A detailed evaluation of the current condition at hospitals helps care providers identify gaps in crucial healthcare functions. They include, patient outreach, triaging, medication management and emergency management. Using Dynamics 365, care providers can reduce these gaps and this enables them to streamline these healthcare functions better.

1. Manage Pandemics & align with VBC
iOS
ANDROID
WINDOWS
CRM
MICROSOFT
SOCIAL
CRM
DESIGN
EXPERIENCE
CLOUDJAVA
RWD
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Agenda
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• Current situation at Hospitals’
• Current patient journey and what's not right
• Where to focus?
• Here's one way to solve that
• Beyond Clinical, reducing operational overheads
• How to get there?

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Hospitals’ situation
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Maximize outreach Priority management Self-Screening Patient Tracking
Provider efficiency
Capacity Forecasting
Exception based intervention
During Pandemics
Under Value Based Care
• Maximizeproviderreach
• Enablepreventivecare
• Minimizeavoidableadmissions
• Improvequalityofcareandhealth
• Engage& Educatepatients
• Morecoordinatedcare
• Reduceprovideroverheads
All that different???

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The Patient Journey – and what’s not right
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What’s missing?
Pre-visit
Scheduling
What is happening? What should happen?
• Patientsforgettheappt.  Reachpatientcalendar
• Check-informalitiesatclinic
• Instructionsverbal/absent  Instructionsthatcanbereferredto
 Check-informsathome
 Pre-emptivescreening,prioritization
• Noeligibilitycheckdone
• Triagingandscreeningatthefacility
 Checkeligibilityandinformpatient

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The Patient Journey – and what’s not right
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What’s missing?
What is happening? What should happen?
Consultation
Lab Tests
Rx Pick-up
• PatientsforgetLabtestappt.  Remindersforpatients
• Onlyclinicalpicturepresent
• Rx asperproviderpreference
• Educationallinksshared
 Knowthe‘person’
 Evaluatealternativesaspercontext
 Trackpatientusageofcontent
• Instructionsverbal/absent
• Novisibilityintomed.adherence
 Instructionsthatcanbereferredto
 TrackRx pick-upandconsumption

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The Patient Journey – and what’s not right
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What is happening? What should happen?
IP Admission
Discharge /
Transfer
What’s missing?
• Discharge/Transfersummarygiven  Makeitaccessibleandbite-sized
• Verbalcomm.ofcarealternatives
• Financialrepercussionunknown
• Suspensearoundprocess,nextsteps
• No/Shallow/Cumbersomefeedbacks
• Tiresome/stressfulcollections
 Well-timed‘usable’statements
 PayerreconciledEOBs
 Continuousupdates&education
 Inform&Enablethe‘person
 Reconcileplanbenefits/careoptions

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The Patient Journey – and what’s not right
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What’s missing?
What is happening? What should happen?
Care plan
Execution
Wellness
Mgmt.
• Socialanglemissing  Tracesocialactivity
• Dashboardstoactionlooptoolong
• Careteamsstretchedfortime
• Don’tknowwhoneedsintervention
• Patient’swordastruth
• Careplanetc.sharedwithfamily
• Occasional,out-of-contextcalls
 Tangiblewellnessmeasurement
 Promotefamilyengagement
 Track‘person’health/behavior
 System-assistedprecisiontargeting
 Journeychartingforexceptionaleventnotifications

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Focus Areas
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Patient
journey orchestration
Unified Care
collaboration
AI powered alerts,
Notifications, Worklists
Contextual omni-
Channel outreach
Real-time Wellness
monitoring
360o
Patient view
What’s missing?

