It Pays to Be Special Converting a Specialty Practice Web Presence into Dollars November 2,2012 Vickie Parry Scott Lungwitz Brian Moloney Marketing Manager Web Content Specialist Managing Partner Illinois Neurological Institute OSF HealthCare Imaginary Landscape, LLC ISHMPR
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It Pays to be Special: Converting a Specialty Practice Web Presence into Dollars
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It Pays to Be SpecialConverting a Specialty Practice
Web Presence into Dollars
November 2,2012
Vickie Parry Scott Lungwitz Brian MoloneyMarketing Manager Web Content Specialist Managing PartnerIllinois Neurological Institute OSF HealthCare Imaginary Landscape, LLC
ISHMPR
Illinois Neurological Institute (INI) & OSF HealthCare
OSF HealthCare, owned and operated by The Sisters of the Third Order of St. Francis, Peoria, Illinois, includes:
Eight acute care facilities
One long-term care facility
Two colleges of nursing
A primary care network consisting of over 600 primary care, specialist physicians, and advanced practice providers.
Ranked 25 of 600 Integrated Health Networks.
Our MissionIn the spirit of Christ and the example
of Francis of Assisi, the Mission of OSF HealthCare is to serve persons with the greatest care and love in a
community that celebrates the Gift of Life.
Illinois Neurological Institute (INI) &
OSF HealthCare The Illinois Neurological Institute is the neuroscience
service line for OSF HealthCare
Employs +60 neurosurgeons, neurologists, physiatrists and mid-level providers
The INI has approximately 95,000 patient visits/year with a DCM of +$100M
Primary, Secondary &
Tertiary Markets
Specialty Centers Brain Tumor Gamma Knife/SRS Multiple Sclerosis Spine Institute Physical Medicine +Rehab Neuromuscular Sleep Medicine Neuro Ophthalmology
Our Problem Growth of our neuroscience service line is dependent on
consumer/self referrals and referrals from outside our health care system.
Needed to attribute revenue to web efforts – without a CRM.*
Not meeting needs of our patients who are searching for us and our services online.
*this is important
How are We Going to Fix it? Worked with OSF Corporate
Marketing team and Web Developer (Imaginary Landscape) to create an online appointment request feature that meets the needs of our patients and enables us to track patient revenue.
First Appointment Request Application
INI Patient/Referring Provider Experience – Part 1
Physician Directory Listing by Specialty
INI Patient/Referring Provider Experience
Request Appointment
Button
INI.org Homepag
eFind a Physician
(Link in left navigation)
Physician Profile Page with Request an Appt. Button
First Appointment General (non-
physician-specific) Request Form
First Appointment Request Form
(Physician Specific)
Enter in patient information and reason for request.
Referring Provider
Patient
Submit
Provider enters in referring
information about patient
Submit
Fax Patient RecordsSuccess Request
Submitted
INI Patient/Referring Provider Experience – Part 2
Red Tape
Avoiding Breach and Risk
Bring Them to the Table
Be Prepared
Bring Them to the Table Layout the project scope
Present from the patient experience point of view as it relates to privacy/HIPAA.
Assure the room that you have processes and workflows in place to accomplish the project safely and securely.
Be Prepared
Bring Them to the Table Introduce your vendor to the team
Prep your vendor prior to meeting on the following:
Can you create a secure online tool for this project?
How do you create and deliver such a tool?
Will the tool be in a HIPAA secure environment?
Will you commit to a Business Associate Agreement?
Be Prepared
Bring Them to the Table Goals
Get the approval from Compliance
Compliance approved the initiative from a patient privacy/HIPAA point of view
Accepted Business Associate Agreement from vendor
Get the approval from Security
Security approved our initiative.
CAUTIONED that we must comply with future FTC security measures.
Be Prepared
INI Patient/Referring Provider ExperienceINI.org
Homepage
INI Website
Find a Physician(Link in left navigation)
Request Appointment
Button
6,000 Visits Monthly
Select Physician by Specialty
Physician Profile
Status
Contact Info
Reason
Administration Screens
Online Patient ViewAdmin View
Status:
•Unread
•In Progress
•Appointment Made
•Appointment Not Made
Cancel Reasons
•Insurance Conflict
•Not an appointment request
•Hours conflict
Contact Info
Reason
Submit
Patient Info
Referral Info
Insurance Info
Administration Screens
Online Referral View
Admin View
Patient Info
Referral Info
Insurance Info
Managing Appointment Requests Who should manage requests?
