Tuesday, April 30, 2019

Business Intelligence –Role in Healthcare Organizations

Healthcare organizations need the right information at the right time. With countless records, data, and numbers, healthcare organizations cannot function well; hence require BI. BI enables to transform raw data into meaningful information to enable more effective business insight and decision-making. Comparing to other sectors, healthcare carries the most complex data which can lead to a lack of BI strategy. It is in this context healthcare companies are seeking completely new and improved techniques to handle huge quantities of data through custom healthcare applications.

BI Tools Increases Efficiency

Healthcare organizations use BI tools to monitor the data and generate business insights. Hospitals, outpatient clinics can gather and analyze patient financial information as well as key patient data that do not violate their privacy with BI tools. Today the scenario is rising healthcare costs with greater difficulty in getting reimbursements from patients. This happens due to complex coding and billing requirements, coupled with the reluctance of patients to pay their portion of healthcare costs. In such a scenario, BI tools help in claims submissions, payment collection – a positive scenario where all stakeholders are benefited.

Today’s healthcare industry faces the following challenges:
  • Acceptance of EHR/EMR became significant for meaningful use and compliance.
  • Medical claims processing is both the single largest business expenditure and one of the most visible customer experiences.
  • Fulfilment and conformity to effective regulatory standards.
  • Processing claims quickly, efficiently, and correctly the first time can be problematic.


If the above challenges are addressed with BI tools it can increase the cash flow efficiency. At this stage, BI tools provide various predictive analytics, trending, and forecasting, for financial, operational, and clinical data.

With less reliance on paperwork; IT vendors are gearing up to meet the challenge with software automation. No fraud risks, rapid information exchange feature, updated patient formulary, perform a final review are standard features being provided by the BI healthcare solutions providers.

BI Decreases Healthcare Costs

Legacy systems are expensive. Healthcare businesses need freedom from expensive IT infrastructure by migrating the data on the cloud. Besides, BI can find new sources of revenue, identify cost-cutting opportunities and improve financial visibility so you can survive – even thrive – in today’s economy.

BI During Changing Regulations

A recent study by research firm found that more than 50% of healthcare organizations are planning to buy new BI systems. Changing State regulations warrant security in patient information. For example, HIPAA requires extra security hospitals to use BI dashboard to view historical and existing data in dashboards to predict the implications of Obama care.

Maintaining sustained operational efficiency to ensure overall customer satisfaction. BI tools allow hospitals structure data enabling clinicians and drug administrators to prevent errors in prescription, diagnosis, etc. This will lead to overall wellness; cost reduction, efficient operations, etc. Moreover, it increases data optimization in:
  • Clinical data – patient history, diagnosis, treatments
  • Operational data – asset management, inventory management, supply chain management
  • Financial data – billing, insurance claims

On the whole, Healthcare business intelligence gives you the ability to leverage data to improve quality of care, increase financial efficiency and operational effectiveness, conduct innovative research and satisfy regulatory requirements.

About Prime


Prime KI Software solution is a global, technology services company situated in Hyderabad India, and headquarters in Pennsylvania, United States. Our organization is renowned for providing innovative IT solutions to clients around the world in the best possible ways. We are well-equipped with most recent technical aspects of the digital platform however Healthcare, Insurance, and Finical Services are few among the top of the line services followed by cloud service, mobility solutions, salesforce, and devops. The agility of our workflow is our strength, and a firm approach to the client requirements makes us stand different in the industry. We are a group of enthusiasts and believe in bringing visions to life.


We offers services which cover emerging technologies, offering secure, compliant, and scalable frameworks which cover end-to-end processes and reduce costs while meeting project deadlines. Enjoy the Prime advantage and accelerate your efforts to complete your projects in data collection to big data optimization to performance measurement. Prime’s efficient, fast-working tools and services support your performance to offer business value and to get future-ready and enjoy an unparalleled advantage with solutions which can be launched quickly to enable you to stay ahead of the competition, in the following areas.

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