Skip to content
Sök för att lära dig mer om InterSystems produkter och lösningar, karriärmöjligheter med mera.

Why Provider Data Management Is Critical To Your Patient Engagement Strategy

Provider Data Management Solution

What happens when you have a bad digital experience with a business or provider? You usually don’t go back. Imagine the type of experience a first-time patient or member has when they visit your website. Usually, they want information, and most often they are looking for a physician or other provider of medical care. Are they able to find what they want? How easily? And are the results accurate and complete?

Healthcare Consumers Will Abandon Providers Over Poor Digital Experiences

Results from Cedar’s 2019 U.S. Healthcare Consumer Experience Study finds more than half of healthcare consumers are frustrated over their provider’s lack of digital experiences. The study, which conducted in-depth interviews of more than 1,600 healthcare consumers, also found that 2 in 5 Americans are willing to abandon their providers over poor digital experiences – even though the provider-patient relationship is often considered the hardest to break. Recent research conducted by InterSystems found that increasing patient volumes and managing referrals, while decreasing patient leakage, is viewed by healthcare executives as the biggest challenge facing US provider organizations. This makes a positive digital experience even more important.

- Cedar’s 2019 U.S. Healthcare Consumer Experience Study

The Importance of Accurate Search Results

The use of search engines to find or research a doctor is only increasing. A survey conducted by Binary Fountain found that consumer usage of search engines to find a doctor increased 60% from 2017 to 2019. While just 38% said they used search engines to find a doctor in 2017, 60% used search engines in 2019.

In a Health Reform Monitoring survey researchers found that healthcare consumers encountered many problems when searching for a new provider. They reported that their health plan’s information on participating providers was outdated. Similarly, provider websites often offered limited information on what health insurance they accepted and whether they were accepting new patients, limiting a consumer’s ability to quickly screen potential providers.

What are some root causes of that bad experience? It might be the user interface or the response time of the interaction, or even frustration over a telehealth visit. Often, it’s simply inaccurate or missing information. Back-office data doesn’t always get a lot of care and feeding, but it is foundational to the digital experience. Provider information is a key example.

Updating your Provider Data Management Strategy

Many organizations know they have a problem but are unsure how to look for a solution, or what type of solution might help them. Perhaps they should consider a provider data management strategy.

Key elements of a provider data manage strategy include the following:

  • Map your business strategy to your provider data management strategy – are there gaps?
  • Create a set of consumer-facing scenarios that require good clean provider information.
  • Develop a cross-functional provider data governance working group, to assess the challenges and work toward solutions.
  • Identify all the sources of provider data within your organization. What systems do they come from? What data do they include?
  • Look for a vendor that can create the single source of truth for your provider data and meet your key consumer scenarios.

Industry analyst Gartner® recently wrote a report that highlights the importance of having a provider data management strategy2. According to the report, one of the most important benefits is enabling greater patient engagement and transparency. Patients aren’t part of the data curation and management process, but their experience with a payer or provider — and even their healthcare outcomes — can be adversely impacted by bad data. Just one example: A referral to an out-of-network specialist, like a radiologist, can cost a patient hundreds if not thousands of dollars in unexpected charges. A referral to an out-of-network physician will result in high out-of-pocket costs for the patient, and ultimately impact the patient experience, continuum of care, and patient retention.

Avoiding Costly Penalties

In addition to the poor experience, scenarios like the one just mentioned can lead to penalties for both providers and payers under the recently enacted No Surprises Act. This regulation went into effect in January 2022. It includes restrictions on how much providers and facilities can bill individuals in situations where a patient inadvertently receives care from an out-of-network provider or facility based on inaccurate provider directory information. Although there are still details to be worked out, providers and payers will need to determine who picks up the cost.

From No Win To Win-Win With Accurate Provider Data

All-in-all no one wins when you have bad, inaccurate provider information. As a health plan or provider, you need to find a solution that helps you better manage and curate that data, which will lead to:

  • Enhanced patient engagement and increased revenue
  • Better information to internally manage processes
  • Easier compliance with a host of regulatory requirements

InterSystems Provider Directory, a Provider Data Management Solution, can start you on that journey.


2 - Refreshed 9 October 2022, Published 25 May 2021 – Gartner ID G00745634 - Sachin Dev

Other Resources You Might Like

Oct 10, 2024
Get Your Data AI-Ready and Simplify Development and Deployment
Unleash the power of AI in healthcare with InterSystems solutions for seamless FHIR integration and development.
Oct 04, 2024
Product Fact Sheet
InterSystems Data Fabric Studio is an essential element of a modern data strategy required to enable growth, optimize business reporting, reduce risk, and support compliance for any firm in the financial services industry.
Sep 18, 2024
Ta reda på vad en relationsdatabas är, dess viktigaste funktioner och varför den är så viktig för ditt företag. Lär dig mer om dess fördelar, populära system och hur den står sig i jämförelse med andra databaser
Sep 18, 2024
En datafabrik moderniserar datahanteringen och ger förenklad åtkomst, omvandling och harmonisering av data för olika affärsapplikationer.
Sep 09, 2024
Spotlight by Bloor
Data fabric is a more flexible data architecture that can work without building yet more data silos and instead synamically access data in situ in operational source systems.
Sep 09, 2024
Bloor Market Update
A look at the current state of the data fabric market by Bloor Research
Sep 06, 2024
Bloor Research
A Bloor Gold Mutable Award 2024By Andy Hayler – Practice Leader, Data as an Asset
Aug 09, 2024
A CHIME Thought Leadership Roundtable
At a CHiME Roundtable, executives from leading HCOs came together to discuss how artificial intelligence revolutionize clinical care.
Jul 29, 2024
Partnership
InterSystems, one of the world’s most trusted data management platform providers, is expanding its partnership ecosystem to bring innovation to supply chain management. In the face of constant change, disruption, and opportunity, organizations need a streamlined source of unified and reliable data that is available in real-time. InterSystems Supply Chain Orchestrator eliminates the data challenges that organizations encounter on their path to insight-driven performance across their entire supply chain. Empower your supply chain application ecosystem by leveraging a centralized data platform that acts as a connective tissue, enabling seamless integration of diverse data sources, and real-time detection of disruptions and opportunities. This unified approach provides a comprehensive view of your organization’s supply chain data, resulting in one reality.
Jul 22, 2024
Technology Guide
Enabling integrators and developers to deliver highly customized intelligent supply chain applications

Ta nästa steg

Vi vill gärna prata med dig. Fyll i några uppgifter så kontaktar vi dig.
*Obligatoriska fält
Highlighted fields are required
*Obligatoriska fält
Highlighted fields are required

Genom att skicka din kontaktinformation till InterSystems via detta formulär bekräftar och godkänner du att InterSystems kan behandla denna information, i syfte att uppfylla din förfrågan, via ett system som finns i USA, men som upprätthålls i enlighet med alla tillämpliga dataskyddslagar.



** Genom att välja ja ger du ditt samtycke till att bli kontaktad för nyheter, uppdateringar och andra marknadsföringsändamål i samband med befintliga och framtida InterSystems produkter och evenemang. Dessutom samtycker du till att dina kontaktuppgifter för företaget förs in i vår CRM-lösning som finns i USA, men som upprätthålls i enlighet med gällande dataskyddslagar.