5 Steps to Streamline Patient Access

1. FIVE
STEPSto Streamline Your
Patient Access
Operations
Highlights for Delivering Financial
and Operational Improvements

2. Five Steps to
Streamline Your
Patient Access
Operations
1
2
3
4
5
Place all
referrals and
orders electronically
Schedule
directly
with patients
Integrate
revenue cycle
steps throughout
Close the
communication
loop with
providers
Gain insight
through analytics
More than ever before, the entire patient access
experience – from referral all the way through
care and payment – is critical. SCI Solutions
gives health systems a concrete path forward to
optimize vital provider network processes with five
specific steps that health systems can implement
quickly to see dramatic results.
$
1

3. Step 1: Eliminate
paper-based,
patient-dependent
workflows
Place all referrals and
orders electronically
O Orders are submitted via a web-based
application or EMR system integration
O Workflow tools and worklists enforce
rules for completeness
O Authorization processes start before the
order is submitted
O All orders reside in a single repository,
accessible across the health system
anytime
With Step 1:
2

4. 2012 2014
73%
2013
67%
60%
Step 1: Eliminate
paper-based,
patient-dependent
workflows
Place all referrals and
orders electronically
Providers Drive Growth in Electronic Orders
Percentage of All Orders
3
“People frequently ask me how I
got so many physician offices to use
electronic orders. I simply explain that I
let the benefits speak for themselves.
Regardless of practice size, the increased
efficiencies, time savings and full benefits
are recognized immediately.”
— Frankie Grant, Physician Liaison,
Northeast Georgia Health System

5. Step 2: Cut the
middleman in
the ordering and
scheduling process
Schedule directly with patients
from electronic referrals
and orders
O Schedulers at the hospital, clinics or
specialists contact patients directly
O Scheduling process includes:
» Specialty screening questions
» Patient preparation instructions
» Financial responsibility information
» Directions and parking information
With Step 2:
44

6. Step 2: Cut the
middleman in
the ordering and
scheduling process
Schedule directly with patients
from electronic referrals
and orders
Before After
Cut Scheduling Time Dramatically
5
“A big benefit to specialists is
the ability to integrate complex patient
screening procedures into the workflow to
assure a fast yet thorough process. And,
patients are staying within our network.”
— Mary Godwin, Baptist Health Care
Patient Access Manager
7Mins
2Mins

7. O Workflow tools check for completeness,
including diagnosis and procedure codes
O Medicare medical necessity checking
(Part A and Part B) and prior authorization
management start immediately
O Patients are pre-registered to verify
demographic and insurance information
— using integration with the hospital
HIS — and to alert them to potential
financial responsibility
With Step 3:Step 3: Move
billing to the front
of the process
Integrate revenue cycle steps
early, during ordering
$
6

8. 2009 2014
$
Increase POS Collection Rates
Step 3: Move
billing to the front
of the process
Integrate revenue cycle steps
early, during ordering
7
With the goal to obtain an order
prior to scheduling and complete
pre-registration and financial
liability processes prior to the
patient arrival, Northeast Georgia
Health System increased point-of-
service collections from $258,000 to
more than $7 million over 5 years.
$7Million +

9. Step 4: Close the
communication
loop for
coordinated care
Better communication leads
to better provider satisfaction
O One “source of truth” for all
referrals and orders
O Health systems use electronic
correspondence to provide regular
updates to providers
O All parties can stay abreast of the
status as orders move from received
to scheduled to registered
With Step 4:
8

10. Step 4: Close the
communication
loop for
coordinated care
Better communication leads
to better provider satisfaction
9
On average,
SCI clients see an
85%
98%
conversion rate from referral
to scheduled procedure.
More than half are
scheduled within 24 hours.
and up to a
“Northeast Georgia Health System
has significantly improved physician
loyalty and patient experiences.”
— Frankie Grant, Physician Liaison,
Northeast Georgia Health System

11. Step 5: Use
your data to
continuously
improve
Gain insight through analytics
O Rich Dashboards provide insight into how
the physician community is performing
O Drilldowns and Filters enable users to
transform tables and graphs into drill down
reports to get the details needed on any
measure or metric
O Self-Serve Data Access lets users quickly
access the data they need and view it the
way they want it by simply dragging and
dropping metrics for their own analysis
O Referral Management provides timely
actionable insights into outpatient orders
and physician referral patterns
With Step 5:
10

12. Use Visual Dashboards for Analysis
Step 5: Use
your data to
continuously
improve
Gain insight through analytics
11
“It’s very easy to identify
trends, and drill down to
the correct provider. I can
check out the Top 10 group
every time I log in.”
— Joe Imbruglio, Manager of Revenue
Operations, Health First

13. Benefits:
O Competitive differentiation by offering
the best patient access experience
for referring providers and their patients
O Increased revenue through incremental
referral/orders from community
providers, plus reduced network
leakage from employed physicians
O Operational and financial improvements
that streamline patient access, reduce
errors and lost orders, and
improve reimbursement
O Better physician and patient satisfaction
Take Action
Implement Five Steps
that will Streamline
Patient Access
12

14. 1
2
3
4
5
Place all
referrals and
orders electronically
Schedule
directly
with patients
Integrate
revenue cycle
steps throughout
Close the
communication
loop with
providers
Gain insight
through analytics
$
Take Action
Implement Five Steps
that will Streamline
Patient Access
Get started today.
Visit scisolutions.com
13

15. About SCI
SCI Solutions improves the health of the healthcare system by enabling
provider networks to gain economic value through better community-
based care coordination. SCI operates a cloud-based service for a
network of approximately 600 hospitals and independent providers
including, diagnostic imaging centers, physician groups and post-acute
organizations. SCI connects health systems beyond their traditional
boundaries to their community partners in ways big IT systems can’t.
Provider networks utilize SCI’s service to coordinate patient care
transitions, schedule patients, automate referrals and manage orders.
An integrated and easy-to-use business analytics toolset identifies
opportunities and monitors performance. As a result, healthcare
organizations experience increased outpatient revenue, better
coordinated care and greater physician satisfaction.
866-472-4338 scisolutions.com