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Profitability and Cost Management for Healthcare Providers

Oracle enterprise healthcare solutions provide the framework to accelerate compliance to Accountable Care Organization (ACO) reporting requirements by providing a comprehensive healthcare data model, pre-built integration to many of the major EMR vendors, and world class performance management tools to harness Business Intelligence and Analytics, Profitability & Cost Management, and Big Data … all necessary for Population Health Management.  The Oracle Health Analytic offering also includes a proven data model covering financial, administrative, and clinical and research data with over 40 pre-built analytic applications available.

Let’s talk about an example scenario built to gain transparency to a specific set of services for the Pulmonary Services Area (inpatient) and Cystic Fibrosis outpatient clinic.  The model is structured to look at the profitability of various patient groups (included revenue and cost of major activities) to include the Intensive Care Unit, the Ward, Admitting activities, Discharge activities, etc.  The model enables the following:

  1. Ability to determine true profitability of services by business unit, service line or product grouping with transparency to both direct and indirect (allocated) expenses
  2. Ability to create “what-if” scenarios such as the impact of moving patients quicker between the expensive ICU and the ward and the impact of using less expensive technician labor vs. expensive nurses

Stay tuned for use case discussions…

Related posts:

From Little Data to BIG Data – One Step at a Time

Decreasing Healthcare Costs with BI – Can Your EHR Deliver?

Big Data in Healthcare: Do we even know what we’re talking about?

White Paper: The Intelligent ACO: A Primer

The Marriage of ACOs and Technology

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Terie McClintock

Terie McClintock is the Oracle Healthcare Practice Director at Perficient, Inc. where she is responsible for providing healthcare subject matter expertise to the Perficient Oracle National Business Unit while also cultivating and managing the partnership with Oracle’s Healthcare Vertical and Horizontal Business Units. Terie has more than 25 years of IT experience. Prior to joining Perficient, Terie contributed over 13 years at M.D. Anderson Cancer Center with the most recent title of Director, Data Management Services. Prior to M.D. Anderson, Terie worked for IBM as a Senior Consultant.

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