As the healthcare industry market, regulatory, and payment structure changes continue to shift, InfoWorks helps our clients develop powerful and practical solutions that maximize impact on every level. Our focus is working with healthcare leaders across the continuum of care to achieve success, period. We work with hospitals, health systems, post-acute providers, physician networks, and everything in between to craft more effective, efficient, and innovative healthcare solutions. So whether you are improving your employed network, aligning with other care access points, building your strategy, or exploring value-based care—we can help you navigate the complexities of the healthcare system by providing solutions that yield highest impact for where your organization is headed.
A leading workers' compensation reimbursement expertSituation:The client brought in InfoWorks to develop analytics-based methods to further enhance their appeal success rates on zero-balance claims.Impact:The complexity of workers' compensation and its variations in reimbursement due to state-specific fee schedules make efficient, expedient claims processing and timely reimbursement a challenge. InfoWorks developed a statistical model to predict which appeals would result in a successful outcome. This model allowed the client to prioritize working appeals that enable the most successful outcome.Solution:Data Strategy and Information Management
Not-for-profit behavioral health services providerSituation:Our client's electronic health record (EHR) was not integrated with their billing software, requiring periodic, manual transfer of data. Their goal was to find one integrated solution. After living through two unsuccessful implementations, the client engaged InfoWorks to facilitate the software vetting and selection process to find the best fit for their users.Impact:Following a stakeholder engagement process, InfoWorks developed a customized approach including:- A thorough requirements gathering phase
- A central point of contact to cultivate and manage vendor relationships
- Recommendations at key intervals to help the client prioritize based upon key considerations such as price, client references, vendor roadmap, and product demos
- A focus on aligning the client's future needs with vendor roadmaps to ensure that a strong partnership was forged
Solution:Stakeholder Engagement, Package Selection, and Implementation
REGIONAL ACCOUNTABLE CARE ORGANIZATIONSituation:Due to changes in Center for Medicare/Medicaid Services (CMS) defined ACO reporting codes, our client was unable to produce revenue reports because the software was out of date.Impact:InfoWorks designed and implemented a member registry data management and process mapping capability to streamline their reporting. Following a successful implementation in one market, InfoWorks developed a toolkit for data mapping and reporting that was easily replicable, efficient, and effective strategically across multiple markets.Solution:Data Strategy and Information Management
Non-profit community mental health centerSituation:Our client was spending unnecessary resources on manual processes between locations, including sharing necessary documentation as a result of an outdated business platform. The client was interested in investing in new tools for the core of their business and clinical operations. Having had a previous failed software implementation, our client sought expertise to facilitate the selection and implementation process.Impact:InfoWorks' clinical consultants worked with our client to develop a comprehensive discovery and vetting process that included:- Clearly defined clinical and business needs to be supported by the new operational foundation
- Thorough software evaluation by industry experts
- Definition of a communication and clinician engagement strategy and over 100 needed work flow changes
The implementation process was a team approach that was facilitated across inpatient and outpatient facilities that included clinical and operational training as well as ongoing clinical support.Solution:Stakeholder Engagement, Package Selection, and Implementation
Pharmaceutical dispensing and correctional management companySituation:In order to become one of the largest suppliers of medications to correctional facilities in the country, our client recognized the need for a larger facility and an upgrade for their pharmacy management system to a more scalable platform. The goals were to facilitate online order entry which could interface with automation systems and EHRs at prisons and jails around the country to expedite pharmacy dispensing.Impact:InfoWorks defined and delivered projects that built the foundation for corporate growth. We developed strategic plans and facilitated a corporate move from an 8,000 sq ft. facility to a 50,000 sq ft. facility. In addition, InfoWorks led the implementation of a new pharmacy management system able to produce over 3,000 scripts per day.Solution:Business Transformation, Process and Workflow Improvements
FEATURED Consultants
Alan Taylor has over 25 years of experience in all facets of operational systems discipline across the entire healthcare continuum. Taylor has proven success in leading complex programs, driving process and workflow improvements, and transforming collaboration across all care settings in organizations.
Lane Newsom has over 15 years of experience leading organizations of all sizes, from startups to Fortune 10 companies, through business-critical transformations. Her specialties include cross-functional process redesign, organizational design, and aligning business and operational units with technology.
Mark Wisniewski has over 20 years of experience providing leadership in various healthcare settings, with strengths including leading teams in efforts to improve efficiency, standardized healthcare, and enhance clinical quality for patients, while reducing unnecessary costs to the healthcare system.