1st Edition

Leveraging Data in Healthcare Best Practices for Controlling, Analyzing, and Using Data

By Rebecca Mendoza Saltiel Busch Copyright 2016
    239 Pages 23 B/W Illustrations
    by CRC Press

    239 Pages
    by CRC Press

    The healthcare industry is in a state of accelerated transition. The proliferation of data and its assimilation, access, use, and security are ever-increasing challenges. Finding ways to operationalize business and clinical data management in the face of government and market mandates is enough to keep most chief officers up at night!

    Leveraging Data in Healthcare: Best Practices for Controlling, Analyzing, and Using Data argues that the key to survival for any healthcare organization in today’s data-saturated market is to fundamentally redefine the roles of chief information executives—CIOs, CFOs, CMIOs, CTOs, CNIOs, CTOs and CDOs—from suppliers of data to drivers of data intelligence.

    This book presents best practices for controlling, analyzing, and using data. The elements of preparing an actionable data strategy are exemplified on subjects such as revenue integrity, revenue management, and patient engagement. Further, the book illustrates how to operationalize the electronic integration of health and financial data within patient financial services, information management services, and patient engagement activities. An integrated environment will activate a data-driven intelligent decision support infrastructure. The increasing impact of consumer engagement will continue to affect the organization’s bottom line. Success in this new world will need collaboration among the chiefs, users, and data creators.

    Current Operational State of Managing Health Information
    A Bit of History
    Public Policy’s Shift to the State
    Systems and Subsystems
    The Easiest Route to Population Management
    Somebody Has to Pay the Bill
    An Evolving System and the CIO’s Role
    Final Thought
    CEO Perspective
    References

    The Role of the CIO and Hybrid Chiefs in Charge
    Chief Information Officer
    A Bit of History
    Hybrid Roles of Information Officers
    The CIO Today
    Key Market Barriers for CIOs to Overcome
    Key Internal Barriers for CIOs to Overcome
    Final Thought
    CIO Perspective
    References

    The Role of Patient Financial Services
    A Bit of History
    Hybrid Roles of Patient Financial Services
    Patient Financial Services Today
    HFMA’s MAP Keys in Revenue Cycle Management
    Key Market Barriers to Overcome
    Role of Data and Revenue Integrity Management
    Final Thought
    CRO Perspective
    References

    The Paradigm Shift in the C-Suite
    A Bit of History
    Shifting Roles at the C-Suite
    C-Suite Today
    The Balancing Act
    Key Market Barriers to Overcome
    Role of Data and Revenue Integrity Management
    Final Thought
    CEO Perspective
    References

    Data and Information Strategy Assessment Tool
    A Bit of History
    Current State from the CIO Perspective
    Key Principles: Healthcare Data and Information Strategies
    CDO Cubic Approach
    IIRB Model, Framework, and Analytic Roadmap
    Data Intelligence Strategy Using the Healthcare Continuum
    Final Thought
    CCO Perspective
    References

    Gap Analysis Management
    A Bit of History
    Hybrid Roles of Gap Analysis Management
    Gap Analysis Management Today
    Gap Analysis Strategy Using the Healthcare Continuum
    Key Market Barriers to Overcome
    Final Thought
    CDO Perspective
    References

    Denial Management Analysis
    A Bit of History
    Hybrid Roles of Denial Management Analysis
    Denial Management Today
    IIRB Model, Framework, and Analytic Roadmap
    Denial Management Strategy Using the Healthcare Continuum
    Key Market Barriers to Overcome
    Final Thought
    CIO Perspective
    References

    Revenue Integrity Management
    A Bit of History
    Hybrid Roles of Revenue Integrity Management
    Electronic Medical Health Record
    Revenue Integrity Management Today
    Key Market Barriers to Overcome
    Final Thought
    CFO Perspective
    References

    Integration of Information Roles
    A Bit of Human Anatomy and History
    Integration of Leadership Roles
    Key Market Barriers to Overcome
    Role of Revenue Integrity Management
    Final Thought
    CDO Perspective
    References

    Redefining Workflows
    A Bit of History
    Redefining Workflows
    Case Study
    Case Study Highlight: Metrics
    Key Market Barriers to Overcome
    Final Thought
    Director of Nursing Informatics Commentary
    References

    Evolving to a Data-Driven Organization
    A Bit of History
    Data: The Core Asset
    Another Approach on the Scavenger Hunt for Data
    Data Intelligence
    New Data Assets
    Key Market Barriers to Overcome
    Preparing for the Future
    Final Thought
    CDO Perspective
    References

    Defining the Role of the Chief Data Officer
    Data Governance
    A Bit of History
    First CDO
    To Whom Does the CDO Report?
    Role and Responsibilities of the CDO
    CDO Role in Healthcare
    Key Barriers to Overcome
    Final Thought
    CDO Perspective
    References

    Appendices
    C-Suite Acronyms
    Datum Asset Strategy: Incorporating Key Points within Book
    Human Capital Workflow

    Biography

    Rebecca Mendoza Saltiel Busch

    "Ms. Saltiel Busch powerfully and succinctly reflects the current role and challenges of the modern CIO. In her cogent analysis, she alludes to the demands of the evolving healthcare business and technology, projecting that the more innovative and forward thinking CIOs are better equipped to manage change and ultimately thrive in their professional roles."
    — Lac Van Tran, Senior Vice President, CIO, and Associate Dean, Rush University Medical Center, Chicago, Illinois

    "Organizations aspiring to meet the challenges of the future would be prudent to consider the frameworks and processes outlined by Ms. Saltiel Busch in evaluating the state of their healthcare data. Her book outlines the people, processes, assumptions/constraints, and technology competencies that should be considered in conducting effective gap analysis management. Kudos for developing a roadmap for this complex body of work!"
    — Michelle Currie, CDO, CETA Performance Services LLC, San Francisco, California

    "Technological advances in healthcare, including EHR implementation and related technologically incentivized revenue streams, present a double-edged sword to the healthcare industry. Ms. Saltiel Busch identifies many of these risks and challenges—most notably the evolution of new but necessary hybrid management roles that join clinical and financial technology in a new and different way."
    — Kevin Flynn, Vice President Finance/CFO, Associates in Nephrology, SC, Chicago, Illinois

    "As Ms. Saltiel Busch aptly points out, the executive leadership roles are becoming increasingly integrated. As the healthcare industry embraces the challenges of the Triple Aim, the collaboration of the information executive team is critical."
    — James Brenza, CDO, InXite Health, Delaware, Ohio

    "Ms. Saltiel Busch provides great insights as to the changing dynamic in leadership teams at hospitals and health systems."
    — Scott Becker, CEO and Publisher, Beckers Hospital Review, Chicago, Illinois