A goldmine of data exists across the healthcare continuum. Hospitals and health systems, by and large, recognize the opportunity. Many just don’t know how to overcome the complexities of data management to make it work for them.
Consider the challenges: Staggering amounts of patient information are regularly accumulated from disparate systems, many with their own terminology frameworks. Even when data is converted to industry standards like SNOMED CT or LOINC, many healthcare organizations find that the tools they use produce duplicate records or were not set up to capture data correctly.
Addressing healthcare data challenges
Given the complexity and variety of information systems needed to manage a healthcare enterprise, it’s understandable that data degenerates over time. Unfortunately, faulty data results in inaccurate analytics initiatives and negative downstream impacts, touching everything from patient care and regulatory reporting to revenue cycle and the bottom line.
Amid so many competing priorities in healthcare today, many executives may be tempted to put a band-aid on issues rather than dedicate the resources needed to lay the right foundation for accurate, clean, and complete data analytics. Unfortunately, this response will lead only to greater issues down the road.
Whether you’re using analytics to inform patient care directly or to supplement care with innovative care management plans, quality analytics requires the cleanest data possible. Consider the following four reasons why dirty data must be eliminated.
1. False assumptions skew healthcare delivery and quality
How often have you received an inaccurate, misaligned ad from a social media site? The experience is ubiquitous in today’s marketing climate and is the result of ineffective system management of data. An algorithm pulls information based on faulty information—or dirty data—and makes assumptions about your interests and buying habits.
The same problems with dirty data exist in healthcare, but the stakes are much higher. If the assumptions about a patient’s health or regional health trends are based on bad information, the consequences directly impact a patient’s outcomes or the health of a community.
2. The clearer the picture, the better the care
The primary goals of current health information exchange movements are focused on bringing together a more complete patient picture and enabling greater stakeholder collaboration around that information. Providers who have access to a more accurate and complete patient picture are much better positioned to make informed, optimal care decisions.
Not only can inaccurate, dirty data cost lives, it can cost you money. With inaccurate data, you risk leaving money on the table due to inaccurate DRG shifts or incomplete, inaccurate quality management reporting that impacts Hierarchical Condition Categories (HCCs) and ultimately, your Risk Adjustment Factor (RAF) scores.