Providers

Customized Performance Management

Salient visual data mining enables physicians, hospitals and other healthcare providers to gain accountability and control over all aspects of managing their healthcare operations. It allows providers to instantly analyze overall costs and activities to improve outcomes.

Given a provider’s unique needs, Salient customizes every solution to fully integrate all the data they need to provide the whole picture of healthcare delivery, from clinical and financial to operational and other data. Providers can instantly and easily monitor “process of care” and program compliance, as well as effectively manage the business aspects: strategic planning, business development and growth.

 

Strategic Decision Support


Easily use data (not guesswork) to drive development and revision of patient care “lines of business” based on patient need analysis and historical service utilization

  • Understand who’s using and providing services among patient populations, and at what level and cost
  • Have data available throughout your organization, without waiting for “data staff” to run reports – “turnaround time” often changes from days to seconds
  • “Turnaround time” changes from days to seconds
  • Report preparation is done with “clicks,” not programming
  • Easily share data within your organization and with employers, payers and publicly funded program sponsors in support of payment reform recommendations

Cost Management


Using data to manage patient care costs

  • Easily use data (not guesswork) to identify highest patient care cost drivers and the more effective and efficient service providers or systems and the development of new patient care management strategies
  • Monitor patient care management initiative changes easily, comparing time periods instantly
  • With just a few clicks (and no programming) compare average cost per patient, average cost per encounter, etc., by service type, provider, procedure, drug, or virtually any other variable

Program Compliance


Manage program oversight and rule compliance with point and click data

  • Quickly identify utilization spikes, then easily dive into data to find providers or patients who are causing utilization changes that might be in violation of an agreed upon set of standards
  • Spot chronic abuse and misuse and document problem providers and patients for “Plan of Correction” development and implementation
  • Profile high cost patients and providers, and examine their service use/provision
  • Easily share data with other control and oversight staff or team
  • Foster regular program compliance effort review and modification to ensure program compliance

Patterns of Care Analysis


Monitor and evaluate care protocols for groups of patients

  • Easily look at utilization data over time, by groups of patients, providers, or disease programs
  • Dive into groups to examine outliers easily
  • Quickly identify utilization changes over time
  • Group patients easily, and examine the care or services they receive

Care Coordination


Monitor and improve patient care coordination

  • Monitor service utilization on weekly, monthly, or quarterly basis to identify the inefficient use of healthcare services among patients who’s care and services are not properly coordinated
  • Use data from trend analyses, and program monitoring to evaluate existing or potential care coordination strategies, programs or work flows
  • Evaluate care coordination strategies such as, medical home model of primary care, patient self-management programs, limited referral relationships, a-synchronous communication strategies, and electronic health information exchange strategies both before and after implementation

Coding & Documentation Support


Review paid claims in relation to clinical documentation and identify outliers

  • Identify improperly coded service claims, and initiate refunds or supplemental requests for payment to or from a carrier, or other third party payer
  • Find documentation and subsequent coding errors and discrepancies that allow for targeted work flow modification and/or staff re-training to ensure compliance with National Correct Coding Initiatives and other agreed upon requirements and expectations
  • Monitor carrier performance in terms of adherence to benefit plan design, payment accuracy, administrative efficiency and transactional timeliness

Healthcare Transformation Initiatives


Use data to understand the program, monitor strategic initiatives, and revise program direction based on current performance

  • Track cost and utilization by provider designation, certifications, recognitions, affiliations, relationships and service type over time, particularly in terms of changes in these criteria
  • Dive into data for each service type to procedure, rate, drug code, therapeutic code patient condition type or risk stratification, etc., to get underneath the broad trends
  • Easily produce “Executive Dashboard” reports to allow clinicians and senior managers to understand the big picture, and use data to guide changes and healthcare transformation and develop reward or incentive programs
  • Easily share data throughout the organization and with engaged and/or collaborating employers, payors or publicly funded program leaders and policy makers in terms of developing and advocating payment reform strategies

Process of Care Management


Identify and Group Special Populations for Further Analysis

  • Track provider and/or system efficiency in organizing populations of patients for service delivery consistent with need that ensure care is delivered in a cost effective manner and to improve outcomes
  • Easily group participant populations (chronic care, behavioral health etc.) to ensure patients are receiving care in the right place, at the right time and from the right clinician or clinical care team member
  • Identify process of care improvement opportunities among providers who serve the various groupings of populations and target communications directly to them