The Healthcare Industry’s Unique Data Challenges

Healthcare providers, patients, payers, and specialized care facilities generate huge amounts of data. This data is housed in patient records, customer relationship management solutions, staffing and medical inventory systems, and claims processing and billing applications. Healthcare companies are grappling with challenges that stem from data’s massive volumes, complex formats, questionable quality, and many sources. 

Healthcare firms need to be able to access, integrate, and trust their information assets so they can increase operational efficiency, improve information management, and ensure compliance with regulatory and industry standards, like NCPDP, HL7, and HIPAA.

Increase Operational Efficiency

The key to controlling healthcare costs is using technology to automate such cumbersome manual processes as billing, reimbursing claims, and managing medical records. Automating these workflow processes demands that the data flowing through them is accessible, accurate, and reusable.

How do you automate when so many different entities—individual physicians, hospitals, payers, pharmacies, laboratories, specialized care facilities—“own” the data that fuels them? How do you manage data in its many formats and definitions? How do you access, integrate, and trust your data so that your organization can operate more efficiently and cost-effectively?

Informatica can help.

Improve Information Management

Information management is the key to delivering high-quality, affordable healthcare. When the huge volume and variety of clinical, financial, and insurance data is integrated, reliable, and reusable, you can use it to create a single view of the patient. This single view reduces both clinical and clerical errors. It expedites claims processing and payments. Integrated data enables healthcare organizations to connect clinicians, personalize patient care, access external patient data for a holistic view of patient health, and ultimately improve the quality of care.

Yet, with so many sources, formats, and definitions of data, how can multiple parties—claims reviewers, clinic management, and physicians—understand and share it? When information is changing every minute, how does your organization get access to data that’s reliably accurate, current, and complete? How do you manage data that resides both inside your organization and outside? How do you transform raw data into a strategic asset so your healthcare organization can better serve its patients and better manage its business?

Informatica can help.

Ensure Compliance with Regulatory and Industry Standards

As rules and standards for the exchange, management, and integration of data supporting healthcare services continue to evolve, healthcare organizations struggle to comply with the latest regulations while protecting the privacy and security of sensitive medical records.

How does your healthcare organization demonstrate compliance when new standards and rules are constantly emerging? Are you confident that your patient records are secure, complete, and correct? How can you track where data comes from, where it’s going, and how it’s changed en route to reduce the risk of noncompliance?

Informatica can help.

B2B Data Exchange for Healthcare Payers Hub
A next-generation, multi-enterprise data integration solution for health plans to meet upcoming changes to HIPAA transaction requirements. Based on the Informatica data integration platform, this solution consolidates HIPAA-specific processing requirements as part of a best-in-class data integration solution for both batch and real-time processing of HIPAA transactions, non-HIPAA proprietary B2B transactions, healthcare care documents, and the emerging class of XML B2B transaction standards.