2021 Fall member retreat - Healthcare Business Insights

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2021 Fall member retreat - Healthcare Business Insights
Healthcare Business Insights

2021 Fall
member retreat
Building an attractive, digitally enhanced
patient journey
Carrie Donovan
System Vice President, Revenue Cycle Operations
Susan Clarke
Vice President, Revenue Cycle Patient Access Services
Sarah Kutchman
Director of Financial Clearance Quality
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2021 Fall member retreat - Healthcare Business Insights
About the speakers

Carrie Donovan                                 Susan Clarke                                   Sarah Kutchman
• Carrie Donovan serves as the System Vice     • Susan Clarke serves as the Vice President,   • Serves as the Director of Financial Clearance
  President Revenue Cycle Operations at          Revenue Cycle Patient Access Operations at     Quality for AdvocateAurora Health,
  AdvocateAurora Health in                       AdvocateAurora Health.                         overseeing the technical tools, processes,
  Wisconsin/Illinois.                          • Susan has been with Advocate Aurora            and quality assurance for system financial
• She earned her bachelor’s degree from the      Health since 2001 and has led cash             advocates and self-pay collections teams.
  University of Wisconsin-Milwaukee, a           application and refunds departments,
  Master in Healthcare Administration from       billing and reconciliation, denials          • Has 24 years of health care revenue cycle
  the University of Minnesota, and completed     management and appeals.                        experience, including implementation of
  The Health Management Academy’s GE           • Prior to joining                               system estimates, automation of financial
  Administrative Fellowship Program.             AdvocateAurora, Susan worked 10 years          assistance, and digital patient financial
• Carrie regularly guest lectures for UW-        with Loyola Physician Foundation, a large      experience enhancements.
  Milwaukee MBA and MHA programs and             academic medical practice. While there,
  volunteers her time at local high schools      she earned her certification in coding.
  administering SecureFutures, a financial     • Susan holds a Bachelors of Science from
  literacy program for teens.                    Western Illinois University and has been
                                                 CHAM-certified with the National
                                                 Association of Health Access Managers.                               2021 Fall member retreat   2
2021 Fall member retreat - Healthcare Business Insights
Learning Objectives
Building an attractive, digitally enhanced patient journey

• Apply strategies to make the patient experience more personalized, more
  accessible, and easier to navigate.

• Identify patient touchpoints—from pre-service to medical records to billing
  and beyond—that can be integrated into a comprehensive digital strategy
  that delivers a more customized and connected patient experience.

• Collect measures that can be used to assess patient engagement and the
  impact of patient-facing digital offerings.

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2021 Fall member retreat - Healthcare Business Insights
AdvocateAurora Health at a glance
We help people live well by …

… meeting them where they are:

•   Anytime, anywhere
•   Personalized
•   At-home, or on their mobile device
•   Self-service or in-person

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2021 Fall member retreat - Healthcare Business Insights
Transformation 2025: Destination Health
OUR PURPOSE: We help people live well.

  OUR PEOPLE • OUR VALUES: Excellence | Compassion | Respect

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2021 Fall member retreat - Healthcare Business Insights
Whether through leading technology, simplified
processes, or streamlined communication …

… we are focused on making the consumer/patient
experience more personalized, more accessible and
easier to navigate.

This will only be achieved by putting the consumer
first in all that we do.

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2021 Fall member retreat - Healthcare Business Insights
Enhanced self-service journey

      Search               Info               Online          Remind,     Pre-check,     Post-service,
                                            scheduling       pre-check,   arrival, and   Online bill pay
•   Paid search      •   Landing page                         pre-pay         visit
•   Organic Search   •   Provider profile                                 completion
•   Local search     •   Location detail
                     •   Google My
                         Business

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2021 Fall member retreat - Healthcare Business Insights
Consumer-first—
Scheduling
2021 Fall member retreat - Healthcare Business Insights
Consumer-first scheduling

Any provider, anywhere           Sign in with LiveWell                  Simple & seamless
Schedule any appointment         Don’t spend time re-entering           Schedule with as little as a name
type in the way that is most     information. Sign into any channel     and phone number then seamlessly
convenient for you.              (including voice) using Sign in with   update or add information through
                                 LiveWell.                              any other channel before your visit.

