hales after trying to reach the specialist office via phone. The line seems to be engaged. He looks for many other ways which will be easy to send referrals but to his disappointment, Dr.Hales accepts only referrals through phone or website.
  5. Dr.Hales schedules appointments – After receiving the referral, Dr.Hales schedules an appointment with the patient. Mark was not notified clearly about the appointment. So he fails to show up. It results in revenue loss for the specialist and patient dissatisfaction with the PCP. Mark who is still suffering from pain and waiting for the specialist to examine him. After two missed appointments, Mark finally visits the specialist.
  6. Referral progress updates and loop closure – Throughout the referral process, Dr.James is in the dark. Dr.Hales is busy and fails to give referral updates to Dr.James. He is anxious to know if Mark was taken care of. Without referral updates, Dr.James cannot close the referral loop.

Challenges of Patient Referral Workflow in Large Enterprise Hospitals

  1. Handling multiple EMR/EHRs – Large Enterprise Hospitals and Health Systems that are formed as part of mergers and/or acquisitions tend to handle multiple EMRs. EMR interoperability is their greatest challenge.
  2. Finding the right specialist – A Large Enterprise Hospital has huge number of specialists. PCPs are not aware of specialists who were newly added or who came within their network as a result of mergers or acquisitions. So many times PCPs tend to refer their patients out of their network in spite of having the right provider within the network.
  3. Patient no-show rates – When patients miss/forget or do not show up for appointments, it results in revenue loss for the hospital. Patients miss appointments due to various reasons like no reminders, waiting time, better specialist within the locality, reputation of the receiving provider, etc.
  4. Referral leakage – Did you know? Referral leakage for any health system can average anywhere from 55-65%! Patient leakage or referral leakage occurs more in an out-of-network referral than in an in-network referral. There could be many factors such as reputation of a provider, lack of knowledge or insight and patient’s choice that lead to patient leakage.
  5. Patient dissatisfaction – Large enterprise hospitals should keep in track of the number of patients moving out of their network. An alarming 25 to 50% of referring physicians do not know whether their patients see the specialist! Patients become dissatisfied with the treatment when specialists or PCPs do not follow-up with them regularly.
  6. Referral Analytics –  As a large number of referrals flow in and out of the network, it is difficult to track the exact number. It is also tedious to track the number of referrals in various status and to close referral loops.

HealthViewX Patient Referral Management Features for Large Enterprise Hospitals

  • Multi-channel referral consolidation – The HealthViewX solution can capture fax, phone, email, online form referrals or any other referrals in a single interface. It makes it easy to monitor and manage all channels of referrals in a single queue.
  • Intelligent Provider Match – The HealthViewX “Smart Search” feature makes it easy for the referring provider in finding the right provider. It has smart filters and search options that help in narrowing down the specialist based on the requirements. This saves a lot of time for the referring provider.
  • Insurance pre-authorization process HealthViewX automates the insurance pre-authorization process. The provider need not coordinate with the insurance company for prior authorization. The HealthViewX solution will do it for them. This reduces the manual effort of the referral coordinators.
  • Patient coordination framework – After finding the receiving provider, the referral coordinator refers the patient. When the receiving provider receives the referral, the provider will get notified of the referral. Even the patient will be notified of the referral. The receiving provider can schedule appointments based on the patient’s comfort. This will cut down patient no-show rates.
  • Timeline View to track referralsWith the help of a referral status, the referring provider can get to know what stage the referral is. A timeline view shows a history of stages through which the referral has progressed. The chances of a referring provider missing out on referral updates are very less.
  • Referral closure and feedback – The referring provider can close the referral when it gets completed. The receiving provider and the patient can give a feedback on the referral process to the referring provider. Thus the referring provider can make it easy for the other the next time.
  • Referral Analytics – Helps in tracking the number of referrals and gives complete information about the referrals processed, missed, scheduled etc with the help of a Referral Data-centric Dashboard.

HealthViewX Patient Referral Management solution smooths the referral process and solves most of the inbound and outbound referral challenges for Large Enterprise Hospitals. Do you want to know more about HealthViewX HIPAA compliant Patient Referral Management solution? Schedule a demo with us.

