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Katie Panzica, Product Manager
Mike Hurley, Manager of Healthcare Payers – Hyland Software
Colin Gibb, Solution Architect – Hyland Software
Driving Digital Transformation
What is Digital
Transformation?
Digital Transformation is about outcomes:
• Eliminate obstacles
• Eliminate manual tasks
• Increase process insights
• Make smarter decisions
• Departmental collaboration
• Ensure compliance
• Improve productivity
The digital playing field has changed…
…and in order to play you need the
right set of tools!
Tools = Platform
Kiriworks Healthcare Payer Platform:
• Appeals & Grievances
• Provider Contracting
• Credentialing
• Recruitment
• Claims Integration
• Mobile Medicare Enrollment
• OnBase Mackinac
Better
Togethe
r
OnBase Mackinac
Electronic Exchange of
Healthcare Documents
& Data
Hyland Software Proprietary and Confidential
Intro to Mackinac
Demonstration
Hyland Software Proprietary and Confidential
HEALTHCARE RUNS ON FAX
AMERICA RUNS ON DUNKIN
Faxes in Healthcare
Cost and Hackability
Poor Quality of Image and Data
Non-Collaborative form of Communication
Healthcare Ideal
Human-friendly and Highly Secure
Fast and Inexpensive
High Quality Data and Documents in ANY Format
Mackinac
Digital Transformation
for Today’s Healthcare
Hyland Software Proprietary and Confidential
Secure Workflows
reduce paper, fax, email & portals
ANY Healthcare Organization
ANY data & content
Mackinac’s Value
Per
Transaction
Savings
>$90%
Guaranteed
Delivery & Audit
History
Workflow as
Conversation
Hyland Software Proprietary and Confidential
No IT or
Business
Changes
Current Process
Exchanging Medical Records
with Fax and Paper
Hyland Software Proprietary and Confidential
TCS Creates
Request Letter
Typical Request
Process Flow
Cart delivers
letter to ROI
department
Payer Provider
QNXT
USPS
USPS
Mail
Room
Print
Shop
Mail
Room
Sort/Prep &
Scan
EMR
Create
medical
record PDF
Print Shop
Mail Room
Sort/Prep &
Scan
Approve
Triage and
Route
Mail
RoomDeny
Nurse
Review
Hyland Software Proprietary and Confidential
OnBase Mackinac
Secure Healthcare Workflows
Hyland Software Proprietary and Confidential
OnBase, QNXT, TCS &
Mackinac Flow
ROI
Request
Queue
OnBase OnBase
EMR
eForm
(w/Medical
Records)
Provider
Clearinghouse
Payer
Clearinghouse
Payer Provider
Hyland Software Proprietary and Confidential
Status, Confirmations,
Audit Trail & Reporting
Mackinac Cloud Tracker
(No PHI)
QNXT
OnBase eForm
with Letter
TCS Letter
Nurse Review
Queue
OnBase updates
QNXT
Demo and Discussion
Revolutionize the way you do work!
Thank You

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Digital Transformation Tools Drive Healthcare Efficiencies

Editor's Notes

  1. Hello and welcome to our Webinar. Today we will be discussing Digital Transformation and how it can impact you. My name is Katie Panzica. I am the Product Manager here at Kiriworks. And with me today is Mike Hurley, Manager of Healthcare Payers at Hyland Software the developer of OnBase. Before we get started I wanted to remind everyone that our lines are muted. If you have a question please type it in the question box. We will be monitoring this throughout the presentation. The webinar will be recorded and posted. So let’s get started….
  2. Digital Transformation, what is it? Some may think it is about going paperless and having everything electronic or going mobile so information can be easily access at your fingertip. You may hear the words optimization, innovation or flexibility. All of this is correct. These are all pieces of the digital transformation puzzle. When we discuss digital transformation we are talking about the broad range of technologies and applications that enable you to be more efficient, create automation within your processes, allow for better decision making and a better customer experience, which all lead to productivity improvements which is the lifeblood of all industries, not just healthcare payers.
  3. Which means Digital transformation is about outcomes. What do I mean by that? When you think Digital transformation, you should think organizational change! An opportunity to rethink the way you do business. How can we eliminate obstacles that we run into on a daily basis? These can range from not getting answers, delays in a process, unmanageable workload balance. What parts of our process can we automate? How many of our manual tasks can be done with technology? How can we collect data to improve our process and make better decisions? Communication is a key factor when a process has many moving parts. Some processes may involve 7 departments and touch 100 people before it is completed. So how can departments work better together? And all of these transformations need to meet compliance requirements while seeing improved productivity. So our end goal is to create better outcomes!
  4. But the digital playing field is changing and it is causing disruption for those who don’t embrace this change. For example, today people want things instantly and access things easily. Take taxis, what has disrupted this business…Uber. People like having the ability to order transportation from there phone and track the entire process from order to delivery (car arriving). Can also use AirBnB or Netflix. You need to get ahead of the change to create a stronger completive advantage.
  5. And to do that you need the right set of tools.
  6. And those tools are technology and applications on a single platform. With one platform you can simplify the management of your process, control the security around your information and everything is managed centrally. It’s a way to increase communication throughout your organization and see are more efficient and productive environment.
  7. Kiriworks offers a healthcare payer platform that helps you drive digital transformation within your organization. Whether you begin your digital transformation journey within A&G or Contracting, our platform is an enterprise wide solution. Allowing you to address the challenges you face in operations, compliance, customer service or IT. Our platform integrates with your existing technology investments to connect your systems, processes, departments and people. Our end goal is to encourage internal communication, increase process efficiencies, provide better outcomes and create a better experience for your member & providers.
  8. And we know that now a days working together is better. So joining us today is Mike Hurley of Hyland Software. He will be discussing OnBase Mackinac and how payers and providers can work better together.
  9. That gentleman on the left is Alexander Bain. A Scottish inventor and entrepreneur. He was the Steve Jobs of his time, he thought about technology combinations In 1841, he saw possibility of combining electricity and time keeping, he invented the first electric clock A couple of years later he thought that he could leverage electricity, telegraph and chemistry. He invented the first fax machine. This innovation now allowed documents to be sent between cities via telegraph lines
  10. Fast forward to today, America runs on Dunkin…. And the most expensive, technically advanced healthcare system on the planet runs on still runs on Alexander Bain’s 1843 invention … but unlike the Michigan Avenue Bridge, the fax has not aged well
  11. Problems Expensive and not a secure way to share PHI Very Poor Quality of Image and Data “Throwing Files” What’s the Ideal? Human-Friendly Inexpensive Ubiquitous Instantaneous Highly secure High Quality Data and documents/content Moves any type or format of content Works with any payer or provider system
  12. So how do we begin making strides away from Alexander Bain’s 1843 invention? Four years ago we were looking to build a bridge of our own. One that would 1. allow a secure workflow bridge between our payer and provider customers 2. eliminate the need for our healthcare customers to fax or portal 3. Reduce Costs AND improve patient wellness
  13. Then in 1957 they opened the Mackinac Bridge The five mile long Mackinac Bridge connects Michigan's Upper & Lower Peninsulas It is fast, safe and, for a modest fee, drivers can cross in about 7 minutes
  14. Reduced hard dollar costs by 90%+ per transaction Improved process speed to review and pay claims involving medical documentation Improved collaboration, communication and coordination of care Improved payers, provider and member/patient experience
  15. High Level Map of Mackinac