Key Points
Provider Data Management (PDM) – the ability to keep track of healthcare provider data – has been a longstanding challenge owing to the industry’s disparate landscape and operational silos. The healthcare sector faces large and often unpredictable volumes of data flow from diverse structured and unstructured sources. It is, therefore, a mammoth task to constantly monitor, clean and update datasets and hierarchies.
In the face of stringent regulatory mandates, most organizations have kept on top of rapid data changes using ad-hoc requests and clean-ups. However, this is not a sustainable solution: PDM comes with several medical and administrative costs as well as penalties for faulty compliance.
The holy grail for effective PDM is the Single Source of Truth (SSOT) architecture. This framework offers a unified, integrated view across applications such as Electronic Medical / Health Record (EMR / EHR) systems, credentialing, payments, scheduling portals, marketing solutions and others. Such a framework aligns with evolving regulations while accommodating unique challenges presented by providers, payers and patients – ensuring visibility and transparency across processes.
The transformation to SSOT is complex. Modern payers and providers need a roadmap that enables a meticulous digital transformation to attain the SSOT goal. This involves focusing on intermediate strategies to overcome current domain and data challenges. A wide range of digital solutions is available to drive cost-effective and systematic PDM tailored to individual needs. Explore our comprehensive article to delve into the strategies that can transform your PDM operations, paving the swiftest path to SSOT.
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