Improving Healthcare Using Visual Analytics with OpenText Magellan BI

Healthcare organizations are experiencing difficult economic and operational challenges. The business processes in place today were implemented at a time with less data volume, business complexity, and financial pressure on the organization. In today’s competitive environment, business processes need to be evaluated continually and adapted to meet organizations goals.

Discovering Business Process Improvements

Imagine uncovering business process inefficiencies as a part of regular operational activities.  With OpenText’s Magellan BI Reporting technology, an organization can look across existing business processes, in real-time, and provide insight into the performance of the process, people, and systems. This information enables organizations to better prioritize resources on the areas that will help strengthen your operations while reducing costs.

Informed Decision-Making

With visual analytics, healthcare providers can make informed decisions using business process data and identify issues before they get too big. Magellan’s dashboards can present this real-time, detailed, reliable data to enable users to identify issues with powerful interactive visual tools. Data visualizations make it easier to process big and small data, and to detect patterns, trends, and outliers in groups of data. Identifying these issues allows management to dig deeper and to tackle them head-on with confidence knowing they are dealing with real-time, reliable data.

Here are just a few examples of how health care organizations use this platform to meet their strategic goals:

• Prioritize Critical Data – Process critical data first, leading to improved responsiveness, care, and customer service for your patients.
• Better Resource Planning – Interactive high-level data charts can show the peaks and valleys of influx of data processed throughout the year. This allows the organization to prepare and plan for a more cost-effective resource strategy, such as planning for additional staffing during the Benefits Enrollment period.
• Higher Productivity Rates – Task-based dashboards allow managers of clinical to publish statistics on user’s productivity over any timeframe across any array of business processes. This enables the organization to identify improvements that should be made.
• Visibility into Multiple Data Sources – The ability to pull analytics from multiple data sources using a centralized UI allows organizations to review performance across multiple facilities, such as those patients in nursing homes and home health agencies.

Case Study: Healthcare Organization Reduced SLAs over 50% for Prior Authorizations and Referrals

This healthcare organization consistently missed meeting their SLAs for prior authorizations and referrals. Through the use of visual analytics they lowered their missed SLAs for prior authorizations to less than 1% and reduced the missed SLAs for referrals by 75%.

The Visual Analysis/Challenge

Using the Magellan dashboards they were able to drill-down into the two problematic document types, prior authorizations and referrals, and view all users who were processing these documents. Through a deeper review of the dashboard data, the team was able to assess how quickly and accurately a specific user was able to process these types of documents.

• Prior Authorizations – the analysis revealed a particular set of users were processing 75% of this document type in half the time as the other users.
• Referrals – the analysis revealed that 80% of them were having to be manually identified by a user before even beginning to process them.

This analysis helped us identify that in one case it was a resource problem and the other was related to data classification.

The Solution

The solution consisted of incoming faxes being routed through OpenText Intelligent Capture, augmented with Magellan’s AI Text Mining to provide textual analysis and data visualization capabilities. For these incoming prior authorizations and referrals, this solution was able to provide real-time insight into processing times allowing the business to make informed decisions on how to improve on the organization’s SLAs.

The Result

Now that the source of the problem had been identified, we were then able to outline the steps to meet the strategic goal of reducing the SLAs by 50%.

• Prior Authorizations – A separate group was created to include only those users most efficient at processing these types of documents and excluding those that were less efficient. Therefore, only the most efficient users would be processing prior authorizations. This resulted in less than 1% of SLAs being missed and crushing the 50% strategic goal.
• Referrals – Rolled out plan to better classify these unstructured document types upon ingestion was put into place so that manual classification would be reduced. This resulted in an SLA reduction of 75%, again exceeding the strategic goal of 50%.

How Can How Can Alitek Help?

To discuss how Alitek can help redefine how you meet your strategic goals by delivering visual insight into your data faster and more accurately with Magellan’s BI Reporting, contact use directly at [email protected]

About Alitek

Alitek is a leader in information based digital transformations. We help organizations improve business outcomes, increase efficiency, and reduce risk, through better management of information. Our experienced team works with you to build a unique strategic plan based on your specific needs, no matter the size of your company.