Challenge — How to increase funding for the care you provide?

The need for NHS originations to integrate multiple sources accurately is ever increasing.

Data inputs include:
PAS - or equivalent data system(s) which store patient journey activity records
PbR guidance - such as best practice tariff
National / Local / Block tariffs
Costing - Avoca will take extracts from your local costing system

Service line agreements - local payment agreements between the commissioning healthcare organisation and provider

This data has to be consolidated and analysed correctly to ensure that your organisation’s income is maximised. Avoca can help ensure the accuracy of this data and then look for revenue improvement opportunities using the Avoca Pathway Analyser.

Consolidating this data is a complex task. The data has been historically stored in disparate silos which reduce the chance of integral links being present and increase the chance of repeating and inconsistent data.
Once consolidated the analysis of data has to be precise and give the organisation clear actions to put into practice and produce tangible benefits.

Solution — Avoca Pathway Analyser consolidates all your data and suggests revenue improvement opportunities

Avoca have vast experience of taking data sources from a broad range of systems and consolidating them into a stable and integral central location. Our processes overcome:

Broken pathways – using our extensive NHS experience Avoca will join together broken patient pathways using a mixture of database schema analysis and fuzzy logic matching.

Duplicate patients – Avoca have an incomparable pedigree in identifying and resolving patient duplicates across multiple systems. Used in all the largest NHS data migration projects, the Avoca de-duper technology resolves duplicates across all source systems.

Once the data is consolidated and integral Avoca’s experienced data and business NHS analysts will use the latest InterSystems Caché and DeepSee technology to produce the report on revenue improvements opportunities. For example:

Best Practice Pathways – By not following the best practice pathways your Trust could be incurring costs for treatment which will not be reimbursed. Avoca’s PBR pathway analyser will show the best practice pathways which are and aren’t being followed, and provide detail as to why. We will then work with you to recommend practice and workflow changes to address the issue.

Business Case — a no financial risk solution
The cost of Avoca’s software and services are offered at no financial risk to the Trust, we would work together to an agreed benefit sharing plan.

Case Study — Save your Trust over £1 million pounds?
Avoca took the data extract from a McKesson PAS for a large UK Acute Trust, covering the last two financial years. Having consolidated the data using schema and data analysis into an integral form the data was loaded into Avoca Pathway Analyser software for further scrutiny. The results showed the trust had carried out over 1 million pounds of treatment which couldn’t be reimbursed.

One treatment had 2,109 patient pathways since April 2010, 1,762 of these Patient Pathways did not follow the best practice PbR guidance. The pathways which did not follow best practice contained 8,309 additional outpatient attendances for which they received no reimbursement, costing the Trust an additional £540,000.

Avoca have highlighted the opportunities to address this at the Trust and are now in process of agreeing the benefit realisation plan. 
 

Proof of concept
Provide us with the data inputs required and we will produce a report showing the missed revenue opportunities for one best practice pathway at no commitment or cost.

Click here to download the Pathway Analyser brochure