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ACCEOS for Providers and Payors
For most behavioral healthcare executives, simply
monitoring financial and operational performance
is not enough.
Netsmart has a solution for behavioral healthcare executives and the challenges they face. The Behavioral Health and Mental Health software solution that Netsmart offers is ACCEOS™. ACCEOS is a
decision-support solution that helps executives convert
data into actionable information and identify areas
of improvement that will result in enhanced client
care.
In order to meet these challenges, management
teams are rethinking how their organizations plan,
measure and report performance. The initiative often
starts by unlocking the key performance data trapped
in transactional billing, accounting, human resources
and clinical systems. That data is converted into
useful information that can be analyzed and leveraged
for decision-making purposes.
The ACCEOS decision-support solution bridges the gap between management
needs and the data in transactional systems by delivering
a combination of technologies and best practice processes
to enable an organization
to translate strategies into plans, monitor execution
and provide insight to improve financial and operational
performance.
Decision-making is often what defines
an executive. Therefore, anything that can aid in
that decision-making process should be seen as being
instrumental in helping to determine the difference
between success and failure. Decision-support systems
eliminate factors such as bias, politics, and human
error (by automating various knowledge management tasks). Executives and managers are interested in
determining how to
improve efficiency and improve care (based on the available data).
ACCEOS will prove
useful to an organization in a number of ways. It
provides a comprehensive view of organizational information
in near real-time, which
has been typically unattainable. Also, ACCEOS can
ensure quick responses to changing conditions and
ensure a high level of care and revenue optimization,
as well as support strategic planning activities.
One of the most important ways ACCEOS can be utilized
is to monitor key performance indicators and identify
trends before they become problems.
For Providers
The benefits of ACCEOS will be realized throughout an entire
agency. The solution can combine financial, human
resources, clinical and billing related data into
actionable intelligence.
It will determine the mix of services billed against
various funding resources. It enables executives
and managers to track departmental service utilization.
It ensures support for a quick response to economic
conditions, while leveraging existing investments
in information management systems. All of this creates
a high return on investment and provides a low total cost of ownership.
The ACCEOS solution delivers
a series of reports for three major categories: Service Utilization,
Financial and Quality of Care, (as well as individual
report templates).
Service Utilization
One goal of any behavioral healthcare organization
is to operate at maximum efficiency. By examining
the utilization of different services, ACCEOS can
help executives gain insight into the demand placed
on certain parts of their organization and can
help them make necessary adjustments.
Financial Health
Billing is a complicated issue for behavioral health centers that are faced with
budget cuts, due to economic pressures. Optimal billing strategies are not
a trivial matter, and ACCEOS can show an executive where to maximize services,
while minimizing overspending.
Quality of Care
Delivering quality service is a priority for organizations
to avoid funding cuts and customer dissatisfaction.
ACCEOS will keep the executive updated on this
type of information so quality of care does not
suffer.
For Payors
The ACCEOS decision-support solution gives payor
and managed care organizations an integrated clinical
and financial view of care delivery to measure
and improve performance. With this complete set
of tools, you can successfully integrate claims,
member and provider data into a single data warehouse
to automatically convert raw transactional data
into meaningful information. The result is quick
access to the data you need in order to make well-informed
decisions.
Claims Analysis
The ACCEOS solution delivers over 65 reports, specifically
designed for payor and managed care organizations.
These pre-written reports will help these organizations
manage their funds more effectively, oversee provider
relationships more efficiently, and analyze their
served and underserved populations. Payor organizations
need to be able to analyze their claims, authorization,
and payment processes as key indicators of their
organizations’ overall financial and operational
performance.
Custom Report Authoring
For organizations with sufficient resources, skill
sets, or that merely require the flexibility to develop
and analyze reports outside of what their software solution
delivers, ACCEOS provides a framework to use industry
standard tools and technologies through Microsoft
Reporting Services to accomplish those objectives.
This will provide tools that leverage meta-data
present in existing Analysis Services cubes to
slice and filter the available set metrics. The
Report Authoring tool will allow ACCEOS to serve
as a platform for displaying aggregate indicators
of success or failure.
Business Benefits
Managing future performance takes more than understanding
past performance. Building and sustaining a performance
driven organization calls for management processes
and business systems that empower managers and
staff to continuously:
- Set goals and objectives
that are realistic and attainable
- Model business
drivers based on understood constraints in order to
anticipate results
- Adaptively plan to manage performance and
to achieve goals
- Monitor progress continuously,
using dashboards to compare KPIs against plans
- Analyze
outcomes to better understand performance drivers
- Report
and communicate results to internal and external
stakeholders
Contact us today for additional product information.
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