Yesterday, Juanita Simmons, Director of Enterprise Intelligence at Xsolis, Scot Aiello, Enterprise Account Manager, and Michelle Perez, Regional Director for Utilization Review at Baylor Scott & White Heath, joined Grant Howard for an in-depth conversation on effective reporting and how Xsolis hospital clients are leveraging comprehensive data to the financial benefit of their organizations.
For utilization review staff, getting actionable data is “very difficult because typically, you see metrics in the reports that are delivered at a very high level,” Juanita shared. “Usually, they’re in a spreadsheet format, and that just makes it really difficult to identify any opportunities that may exist within that information” She continued, “you have to ask yourself, is your output today helping you to identify opportunities to improve performance. The goal is to get from point A, which is those inputs to point B, an output that has clear and actionable data within it.”
CORTEX, now known as Dragonfly, the AI-driven technology platform for utilization review, has been live at Baylor Scott & White Health hospitals since 2019. For Michelle, Dragonfly has changed her daily work and offered her new insight: “I think one of the biggest differences is just the ability to have all of the information and data. At my fingertips, I can access the reporting package and pull any data set that I need and drill down to any specificity that I need to. It’s just real time and if it’s there, it’s available. I don’t have to reach out to anybody to ask for the report, and I can get the detail that I need. And some of that is, you know, certainly often in response to leadership from facilities asking about details…so I’m able to real-time provide that data to them, same day.”
Scot and Michelle’s partnership in support of Baylor Scott & White has been collaborative and even resulted in a brand new “standard” report offered by Xsolis: the Daily Reviews & Conversions report. As Scot demonstrated during the session, with this report a director has access to key review priorities: cases over 24 hours into an encounter without a review, new admissions, admissions without a review, extended observation cases, and more. Michelle, whose feedback prompted creating the report, sends “that data would to her staff daily, later in the afternoon. We’re looking for cases that have not been reviewed later in the day.” When concerns are flagged, “if you have a specific case you’d like to open, look at and see what the nurse has reviewed on that case, you simply click on the case number and Dragonfly allows you to view that case” and the corresponding patient analytics, Michelle elaborated. “With Dragonfly, it allows us to, based on the Care Level Score, to prioritize cases and it allows our nurses to focus their efforts to identify cases that are at risk of revenue loss or those with the potential for increased revenue…the reporting piece was just a bonus discovery along the way!”