2021 Fall member retreat - Healthcare Business Insights
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Healthcare Business Insights 2021 Fall member retreat Building an attractive, digitally enhanced patient journey Carrie Donovan System Vice President, Revenue Cycle Operations Susan Clarke Vice President, Revenue Cycle Patient Access Services Sarah Kutchman Director of Financial Clearance Quality 1
About the speakers Carrie Donovan Susan Clarke Sarah Kutchman • Carrie Donovan serves as the System Vice • Susan Clarke serves as the Vice President, • Serves as the Director of Financial Clearance President Revenue Cycle Operations at Revenue Cycle Patient Access Operations at Quality for AdvocateAurora Health, AdvocateAurora Health in AdvocateAurora Health. overseeing the technical tools, processes, Wisconsin/Illinois. • Susan has been with Advocate Aurora and quality assurance for system financial • She earned her bachelor’s degree from the Health since 2001 and has led cash advocates and self-pay collections teams. University of Wisconsin-Milwaukee, a application and refunds departments, Master in Healthcare Administration from billing and reconciliation, denials • Has 24 years of health care revenue cycle the University of Minnesota, and completed management and appeals. experience, including implementation of The Health Management Academy’s GE • Prior to joining system estimates, automation of financial Administrative Fellowship Program. AdvocateAurora, Susan worked 10 years assistance, and digital patient financial • Carrie regularly guest lectures for UW- with Loyola Physician Foundation, a large experience enhancements. Milwaukee MBA and MHA programs and academic medical practice. While there, volunteers her time at local high schools she earned her certification in coding. administering SecureFutures, a financial • Susan holds a Bachelors of Science from literacy program for teens. Western Illinois University and has been CHAM-certified with the National Association of Health Access Managers. 2021 Fall member retreat 2
Learning Objectives Building an attractive, digitally enhanced patient journey • Apply strategies to make the patient experience more personalized, more accessible, and easier to navigate. • Identify patient touchpoints—from pre-service to medical records to billing and beyond—that can be integrated into a comprehensive digital strategy that delivers a more customized and connected patient experience. • Collect measures that can be used to assess patient engagement and the impact of patient-facing digital offerings. 3 2021 Fall member retreat
AdvocateAurora Health at a glance We help people live well by … … meeting them where they are: • Anytime, anywhere • Personalized • At-home, or on their mobile device • Self-service or in-person 4 2021 Fall member retreat
Transformation 2025: Destination Health OUR PURPOSE: We help people live well. OUR PEOPLE • OUR VALUES: Excellence | Compassion | Respect 2021 Fall member retreat 5
Whether through leading technology, simplified processes, or streamlined communication … … we are focused on making the consumer/patient experience more personalized, more accessible and easier to navigate. This will only be achieved by putting the consumer first in all that we do. 2021 Fall member retreat
Enhanced self-service journey Search Info Online Remind, Pre-check, Post-service, scheduling pre-check, arrival, and Online bill pay • Paid search • Landing page pre-pay visit • Organic Search • Provider profile completion • Local search • Location detail • Google My Business 2021 Fall member retreat 7
Consumer-first scheduling Any provider, anywhere Sign in with LiveWell Simple & seamless Schedule any appointment Don’t spend time re-entering Schedule with as little as a name type in the way that is most information. Sign into any channel and phone number then seamlessly convenient for you. (including voice) using Sign in with update or add information through LiveWell. any other channel before your visit. 2021 Fall member retreat 9
Patient scheduling study The highlights • Only 59% think their primary care provider offers online scheduling • 29% are scheduling appointments online today – 51% want to schedule online in the next year or two – Telephone remaining the top option (81% today, 74% future) • 15% would like to schedule all appointments online in the next year or two – 49% never want to schedule online • Of those using online scheduling, 74% find it easy • Possible misperceptions (i.e., don’t offer it, limited time slots, etc.) are the main reason consumers are scheduling fewer online appointments 2021 Fall member retreat 10
Consumer-first— Estimates