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US-Healthcare with D365
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VBCTenetsWhatD365doesforyou
Wellness ManagementPre-visit During visit Post Visit Adm. & Discharge
Send - Appointment on patient
calendar, Check-in / Screening forms,
instructions
Alert patient of eligibility lapse
Check eligibility
 Patient Engagement  Patient Engagement
 Quality of care
 Patient Engagement
 Quality of care
 Interoperability
 Patient Engagement
 Quality of care
 Interoperability
 Population Health
Patient Engagement
Quality of care
Interoperability
Population Health
Mass outreach – Preventive care
Present complete patient picture
Track Rx pick-up and alert provider
Cal. Invite and reminders for test
Instructions and educational content
Alert billers of closed encounters
Loop patients in on Lab tests
Measure access to end. resources
Alert providers of incomplete charts
Payer reconciled patient statements
Referral tracking & alerts
Enable program choices & enrolment
Share with patient – Discharge
summary, Care options, Financial
repercussions, Care plan
Involve family/Social workers
Collection reminders & payments
Chart patient journeys – Identify at-
risk patient, real-time adverse event
notification, pre-emptive intervention
Auto-assign care team members
Auto-trigger billing
RPM & social engagement tracking
Benefits
 Reduced wait time & No-shows
 Fewer Claim denials
 Lower effort for check-ins
 Better Medication adherence
 Shorter payment cycle
 Informed patients
 Better PR collections
 Faster Cash flows
 Informed patients
 Better PR collections
 Healthy patients (preventive care)
 Engaged patients
 Better provider utilization
 Healthy patients (preventive care)
 Reduced overheads  Costs
 Accelerated dollars
Clinical Financial Admin
Artificial
Intelligence
Custom process
orchestration
Ubiquitous
Connectivity
Robotic Process
Automation
Device
Integrations

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Non-clinical Challenges– To be avoided
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Admin/Operations Billing Customer Support
ChallengesYouwish
 Manual intake, Clinician/Equipment
allocation draining resources
 No unified care collaboration view
 Urgency/Specificity of action missing
in Population health dashboards
 Engagement for clinical trials difficult
 Staff performance tracking inaccurate
 No real-time allocation of closed
encounters for billing
 Cumbersome coordination with
providers for claim fixing
 Patient statements lag payer
payments by too much
 Missed eligibility, Auth.; No/Delayed
actions for negative responses
 Limited/No access to conversational
& feedback history, social context
 Ineffective/Missing/Cumbersome link
with care teams
 No unified comm. – Internal/external
 No targeted pre-emptive care ability
Performance-outcome attribution
Actionable population journey
Event-based ‘At-risk’ worklist
Centralized coordinated Comm. Auto-reminders/notifications/follow-ups
Customized auto-run campaigns
Auto-gen. invoices and payment reminders AI-assisted customer service
360-degree Patient viewRules-driven biller worklistsRules-driven resource management
Well-timed satisfaction surveys
Marketing
 No customization/personalization in
Campaigns – targeting, messaging,
timing, channel
 Manually push relevant educational
content to patients
 No empirical patient engagement
measurement
Patient-event driven content
Digital engagement footprint tracking
Conversational provider collaboration

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Patient &
provider portals
Marketing
Automation
Care
Management
Predictive
analytics
Intelligence
driven processes
Mobile enablement
Billing operations IoT
(Device integrations)
Conversational AI
RPA
Kick-Off
Artefact
analysis
Administration Patient
Profiling
Customer
Service Rules engine
Analytics
(PHM & more)
Final Delivery Go-live
W1 W2-8 W9 W10-11 W12-14 W15-18 W19 W25-26 W27 W28
CoveredFeatures
• Appointment scheduling
• Eligibility checks
• Follow-up tracking & capability
• Patient journey setup
• Precision targeting
• Internal/external communications
• Customer support/billing operations
• LMS to help support staff
• AI driven resolution/processing
• Chat-bot to minimize incoming calls
• Conversational AI
• Automate mundane tasks (RPA)
• Implement HC interoperability standards
• Integrate data from solutions & devices
• Alerting mechanism
• Notification & reminder setup
• Lab & eRx orders (patient reminders)
• Channelized marketing (post analysis)
• Custom educational content
• Resource management/allocation
• Population Health Management
• Patient engagement insights
• Feedback analysis
• Clinical & financial reports
• Predictive reports, pre-emptive care
• Marketing insights & analysis
• Care collaboration view of patient
• Family tree (family history, etc.)
Implementation: How simple is it?
Req.
gathering
UAT
W20-24
Integrations
Toppings &
Add-ons
Administration Customer Service Integrations
Patient Profiling
Rules Engine Dashboards/Analytics

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For more information, contact info@nalashaa.com
Nalashaa Healthcare Solutions LLC.
510, Thornall Street, Ste 210, Edison, NJ 08837
+1-732-602-2560 Ext: 200
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Thank You
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