
FROM GOOD TO GREAT: Healthcare system reinvents workflows with Concord Connect™ Straight-Through Processing
Keeping up with healthcare technology is essential. Unworkable or inefficient document and data flow can wreak havoc on everything from timely patient care to critical business operations. Having a partner for intelligent document processing who knows your current requirements, and is actively preparing for future needs, is a must. North Shore Community Health Inc. (NSCHI) has exactly that kind of relationship with Concord Technologies — and it’s paying increasing dividends.
NSCHI, based on the North Shore of Massachusetts, is a Federally Qualified Health Center, or FQHC. It has three family practice sites, two school-based health and behavioral health centers; and four school-based behavioral health sites. Each location is tasked with delivering high-quality, culturally competent, comprehensive primary care that includes medical, dental, and behavioral-health services. NSCHI also offers supportive services such as health education, translation, health insurance eligibility and enrollment assistance, and transportation.
NSCHI has been using Concord Technologies’ Cloud Fax services to send and receive documents safely and securely for years. Now it has deepened its relationship by implementing Concord Connect™, Concord’s end-to-end platform for the delivery, exchange, and intelligent processing of documents and data. NSCHI now leverages Concord Connect’s Straight-Through Processing functionality in a growing number of major, newly reorganized workflow queues — along the way reinventing data analysis, document delivery, and information usage across the enterprise.
Reimagining data movement through multi-queue system
Using Concord’s Practical AI™ approach to Intelligent Document Processing, Concord Connect performs document classification and data extraction on all incoming documents. That means critical information such as physician consult notes, referrals, service and medication requests, and medical images are automatically identified and routed quickly into a major, “front desk” queue. From there, they are then diverted into sub-queues, such as medical imaging, prescription refills, or referrals, for additional analysis and distribution.
Each newly designed queue immediately yielded significant time savings and gave the provider the confidence needed to expand into other workflow areas, says Curt Swanson-Lewis, Senior Manager of Operations Systems.
“We were using queues that were all over the place and realized that by cleaning those up and implementing Concord’s classification and extraction capabilities, we could significantly reduce processing time and improve workflow,” Swanson-Lewis explains. “I knew what possibilities existed with Concord Technologies. Now we are seeing it, and this has been a game-changing moment for us. What Concord is doing allowed us to begin operating in a realistic, clear, direct, and concise manner.”
In addition to the ‘front door’ queue, NSCHI’s queue subsystem now features pathways for provider orders, lab results, medical imaging, medication refills and prior authorizations. When documents arrive, they are classified in the front-door queue to determine what type of document they are; what individuals or teams need to see them; what data needs to be extracted at that stage; and what will be the final destinations for both the original document and all its data. That has cleared up a lot of ambiguity around responsibility and follow-through, Swanson-Lewis says, improving accountability and helping staff to meet performance goals.
Major time savings in medical imaging review, other core services, quickly apparent
The Concord Connect-driven queues have already resulted in “dramatic” time drops in terms of document searches in high-profile workflows such as medical imaging.
“Getting image files to providers on the same day instead of within a week is something we’ve never had,” Swanson-Lewis adds. “No more logging into another system to see if the image is there. It’s all dropped into a chart and sent out. Our CMO was amazed when we told him we were getting those into providers inboxes on the same day. We have between 15,000 and 18,000 of those coming in per month, so having only one place for them to be located is huge.”
“It’s changing how we work,” he continues. “Now people don’t have to sit and look at, and wait for, faxes all day. The imaging specialist doesn’t have to go into different queues, download forms and images, and then bundle them together to put into our Epic EHR so they can be tied to test orders and then sent to the provider for review. Now they have a single queue to log into, find the images and forms, and move them through the system. It is saving them hours every day, and speeding patient care.”
Physician orders are another area of significant time savings. If an endoscopy request comes in from a clinic and is contained in a longer document containing other details about a patient’s gastrointestinal treatment, the appointment request can be routed out and scheduled while the rest of the information, such as medical images, makes its way to other destinations. At the same time, information such as patient name and date of birth has been checked and matched to existing records, so that a user is able to tap into the most current information about that patient right away. And all without staff having to sift, sort, and reroute the various elements of the original document.
And yet another area where Concord Connect is having a huge impact is medication refills, which suffered from long delays between arrival and physician approval.
“Our medical assistants were wasting a lot of time sifting through paper,” Swanson-Lewis says. “Now they can take immediate actions because the documents and information have been sorted and routed to a single queue to find what they are looking for. No more searching! Also, they were printing the refill orders out and waiting for the doctor to come into the office, which might have only been twice a week. Now they pull up the e-record, enter the request, send to the provider and often it’s approved the same day. That alone is a 3- to 5-day turnaround cut down to 2 days at most. We’re saving time everywhere and have cut down on a huge amount of waste.”
Lastly, the queue for provider orders is also producing strong results. Those come in “fast and furious,” Swanson-Lewis says, and can be complex because they may involve physical therapy, home visits or other procedures that require a physical vs. digital signature.
“Now those requests are routed to a single queue, where a form can be sent to the agency or facility through Epic,” he says. “They can also send us forms to be signed and those enter that queue for processing. Now we only have one person dedicated to reviewing that queue to see where requests are and track them. Before we had several people doing that work.”
Ongoing service, support essential to success
These massive overhauls of workflows didn’t happen in a vacuum. Swanson-Lewis credits the Concord team’s willingness to provide continuing support as key to the changes so far and those to come.
“The level of support I receive from Concord is second to none,” he says. “I have never had better customer service and support from a company as I’ve gone through creating these queues and workflows. For two years we’ve had almost biweekly meetings where every question is listened to, no matter what it’s about. Normally a few months in, I’d be told to call a help line. Concord has never done that in any way, shape or form. We’re doing the work, and we’re getting support every step on the way.”
“What we’re doing has been groundbreaking, and is allowing us to blaze a new path,” he continues. “We now have document classification and separation technology for so many of our processes. That has saved huge amounts of time and manpower. The whole idea is efficiency, and it’s been a massive win. Our medical assistants are on the floor more, which means they have more time to work with patients. Everyone can be more precise in their actions, to get information into our systems quicker. This is crucial in our goals of efficient operations, improving turnaround time, and excellent patient safety and care. We’re moving toward a future state that will really change how we operate.”
Company
North Shore Community Health Inc.
Industry
Healthcare
Headquarters
Massachusetts
Website
www.nschi.org
Challenges
- Ineffective queues and workflows slowing down key operations such as medication refills, medical-imaging review, and referrals management
- Slowed patient care and compliance
The Solution
Implement Concord Connect™ suite of capabilities to:
- Support workflow queues for referrals, medical imaging, prescription refills, lab results, and prior authorization
- Minimize human intervention, allowing medical assistants and other staff to spend more time on patient care
- Automated movement of documents and data between workflow queues and eventually into an Epic EHR system
Results
- Same-day medical image delivery to providers
- Medication refill time reduced from 3-5 days to single-day turnaround
- More effective communications between teams
- Reduced steps for document processing
- Staff time on document review reduced from hours to minutes
- Improved patient care and satisfaction