Call Center or MOA in charge of phones.
Already fielding phone requests.
All are trained nurses that can triage patient situations.
How should we manage requests?
Application sends an email notification.
Individual vs. role based email accounts.
Request Management
Appointment Request Management
Email Client Inbox
Clicks Link Contained in Email
Notification
Appointment Request Management – Part 1
Request from Referring Provider
Request from Patient
Request from Patient
Patient or
Referring
Provider?
Create Record in EMR
Contact PCP for Patient Records
Records Received
Call Patient to Schedule Appt.
Request from Referring Provider
Records Received
Create Record in EMR
Call Patient to Schedule Appt.
Notify Referring PCP of Appt.
Success Appt. Made
Appointment Request Management – Part 2
Update First Appt. Status
Update First Appt. Status
Call Patient for history
Timeline
Project Timeline
Project Timeline
Timeline
Project Timeline
The first, First Appointment Request was submitted during the first hour of launching, without promoting anywhere!!!!!!!!!!!!
HIPAAProtected health information (PHI) is rendered unusable, unreadable, or indecipherable to unauthorized individuals if one or more of the following applies:
1. Electronic PHI has been encrypted as specified in the HIPAA Security Rule by “the use of an algorithmic process to transform data into a form in which there is a low probability of assigning meaning without use of a confidential process or key” and such confidential process or key that might enable decryption has not been breached. To avoid a breach of the confidential process or key, these decryption tools should be stored on a device or at a location separate from the data they are used to encrypt or decrypt. The encryption processes identified below have been tested by the National Institute of Standards and Technology (NIST) and judged to meet this standard.
Guidance to Render Unsecured Protected Health Information Unusable, Unreadable, or Indecipherable to Unauthorized Individuals
HIPAA
HIPAA
4.2.2.1 Advanced Encryption Standard (AES)
The AES algorithm is specified in [FIPS197]. AES encrypts and decrypts data in 128-bit blocks, using 128, 192 or 256-bit keys. The nomenclature for AES for the different key sizes is AES-x, where x is the key size. All three key sizes are considered adequate for Federal Government applications.
What Does It Mean?If you…
Encrypt data in transit and at rest
Encrypt using AES-128
Put the encryption keys on another device
Then… No breach, even with a custodial loss
Results Between April 11, 2012 and June 30
2012, 53 patients requested appointments online.
80% made a general request vs. 20% requesting a specific physician.
59% completed the request form when our call center was OPEN.
Mixture of former/current patients (old $)and new patients (new $).
Results Of the 53 patients requesting an appointment only 11
were marked “appointment made” in the database. An additional 9 were referred to Priority Consult. * This is a problem
Of those new patients who were seen, the majority of them were from outside our primary service area and a greater percentage had commercial insurance vs. managed care, Medicare or Medicaid.
Data is pulled monthly from the request database and sent to Corporate Decision Support. We need Patient Name and DOB for tracking.
How Do We Track the Revenue Without a CRM?
Decision Support pulls the Medical Record Number (MRN) of each patient and attaches dollars. It is our intent to track these patients for at least one year.
Pull data for EVERYONE on the list, not just those identified as “appointment made”.
How Do We Track the Revenue Without a CRM?
Obstacles to Overcome Less than half of those who request an appointment actually
receive an appointment.
Staff Attitude – not receptive to self referrals and data is incomplete in the database.
Access. Some physicians unwilling to accept self referrals and some have lengthy (+4 month) wait times.
Lack of ability for referring physicians to attach patient records.
Some using appointment request form to ask general
questions vs. request an appointment.
Lessons Learned
Know your data. Just because a record says “appointment not made” doesn’t mean that’s the case.
Involve ALL staff from your call center from the very beginning – not just the manager.
Be in agreement on how you attribute dollars to the project.
Monitor your data and be prepared to take action if you don’t like what the data is telling you.
What’s Next? Implement a Patient Experience Team
Add a contact us form that is more prominent on the site.
Mobile App for Referring Physicians
Sharing of Patient Records through Epic and Illinois HIE.
Second Opinion Campaign
Tracking First Appointment Request entry sources
PPC; Display; Social Media; Organic Search; Directory Listing Other OSF Websites; etc.
The $$
We invested approximately $20,000 in the technology.
Through 7/30 we know that those patients who were seen had a DCM of +$186,710. And there will be additional revenue from these patients in coming months.