 

Reference

https://www.beckershospitalreview.com/lists/50-largest-hospitals-in-america.html

https://www.mass.gov/files/documents/2016/08/uy/2011-hcctd-full.pdf

https://www.beckershospitalreview.com/lists/52-great-health-systems-to-know-2018.html

All You Need To Know About Insurance Prior Authorizations In Healthcare

Insurance Pre-authorization in healthcare

Prior authorization is the talk of the healthcare industry since the increase in specializations in healthcare. Any healthcare process has its own pros and cons. Prior authorization is no exception to that. A Health Insurance Company must verify if the patient is eligible for an insurance for a certain drug or procedure. Before the physician prescribes it to the patient, it is a common practice to parallely check for authorization from an insurance company. 

Current Healthcare Insurance Prior Authorization (PA)  Workflow

  1. The physician recommends a lab test – A patient visits a physician complaining of leg pain. The physician suggests the patient get an X-ray to know what is causing the pain.
  2. The lab receives the order – The lab receives the request for the test and initiates the process of prior authorization.
  3. Lab conducts PA – A separate team is dedicated for PA in most of the labs. They check the PA requirements, health plans, etc. They retrieve patient-specific data like the history of medications, diagnosis done, etc
  4. Insurance agents review Prior Authorization – Lastly, the insurance agent reviews and validates the documents sent as a part of the PA process.

The ultimate aim of PA is to optimize patient outcomes by ensuring that they receive the appropriate medication thereby reducing

  • Wastage
  • Errors
  • Unnecessary prescriptions and drug use
  • Cost

Problems presented by the process of Insurance Prior Authorization

1. Time taking process for doctorsPhysicians are dissatisfied with the time their staff has to spend interacting with health plans. When a procedure needs authorizing, it consumes a lot of admin time. It includes the time a physician spends persuading an insurance company to cover an expensive medication or a procedure. For most PA, physicians have to follow multiple steps. This involves

  • securing the correct form
  • filling it out with the required information
  • submitting the form to the plan

Physicians say that the overall process takes 30-45 minutes for each PA submission.

2. The cost involved in Prior Authorization – Though PA is the most talked about topic in the healthcare industry, little is known about its cost. In 2009, a study by Health Affairs estimated that on average, prior authorization requests consumed about 20 hours a week per medical practice

  • one hour of the doctor’s time
  • six hours of clerical time
  • 13 hours of nurses’ time

It further revealed that when the time is converted to dollars, practices spent an average of $68,274 per physician per year interacting with health plans. This equates to $23 billion and $31 billion annually! Prior authorization ultimately ends up costing the health care system more than it saves.

3. Patient delayThe real impact of PA is often felt by patients whose treatment is delayed. Nearly all physicians noted that wait times increased the delays in necessary care, which added to the risk of adverse events. According to AMA, a PA decision takes at least one business day for 64% of physicians and 3 or more business days for the rest. During this time, patients are unable to start treatment. These long wait times have a negative impact on patient experience and patient care.

4. Management of Prior AuthorizationThe management of PA can sometimes be difficult to manage. This is because the requirements can vary widely from one insurer to another. Each one has a different process for submitting prior authorization requests. The process cannot be standardized at times and must be done manually. This will of drain resources and time if this is already limited.

How can the Insurance Prior Authorization process be improved?

Healthcare Insurance Prior Authorization is a necessary step in many practices. But the current process is all too often manual and involves a cumbersome workflow. It may result in delays in treatment and dissatisfaction for patients and medical practitioners. As a result, many are implementing electronic prior authorization solutions to address common issues with the approvals process.

HealthViewX Referral Management solution makes the referral workflow easy for the practices. It has the following features that make the process of Prior Authorization simpler.

  1. EMR/EHR integrationOur System integrates directly with electronic health records (EHRs). This enables healthcare professionals to easily obtain prior authorizations in real time at the point of care. It also eliminates time-consuming paper forms, faxes, and phone calls.
  2. Timeline View – Both the center and the PCP can view the timeline data of the patient in which the referral history is present. Documents and notes can be attached anytime for one another’s reference.
  3. To and fro Communication – At any time of the referral process, the PCP and the center can communicate with the help of the inbuilt secure messaging and voice call applications.
  4. Referral Data Consolidation – It has options for printing the consolidated data about the referrals and the referral history of any patient as a hard copy at any time in pdf/excel.
  5. Secure Data Management – HealthViewX Patient Referral Management is HIPAA compliant. It manages all patient-related documents securely.
  6. Referral Analytics – Helps in tracking the number of referrals and gives complete information about the referrals processed, missed, scheduled etc with the help of a Referral Data-centric Dashboard.

