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.
Regional Health System - System of Care Strategic DevelopmentSituation:The client is facing changing reimbursement structures with health reform and is choosing to proactively address necessary changes in their business model to sustainably transition to a high-performing system of care across all access points and geographies.Impact:InfoWorks defined a new business model framework leveraging physician and consumer/patient needs and wants, starting with a focus on a neighborhood and proving the model through a lean prototype design and execution model. Defined and executed new monthly operating measures and reports for effective decision making.Solution:Business Transformation, Process & Workflow Improvement
Healthcare CMS Services Provider – Configurable Platform For CliniciansSituation:Our client had a large amount of Level I evaluations on contracts being completed across a number of web-based tools, each of which is customized to meet the needs of a specific contract. It was determined that a web-based configurable platform would enable productivity improvements for nurses and scalability for the business.Impact:InfoWorks built a sophisticated architecture to develop a configurable .NET web-based platform for administering three different assessments per client for admission into skilled nursing facilities. This ensures facilities meet state requirements for Medicare and Medicaid. The new platform is designed to handle complex clinical review and escalation processes that manage and maintain a high degree of quality. Utilization of this platform has reduced the time to complete a clinical review by 75%, from 8 minutes to 2 minutes.Solution:Application Development
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Services (CMS) defined ACO reporting codes, our client was unable to produce revenue reports because the software was out of date.Impact:InfoWorks designed and implemented a member registry data management and process mapping capability to streamline their reporting.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 & Information Management
Medical Claims Processing OrganizationSituation:The client brought in InfoWorks to conduct a rapid assessment to identify quick hit opportunities for productivity improvement within a medical review claims processing group.Impact:A medical review claims processor was required to view and enter information in multiple systems to complete their work. Significant time was being spent to interact with multiple systems and enter the same data many times in many applications. A series of projects was defined that allowed the user to focus their work in one primary, in-house application. Screen scraping technology was used to create back-end interfaces that extracted and entered data in any other system needing that same data for completion of a claim. Productivity improvements of up to 30% were achieved.Solution:Process & Workflow Improvement, Application Development
National Health System Provider – Cultural Diversity & InclusionSituation:InfoWorks provided project management for a patient navigation initiative at a Las Vegas, Nevada hospital, focused on learning lessons from the project and determined possible strategies for scale-up and expansion. In addition, we provided interim management of the Americans with Disabilities Act (ADA) policy.Impact:InfoWorks identified challenges in transgender data collection and issues surrounding the provision of care to transgender patients. Through stakeholder management and activation we were able to reduce 15+ hr/wk workload to sponsor. We coached sponsor on key strategies to position cultural diversity and inclusion in HR.Solution:Stakeholder Engagement and Activation, Training & Adoption
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.