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2021 Fall member retreat - Healthcare Business Insights
Patient scheduling study
The highlights

• Only 59% think their primary care provider offers online scheduling

• 29% are scheduling appointments online today
  – 51% want to schedule online in the next year or two
  – Telephone remaining the top option (81% today, 74% future)

• 15% would like to schedule all appointments online in the next year or two
  – 49% never want to schedule online

• Of those using online scheduling, 74% find it easy

• Possible misperceptions (i.e., don’t offer it, limited time slots, etc.) are the main reason consumers are
  scheduling fewer online appointments

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Consumer-first—
Estimates
Estimates prepared for:
Scheduled services—
• Common diagnostic tests
  – Prepared by system
  – Sent to patient portal

• Surgical services
  – Prepared by team member
  – Sent to patient portal
  – Complicated diagnostic testing prepared and finalized by a team member

 Patient requested—
• Prepared online through self-service tools
• Or, available on the portal when prepared by a team member

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Notification examples
When the estimate is finalized, consumers receive an SMS or email notification

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Estimate example:

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Self-service estimate
No Sign-on

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Self-service estimate
Sign-on

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Prepayment / check-in
Finalized estimates for scheduled services
are available online with ability to prepay

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Estimate cash by source:        Payment source

                                       6%              MyChart mobile

                                                       MyChart web
                                                 15%
                                                       Payment collection

                                 79%

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Consumer-first—
Self-check-in
Future state
• Inspired by successful travel and retail models
• Kiosks moved forward as first choice
• Live assistant available to educate and help as needed

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Current state
• Discovering what works and why
• Engage teams, preview before arrival, encourage at arrival

Imaging Center Vestibule           Small footprint waiting room   Large diagnostic testing
               18% use                              67.3% use     center      58.7% use
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Lessons learned
Drivers to adoption
• Placed in a high traffic area
• Provided information on use as part of arrival instructions
• Secured staff buy-in

Barriers to adoption
• Hidden outside of normal traffic pattern
• Lacked any sign or explanation
• Failed staff engagement

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Kiosk integration
• Leverage Epic Welcome to connect with EHR
• Refined user experience to streamline check-in
• ADA to bottom half of screen
• Includes holder for masks or gloves
• Includes disinfectant wipes holder
• Smaller width/floor space

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Epic               Enhanced      Create an     Unified
           Foundation Check-in   scheduling    account     look & feel   Extensible

  Kiosk

LiveWell

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Consumer-first—
Bill pay
Paperless statements
Online and mobile
                       •   Patients can pay multiple entities on the portal

                       •   Online details:
                            ! “View account” details
                            ! Statements

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Bill pay
No sign-on

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Billing / payment summary details

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Flexible payment plan options

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Payment methods measured

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Measuring our consumer-first journey
Measuring patient engagement

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1M+                                                        Kiosk
            downloads                                                    Use

                                      70% of users that prefer              4.8 rating by users
                                      LiveWell cite faster access to
  Reg Quality                         information as their top reason
   Increasing                         for preference
   Year-over-year

Precheck

            15% of arrivals use
            Precheck today.
                                                                                4.7 rating
            The goal is 50% by 2023            1.2M                             Online bill pay
                                            Online scheduled                     ease of use
                                             appointments                                    2021 Fall member retreat
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Healthcare landscape
                   Some health systems are extending the                      Many payers are adding new tools to their
                    patient portal to build more consumer-                      app or creating standalone apps for
                              focused solutions                                          specific use cases

Baylor Scott and   Banner Health           Northwestern           Froedtert          Anthem                  United
     White                                   Medicine

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Family View
  LiveWell capabilities                              Highlighting what’s new for our patients
                                                     and their families over 10 million times
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  Promo/alert banner
 Serving up 1.8 million                                                                         Meditation exercises
  impressions a month                                                                           Over 17,000 conducted
                                                                                                since April 2020
   Symptom Checker
 Over 180k sessions in                                                                          Health quizzes
  English and Spanish                                                                           Drives more completions than
                                                                                                the next two sources combined

          SafeCheck
 COVID screening for                                                                            Healthy recipes and news
employees and visitors                                                                          New health enews stories
                                                                                                and recipes delivered daily

                              Improved virtual visits                                   Integrated Health Record
                                                                           Fully integrated myChart access to all
                          Streamlining and simplifying
                                                                      clinical tools, labs, messaging and bill pay      2021 Fall member retreat
                                  the user experience
Consumer first—
What’s Next?
Future operational enhancements
• Self-scheduling the entire portfolio of healthcare services

• Increase pre-check orientation and utilization

• Check-out using digital tool
  – Schedule visits for ordered services
  – Estimates on after-visit summary for future services

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Future operational enhancements (Cont.)
• Customized statement messaging based on propensity to pay
  – Drive more customers to digital platforms if they have the ability to pay
  – Focus team member resources on more complex payment needs

• Add online/mobile capability for financial assistance
  – Mobile device/scanning of financial documentation
  – Status notifications via text or email
  – Real-time approvals and updates via text/email

• Epic enhancements
  – New balance notifications
  – Prepayment plans for estimates

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Thank you!
Questions?

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