HealthViewX Patient Referral Management solution helps practices in managing their prior authorization process and saves their time and money. Are you a practice looking to ease your prior authorization process? To know about HealthViewX Patient Referral Management System in detail schedule a demo with our team.

Streamline Your Patient Referral Workflow With HealthViewX Patient Referral Management Solution

Most healthcare providers are aware that referrals are critical, high-quality, and high-value demand generation channel. Did you know?

  • More than one-third of all patients seen are referred
  • Additionally, over 46% of faxed referrals never result in a patient visit
  • An estimated 50% of referring physicians never know if their patient was actually seen

But there are some mistakes every provider makes which can affect the revenue and the referral process to a great extent.

Common mistakes in healthcare referral programs

1. User Interface Design – Referral programs should be so simple to use that the physicians refer their patients without facing any issue. There are many constraints physicians face while initiating referrals. Some constraints include,

  • Sending referrals to receiving providers in the preferred channel
  • Poor website structure with little information about referrals
  • Handling paper-based forms of various templates for sending referrals 

These confusions cause a bitter experience to the referring physicians. The chances of PCPs referring to such specialists are less.  This will lead to the failure of the referral program.

2. Complicated referral process – A referral program should not impede the existing workflow. It should not require extensive hours for a person or group to manage the referral program. One of the major problems faced by referring physicians is that they have to manage multiple systems or software for initiating a referral. For eg: A referral coordinator must take the patient information from the EMR/EHR and then create a referral through fax, website or direct message. This complicates the process for the referring physicians.

3. Finding the right specialist/imaging center – The number of imaging centers and specialist practices is increasing day-by-day. The referring physician does not have the list of all such imaging centers and specialty practices. The chances of missing out on a good receiving provider are high. With a manual process in place, it takes a lot of time and effort for the referral coordinator to narrow down the referral coordinator’s search and find the right one.

4. Time- consuming referral process – As the referrals are handled manually, a referring coordinator spends about half-an-hour to one-hour for a creating referral on an average and even more time in following up the same.

5. No system to give referral updates –  After a referral is sent, both the referring and the receiving providers so not have easy access to updates. The referring and the receiving providers lose track of the referrals as it is difficult to coordinate manually for such referral updates. This results in open referral loops.

Monitor your patient referrals better with the HealthViewX solution

Referring physicians can address the referral workflow challenges and achieve a streamlined referral pipeline with the help of a software solution. HealthViewX Patient Referral Management solution enables creating a referral in three simple steps thus providing a successful referral program. After the referral is created, it can be tracked with help of the status. Both the referring and receiving providers will be notified of the appointments, test results, treatment recommendations, etc. HealthViewX can integrate with EMR/EHR and can also coordinate between the referring and the receiving sides. Any referral has a timeline view which is common to both the receiving and the referring providers. In the timeline view, history of the referral can be seen for eg: notes related to the patient’s health, previous status of the referral, etc. Documents attachment and status change can also be done at any time of the referral process. HealthViewX Patient Referral Management solution can always keep you updated on the progress of the referral thus simplifying the referral process and helps in closing the referral loop.

HealthViewX Patient Referral Management solution helps the referring provider to track the referral progress. Schedule a demo with us and our patient referral management experts will guide you through our HIPAA compliant solution.

How has HealthViewX added value to referring physicians’ patient referral problems?

1) Automating the insurance pre-authorization process

HealthViewX platform has a payer management module that maintains and manages

  • different payer details
  • their modes of prior authorization
  • direct authorization procedures
  • payer forms
  • online portal links

With this information already present, it provides the referral coordinator with the capability to automate

  • prior authorization submission
  • status checks coupled
  • fax integration

It simplifies the process of insurance pre-authorization. The referral coordinator need not waste time on the process anymore.

2) Intelligent Provider Match

Our “Smart Search” feature makes it easy for the referring provider in finding the right provider. It has smart filters and search options that help in narrowing down the specialist based on the requirements.

3) Establishing best practices

After using our HealthViewX Patient Referral Management System, physicians were automatically alerted to

  • Appointments
  • Referral status
  • Patient diagnostic reports
  • Referral completion

As a result, we can cut down on miscommunications and bridge the gaps between the specialist and the physician community. The system also assembles a patient encounter record from the EMR/EHR and pushes it directly to the physician.

4) Forming a close-knit of trusted referral receiving centers

Our system helps in strengthening ties with the medical community. From a history referral experiences the PCPs can from a close-knit of referral receiving providers. Physicians can refer now patients to hospitals they can rely on.

