Last Friday, it was a little after 8:00am and as I was sitting in a coffee bar in the A terminal of the Atlanta airport, after my scheduled Thursday 9:35pm departure to Syracuse was rescheduled for a 9:11am departure the following morning. While browsing on my phone, I read a headline on LinkedIn from a healthcare company and had to take a long sip of coffee, re-read, another sip of coffee, re-read and then confirm – yes, they are touting their portal as a solution to payer-provider collaboration. It made me giggle. In 2018 – is having the “best” portal the collaboration tool that is really bringing healthcare stakeholders together? Short answer – no. Longer answer – read on.
Too Much Time per Task – Hunting and Pecking.
There was a period in time when portals were an innovative option for collecting and displaying relevant data to the right people and bringing together payers and providers to enable a (detached) form of collaboration. The workflow of a “typical portal experience” then and now is as follows: the user opens a web browser, types in her username and password (usually entered correctly after the third try), the user searches and enters data that she currently has via various fields, pages, all while abiding by the various prompts to save, next, upload, download and so on. For the recipient of the data, it works in a similar manner. Let the hunting and pecking begin!
Compounding the experience is that most healthcare users don’t have just one portal they use daily, they have many. All of the portals have different logins, variations in the fields/data points required, auto-logout times, etc. The redundancy in data entry was common, necessary, and back in 2000, not seen to be too much of a burden, as portals were an innovative option at the time.
Our Chief Strategy Officer at Holon, Robert Connely IV, grew up with a healthcare IT luminary as his father, Robert Connely III. Robert III was responsible for creating McKesson’s Horizon Physician Portal, one of the first healthcare portals on the market. As he explains it:
“In the late 1990s, we had a problem. Hospital applications like lab, radiology, nursing, and financial systems required physicians to log in and switch between apps to find the data they needed to do their jobs. I created a product at McKesson that used web technology to extract and display data from multiple applications in a single pane of glass. The portal was successful because it addressed the problem of finding data.”
It’s 2018 – Surfacing Contextual Insights.
Fast-forward from 2000 to 2018. With value-based care, a series of changes are impacting the fundamentals of healthcare. Sticking with the user experience, they are now forced to comply with a growing set of quality metrics (by health plan), data sharing arrangements (by health plan), and preauthorization mandates (by health plan) – to name a few of the leading time-sucks. For these stakeholders in the value-based care ecosystem, they are burdened with a growing list of administrative tasks to remain compliant. Leaving their workflow tools 30+ times a day to check other systems (including portals) is a nuisance-and no longer the best option. Robert Connely explains how our team of innovators reimaged interoperability and how Holon empowers our customer’s portals, as one of our use cases, through our point of care platform.
“Portals make it easy to find data. But their use brings us back to the same problem my dad worked on years ago, only today providers must log into multiple portals. This recurring problem triggered innovation here at Holon. We call it CollaborNet. We believe the problem is more than just finding data, it’s about using the data to make the provider’s workflow easier. Our team has reimagined interoperability based on contextual awareness – taking advantage of the user, patient in focus, and technology all in play to streamline the exchange and use of data.”, Robert Connely IV
Holon’s patent-pending technology relies on contextual awareness – infusing automation into everyday workflows of healthIT users. Let’s focus on Holon’s CollaborNet PreAuthorization. With Holon, the process for obtaining a preauthorization was reduced from 5-6 minutes per instance to ~25 seconds per instance. The old process for obtaining a preauthorization from a health plan was similar to what was outlined above in the “typical portal experience”.
The current process for receiving a preauthorization is fully integrated into the user’s workflow. While the user is in the Electronic Medical Record (EMR), the user first identifies the need to obtain a preauthorization from the patient’s health plan. Holon CollaborNet senses the patient in context, as well as the open referral module within the EMR, and the relevant data the health plan needs for the transaction. Holon performs a real-time check to determine if the requested service, based on predetermined inclusionary criteria, needs a preauthorization. If so, Holon automatically surfaces a service authorization message to the user. In the background, the Holon software makes an automated query to the health plan to obtain the preauthorization. Within seconds, the preauthorization is received, and the user simply pastes the information into the EMR (regulations dictate the need for this manual step).
Portals were so “cool beans” twenty years ago. In 2018, portals play a role in storing information, but users no longer need to “hunt and peck” in the portal to leverage the data – Holon’s surfacing technology removes that burden, saving users time, making the exchange 100% accurate, and keeping users in their workflow. Portals empowered in the workflow with Holon – are a win-win for providers and payers and a true conduit for collaboration. Let us know how we can help you Libertate the Data to Liberate the Care.