Estimates prepared for: Scheduled services— • Common diagnostic tests – Prepared by system – Sent to patient portal • Surgical services – Prepared by team member – Sent to patient portal – Complicated diagnostic testing prepared and finalized by a team member Patient requested— • Prepared online through self-service tools • Or, available on the portal when prepared by a team member 2021 Fall member retreat 12
Notification examples When the estimate is finalized, consumers receive an SMS or email notification 2021 Fall member retreat 13
Estimate example: 2021 Fall member retreat 14
Self-service estimate No Sign-on 2021 Fall member retreat 15
Self-service estimate Sign-on 2021 Fall member retreat 16
Prepayment / check-in Finalized estimates for scheduled services are available online with ability to prepay 2021 Fall member retreat 17
Estimate cash by source: Payment source 6% MyChart mobile MyChart web 15% Payment collection 79% 2021 Fall member retreat 18
Consumer-first— Self-check-in
Future state • Inspired by successful travel and retail models • Kiosks moved forward as first choice • Live assistant available to educate and help as needed 2021 Fall member retreat 20
Current state • Discovering what works and why • Engage teams, preview before arrival, encourage at arrival Imaging Center Vestibule Small footprint waiting room Large diagnostic testing 18% use 67.3% use center 58.7% use 2021 Fall member retreat 21
Lessons learned Drivers to adoption • Placed in a high traffic area • Provided information on use as part of arrival instructions • Secured staff buy-in Barriers to adoption • Hidden outside of normal traffic pattern • Lacked any sign or explanation • Failed staff engagement 2021 Fall member retreat 22
Kiosk integration • Leverage Epic Welcome to connect with EHR • Refined user experience to streamline check-in • ADA to bottom half of screen • Includes holder for masks or gloves • Includes disinfectant wipes holder • Smaller width/floor space 2021 Fall member retreat 23
Epic Enhanced Create an Unified Foundation Check-in scheduling account look & feel Extensible Kiosk LiveWell 2021 Fall member retreat 24
Consumer-first— Bill pay
Paperless statements Online and mobile • Patients can pay multiple entities on the portal • Online details: ! “View account” details ! Statements 2021 Fall member retreat 26
Bill pay No sign-on 2021 Fall member retreat 27
Billing / payment summary details 2021 Fall member retreat 28
Flexible payment plan options 2021 Fall member retreat 29
Payment methods measured 2021 Fall member retreat 30
Measuring our consumer-first journey
Measuring patient engagement 2021 Fall member retreat 32
1M+ Kiosk downloads Use 70% of users that prefer 4.8 rating by users LiveWell cite faster access to Reg Quality information as their top reason Increasing for preference Year-over-year Precheck 15% of arrivals use Precheck today. 4.7 rating The goal is 50% by 2023 1.2M Online bill pay Online scheduled ease of use appointments 2021 Fall member retreat 33
Healthcare landscape Some health systems are extending the Many payers are adding new tools to their patient portal to build more consumer- app or creating standalone apps for focused solutions specific use cases Baylor Scott and Banner Health Northwestern Froedtert Anthem United White Medicine 2021 Fall member retreat 34
Family View LiveWell capabilities Highlighting what’s new for our patients and their families over 10 million times 35 Promo/alert banner Serving up 1.8 million Meditation exercises impressions a month Over 17,000 conducted since April 2020 Symptom Checker Over 180k sessions in Health quizzes English and Spanish Drives more completions than the next two sources combined SafeCheck COVID screening for Healthy recipes and news employees and visitors New health enews stories and recipes delivered daily Improved virtual visits Integrated Health Record Fully integrated myChart access to all Streamlining and simplifying clinical tools, labs, messaging and bill pay 2021 Fall member retreat the user experience
Consumer first— What’s Next?
Future operational enhancements • Self-scheduling the entire portfolio of healthcare services • Increase pre-check orientation and utilization • Check-out using digital tool – Schedule visits for ordered services – Estimates on after-visit summary for future services 2021 Fall member retreat 37
Future operational enhancements (Cont.) • Customized statement messaging based on propensity to pay – Drive more customers to digital platforms if they have the ability to pay – Focus team member resources on more complex payment needs • Add online/mobile capability for financial assistance – Mobile device/scanning of financial documentation – Status notifications via text or email – Real-time approvals and updates via text/email • Epic enhancements – New balance notifications – Prepayment plans for estimates 2021 Fall member retreat 38
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