With the Centers for Medicare and Medicaid (CMS) changing their reimbursement model in the coming years from the Risk Adjustment Processing System (RAPS) to the Encounter Data System (EDS), delivering accessible and timely data at the point of care is crucial to enabling Primary Care Providers (PCP)s to proactively and predictively care for patients.

PCPs need the right data, at the right time – at the point of care. Your organization’s value, PCP satisfaction, and patient experience are at stake.

In the first of this series on Master Data Management (MDM) for Healthcare, we examined how the journey to superior data quality starts with establishing a “single version of the truth”. MDM is also an essential approach to ensure data is timely and accessible at the point of care.

Why data isn’t used at the point of care…

  • Clinical workflows can vary across practices. It’s difficult to drive standardization to specific procedures.
  • Legacy processes are largely still manual and paper-based.
  • Data quality is suspect. PCPs still don’t trust and use the data.
  • Many PCPs can identify incorrect patient data. In other cases, PCPs do not have enough historical or present knowledge of the patient or there is too much unorganized data to sort through. When inaccurate, old, too much or not enough data is delivered, PCPs will cease to trust and use the data. The risk becomes a less healthy patient population and a decrease in revenue.

How to increase data use, PCP satisfaction, and patient experience

Optimize workflows at the practice level. This requires an organization to look at the entire picture: people, processes and technology. All three must be integrated systematically to ensure delivery of data at the point of care.

Drive quality data with a longitudinal patient record. Implementing an enterprise master patient index (EMPI) that integrates disparate data sources allows a PCP to gain superior historical and present knowledge of a patient. An EMPI is an enterprise-specific identifier of patients that enables an organization to view data in a longitudinal record. This reduces the PCP’s cognitive load to more efficiently treat the patient. Examples include grouping like diagnoses or medications together, providing accurate suspect diagnoses, or identifying and ordering more heavily weighted items at the top of a list. Quality data increases PCP trust and usage of the data.

Automate patient data delivery to the patient encounter. A system that is integrated with a data repository is extremely useful by presenting data via emails, in patient profiles, or via EMRs. Automated, electronic information delivery protects against data leakage and accelerates data timeliness.

Preparation acquired, total healthcare quality increased.

MDM is a key enabler in your organization’s ability to deliver quality, timely data at the point of care. It supports optimizing workflows by providing a “single version of the truth”, a longitudinal patient record, and enabling more efficient data integration. MDM is a foundational capability for data-driven, high-performing organizations.

Delivering quality patient data at the point of care increases PCP satisfaction and patient experience. Patients receive more effective treatment leading to better outcomes. Utilization of healthcare services is decreased due to the lightened cognitive load required from PCPs. Claims submission processes are more accurate and efficient. Revenue is realized sooner.

Data-driven healthcare organizations are better positioned to deliver healthier patients and healthier bottom lines.

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