HQ: California, USA
Customer Since 2020
Provider Master Data Management for Healthcare
Aligning Your Organization for CMS interoperability
How to Meet the Demands of the Cures Act
is the underpinning of CMS interoperability requirements
Director, Enterprise Data Analytics Vituity
Vituity is a physician-led and physician-owned Partnership, that combines clinical excellence with business acumen to help healthcare organizations raise the standard of patient care and improve their performance metrics. Their largest practice line is emergency medicine, but their clinical footprint has expanded rapidly over the last decade to include more practice lines. Vituity is now in 18 states with over 400 practice locations, which serve 6.5 Million patients’ lives annually. Within those practice locations, they have 3,000+ Physician Partners and 1,400+ Advanced Partners.
With Vituity’s growing footprint in the healthcare field, a substantial amount of data was flowing in from multiple data sources which then had to be properly validated and merged. Dealing with these ‘siloed’ data sources resulted in redundant effort, poor visibility and operational errors and inefficiency – none of which was acceptable for a fast-growing business!
This does not mean the data from the source systems was ‘bad’ – only that it had been created in each system under differing rules and requirements and that some consistency had to be imposed so they could have a single, integrated source of truth for reporting, decision-making and operational efficiency.
Vituity looked at a couple of approaches to solving their ‘data silo’ problem that they found would not work:
Ultimately Vituity chose to move forward with Profisee MDM to accommodate multiple key master data domains and the data interactions around them. Vituity also noted that they need to develop improved processes around Data Governance, and that in the short term, these would be more than covered by their MDM implementation.
One thing that was immediately clear to Vituity (and key to their MDM selection criteria) was that they would need to master multiple data domains in order to drive the broad business requirements.
Like most healthcare organizations, Vituity must manage their Provider data (doctors, nurses, and other healthcare providers) for both practical as well as compliance reasons. More than any other master data entity, Provider data touches on many parts of the business, from reporting to time scheduling. For this reason, Provider data lives in many systems from credentialling to billing and legal and all that data must be matched, merged, validated, and corrected if it is to be used as a trusted source of information. Cleaning and harmonizing Provider data across these systems reduce billing errors and inconsistencies, avoids redundant effort, and enables accurate reporting.
Vituity has healthcare providers in a lot of locations, but simple spelling errors (or abbreviations such as “St Lukes” or “Saint Luke’s”) were causing billing errors that took precious time to correct. By mastering Facility/Location data once and having all other systems use that as their ‘reference’ a lot of simple errors and rework effort is avoided.
The Patient domain was a natural focus for Vituity when they started their MDM journey. Their goal was to enable tracking of patients throughout their care experience, resulting in better care and better metrics for the quality of care from readmission rates to identifying the most cost-effective treatments as well as avoiding redundant data entry work.
Vituity partners with several different insurance companies across the healthcare sector. By mastering the Payer Contracts domain, they will be able to standardize insurance companies’ names and contract details across their organization, allowing Vituity to share consolidated, corrected and harmonized Payer Contracts data across all business units immediately.
Reference Data can span a wide variety of use cases but the idea is to take reference data that may be used across several systems and master it as a series of MDM domains that can become a common reference for all the systems that need it. In the case of Vituity they plan to centralize CPT codes, ICD9/10 codes, and CCS Diagnostics codes among others. This reduces redundant effort across systems and avoids the possibility of different version of the reference data being used in different systems
Vituity started with the goal of improving the consistency, accessibility and usability of their data, but unlike many starting out MDM practitioners they did not limit their thinking to only one master data domain or use case. They thought ahead to consider all the major domains that impact their business and built a phased delivery plan, knowing they would likely have to accommodate even more in time.
The benefits of data mastering are many, but generally fall into two categories:
"The Profisee MDM platform provides exactly what we are looking for."
―Slobodan R.Read the full review
"Very capable MDM platform with solid development toolkit and favorable TCO"
―Data & Analytics Architecture Manager in the ManufRead the full review
"Profisee really stood out with their attractive pricing model and implementation time compared to the competition."
―Project Manager in the Finance IndustryRead the full review
"Very affordable and user friendly. Great for modeling big data domains."
―User in Higher EducationRead the full review
"Great end-to-end product to make MDM easier for organizations."
―Internal ConsultantRead the full review
"Excellent vision and roadmap for the product."
―Senior Manager Business Intelligence in the ServicRead the full review
"The Profisee product is intuitive enough for us to implement our first domain in under six months."
―Manager of Data Architecture in the ManufacturingRead the full review
"The technology is well built and is a flexible/robust tool - powerful engine and has solid UI and exceptional workflows - and ability to customize."
―Vice President in the Manufacturing IndustryRead the full review
"The best thing about the software is the UI, it is very nice and clear. It is very easy to understand"
―Administrator in Computer SoftwareRead the full review