Despite having an in-depth, individualized heart failure (HF) program, Billings Clinic’s 30-day readmission rate was higher than desired and negatively impacted the costs of care. The organization leveraged comprehensive data and analytics to create an analytical approach for evaluating and caring for patients with HF, successfully enhancing HF care and improving clinical outcomes.
On average, claim denials cost each healthcare provider $5 million every year. This loss of revenue resulting from claim denials is a concern for healthcare providers. Billings Clinic sought to determine the cause of claim denials and realized that it needed an analytics solution that could integrate data from multiple sources. The health system leveraged its data platform and analytics applications to pinpoint the sources of the denials, allowing the organization to implement prevention plans and procedures for recovering the denials. Billings Clinic achieved significant results, including:
COVID-19 required that Billings Clinic manage a disease outbreak and its organizational response to the outbreak. To respond effectively, Billings Clinic needed to integrate widely dispersed data into accurate epidemiological information. The organization utilized data and analytics to quickly visualize the data required to monitor and respond to the disease outbreak effectively.
Billings Clinic had its data located within multiple different source systems, which limited access to the data and decreased trust in the data. The available tools were difficult for non-analysts to use and understand, creating resistance to self-service analytics. To breakdown data silos, ensure a gold standard for metrics, and optimize its analytics use, Billings Clinic deployed a data platform and analytics application across its organization.