New front-end enables real-time clinical evaluations
Our client is a leading nonprofit global tax-exempt healthcare organization. They ensure patients receive the highest standards of care and safety when visiting a healthcare provider. We have been working with them since 2016.Our Client
Our client strives to improve the clinical conditions of healthcare organizations to ensure patients receive safe and quality care. These organizations must submit extensive amounts of data to our client to confirm they are complying with Clinical Quality Measures (CQMs).
CQMs are criteria used to assess if a healthcare provider is executing their practices in ways that serve the best interest of their patients. This information is processed by The Centers for Medicare and Medicaid Services (CMS), which issues Medicare and Medicaid reimbursements to healthcare organizations considered reputable by our client.
However, these organizations were submitting their information through an older data collection system that:
- Couldn’t verify the data for correctness and completeness before it was submitted to our client for evaluation
- Required IT involvement to adjust the user interface, rather than our client being able to do so on their own
Consequently, healthcare organizations struggled to submit their data to our client in a timely manner, and our client was unable to capture and process that data quickly.
To correct this, our client acquired a completely new data collection system and asked Prolifics experts to lead and execute the most important work: designing the front-end portion. This is the user interface where healthcare organizations are presented with forms to complete based on their needs, such as obtaining a certification to add a new department to their facility, or to simply renew their previous certifications.
With the ability to modify the forms themselves, our client can change the questions on their user interface, as well as specify the types of answers that are acceptable. If our client determines that another question would be appropriate to add or remove from the form–or wants to create a new form–they can do so in real time on their end.
What does all this mean for our client and the healthcare organizations they serve? The time it takes for our client to generate or modify forms on their user interface has been significantly reduced from several hours to just a few minutes, and healthcare organizations can pick which forms apply to them. As a result, our client can receive the most accurate and extensive information, and healthcare organizations can have the best chance of complying with all requirements.
Ganjam also explained this in relation to our client being able to formulate audit checklists immediately. He said, “Suppose our client visits one facility and there is a second facility a few miles away. If the client must capture a different set of information from the second facility, it was not easy for them to do before because everything had to be done manually. Now, with just a click of a few buttons and some keyboard strokes, they have a totally new audit checklist.”