HealthViewX Patient Referral Management solution helps the referring physicians in handling and managing their referrals. Are you an inbound referral heavy practice looking for an end-to-end referral management solution? Schedule a demo with us. Our patient referral management experts will guide you through our HIPAA compliant solution.

 

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160594/

Refer Your Patients Through HealthViewX Referral Management Software

Existing Referral Management Workflow

When primary care physicians feel that their patients need advanced treatment or diagnosis, they refer them to specialists or imaging centers. Let us consider a typical example were in a referral takes place,

Dr.James runs a dentistry specialty center. This specialty clinic has certain clinics who refer most of their referrals to them. One such clinics is the clinic run by Dr.Anderson, a PCP.

  1. Patient visits Dr.Anderson –  Patient Mark met with a minor accident that caused him head injury. He visits Dr.Anderson who is his PCP. After examining him, Dr.Anderson wanted a specialist’s advice on this.
  2. Dr.Anderson does the insurance pre-authorization – Dr.Anderson does not have a dedicated team for doing the insurance pre-authorization. He spends 15 minutes per patient on the pre-authorization process. This implies that if he does pre-auth for 8 patients a day, he is spending two hours a day on this. This is time-consuming considering his busy schedule.
  3. Dr.Anderson initiates the referral – He usually sends dentistry related referrals to Dr. James. Though it is a trusted specialist center, Dr.Anderson is not happy with the way he has to send referrals to Dr.James. He has to fill out a form every time he sends referrals to this specialist. He downloads the form from the specialty clinic’s website and fills in the necessary details and diagnosis. Then he sends the faxes the referral to the specialty clinic.
  4. After sending the referral – The specialty receives the referral from Dr.Anderson but it doesn’t notify him about the same. Now, Dr.Anderson does not receive any updates about the referral’s the progress from Dr.James or the patient Mark. Though Dr.Anderson has received positive feedback from the patients who he had referred previously to Dr.James, he is still worried if Mark was taken care of.

In this case, the referral workflow lacks standard referral channels and communication methods. It makes the referral experience bitter for the referring provider.

New referral channels for a better experience with referrals

On detailed analysis of a dental specialty’s current process, we realized that the crucial part of the problem is the channel through which the referrals are being received. Our HealthViewX Referral Management solution supports two new sources for sending or receiving referrals. They are the desktop direct and the type-enable pdf options. The best part is that it is not necessary for the referring provider to use our platform directly.

Desktop Direct is a secure platform that enables providers to share patient referral information from their desktop. It is a light-weighted healthcare application white-labelled for the practice with the ability to send and track patient referrals from a referring provider’s system. It supports sending out medical referrals in electronic formats and tracking the referrals. The receiving provider can upload the test results or relevant documents for the benefit of the referring provider. The referring provider can download the patient medical referral data securely for future reference.

In case of a type-enabled pdf, we send the referral form as a pdf to those clinics who refer to the specialty regularly. We send via email or give them a plugin. The form will be easy to fill out and with a click, the referring provider can send it to the receiving provider.

HealthViewX Referral Management features that benefit the receiving provider

Though it is not necessary for the referring provider to use our platform, the receiving provider must have the HealthViewX platform. It has the following features that make the referral process easier for the receiving provider as well.

  • Single Referral Workflow Queue Consolidation – It collects Fax, Phone, Email, Website form and all possible channel referrals. It helps in managing them better in a single interface.
  • Timeline View – Both the specialist and the PCP can view the timeline data of the patient in which the referral history is present. Documents and notes can be attached anytime for one another’s reference.
  • To and fro Communication – At any time of the referral process, the PCP and the center can communicate with the help of the inbuilt secure messaging and voice call applications.
  • Referral Data Consolidation – It has options for printing the consolidated data about the referrals and the referral history of any patient as a hard copy at any time in pdf/excel.
  • Secure Data Management – HealthViewX Patient Referral Management is HIPAA-compliant. It manages all patient-related documents securely.
  • Referral Analytics – Helps in tracking the number of referrals and gives complete information about the referrals processed, missed, scheduled etc with the help of a Referral Data-centric Dashboard.

HealthViewX Patient Referral Management application simplifies the referral process for the referring providers. It also provides a better workflow for the receiving providers. This, in turn, increases patient satisfaction and revenue. To know more about HealthViewX solution, schedule a demo with us. Our patient referral management experts will guide you through our HIPAA-compliant solution.