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Managed care organizations face significant
technical and operational constraints
accessing and transforming their data into
information that can be used to run their
business. Data is organized around
application efficiency and distributed among
many complex tables.
Information is not easily accessed or
disseminated due to the limited
availability of tools.
Data access typically requires specialized
skill sets and resources.
Reporting requests slow down production
systems.
As a result, executives often lack the
information and decision support capability
to effectively manage and improve managed
care operations. For example, timely
information on simple metrics are not easily
benchmarked and tracked, such as claims
input, error rates, dollars paid, number of
claims pended, dollars pended, average age of
claims pended, days/1000, ER/1000,
A/R aging, and pended authorizations.
Regular access to this information on a
trended basis is required for management to
implement interventions that result in more
efficient operations, such as retraining,
productivity incentives, and process changes.
Based on experience gained from working
with approximately 45 managed care clients
who use the AMISYS ® system, Perot Systems
provides services and solutions to quickly
benchmark and continuously improve
managed care operations.
Dashboard Database - Perot
Systems TMDashboard Database is a detailed
data repository extracted from the AMISYS
system that simplifies access to managed
care metrics. The data is stored externally
from the production system, removing any
resource requirements, except for a nightly
extraction update process. In addition, the
data is organized in a manner that allows
non-technical staff to quickly access the
information they need, using industry
standard reporting tools, such as Crystal
Reports". & Dashboard Database is
suited to address both ad hoc and
production reporting requirements.
Once Dashboard Database is operational, client
personnel are trained in its use and ready to
begin benchmarking and examining operational
trends.
Dashboard Executive Information
Systems (EIS) - Perot Systems" Dashboard
EIS solution is a customized set of standard
benchmarks that serves as a "dashboard"for
managed care executives by putting key
operational data in their hands in a timely and
e icient manner. Using a summary database
extracted from AMISYS, Perot Systems works
with its clients to determine specific data and
reporting requirements.
Perot Systems TM
services and solutions
provide the "dashboard
metrics" and reporting
tools required to
continuously improve
managed care
operations.
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2. Perot Systems
Healthcare Group
Perot Systems is an IT services and business
transformation company providing services to
clients in financial services healthcare, energy,
communications and media, travel and
transportation, and manufacturing industries
worldwide. Perot Systems has more than 5,800
Associates — including nearly 600 healthcare
professionals and 1997 revenues of
approximately$780million.
Perot Systems Healthcare Group is focused on
deploying technology that delivers real impact for
our clients in all healthcare market segments,
including multi-hospital and regional integrated
healthcare systems, managed care and
insurance organizations, physician practice
management companies, specialty care
providers, pharmaceutical entities, and the
workers' compensation lines of business.
Perot Systems provides collaborative solutions,
business improvement services, and strategic
technology services to establish a relationship
that brings the most value to its clients. By
coupling business tools and methodologies with
healthcare expertise, Perot Systems wraps IT
infrastructure around the business of healthcare
to create REAL impact.
are the property of their respective owners. ©1998. Perot Systems Corporation. All rights reserved 09/98
A custom interface and benchmarks are designed to meet each client's
reporting needs. The summary database is updated nightly for quick
access and information is distributed via a Web browser interface
integrated into the client's Intranet.
Continuous Improvement and Change Management —
Benchmarking data is of limited use unless management interventions
are made to continuously improve managed care operations. Perot
Systems provides continuous improvement and change management
services to assist managed care clients in designing and implementing
these interventions. Ongoing benefit is achieved by continuous
population of the Dashboard EIS to track changes over time and to
identify areas that require improvement.
In our experience with numerous AMISYS clients, we have found that
most managed care organizations are tracking operational key
indicators. However, in many cases, these initiatives are labor intensive
and cumbersome, and do not result in a continuous improvement in
managed care operations. Perot Systems' automated benchmarking
and continuous improvement solution is tailored to each client's needs to
reduce this manual effort, provide timely and accurate management and
decision support information, and ultimately result in a marked
improvement in operations efficiency. Perot Systems has built a
large group of managed care consulting resources. This group consists of
more than 200 professionals skilled in project management, managed
care operations, implementation and installations, data conversion,
system version updates, and operational support for integration and
enhancements. Perot Systems is also certified under the AMISYS®
Preferred Consultants Program.
If you would like to learn more
about our services and capabilities,
please contact us at (972) 340-5900.
Perot Systems Corporation 12404 Park Central Drive, Dallas, Texas 75251 (972) 340-5000 www.perotsystems.com
Perot Systems and the perotsystems logo are trademarks of Perot Systems. All other brands, product names, and trademarks