Healthcare organizations in the United States are relying more on data analytics to help make decisions, improve patient care, and run operations better. For people like medical practice administrators, healthcare owners, and IT managers, it is very important to keep a steady flow of accurate data. Recently, the healthcare field has faced big problems with data, which makes it harder to use analytics and plan strategies. Knowing how to handle these problems and keep moving forward with healthcare analytics is very important to stay competitive and improve patient care.
This article looks closely at these problems and shares practical ways to deal with them. It uses recent data from well-known sources like Sg2 and StatPearls. It also explains how artificial intelligence (AI) and automation tools are helping manage data in healthcare today.
In 2024, many healthcare groups had unexpected problems with claims data, which is very important for healthcare analytics. Claims data has billing records for patient services and is often used to study healthcare trends, patient outcomes, and financial results. If this data is incomplete, late, or not reliable, it can make it hard to make good clinical and business decisions.
Groups like Sg2, which focus on healthcare strategy and analytics, have responded by changing how claims data is used in bigger healthcare plans. Instead of stopping their work, they created better ways to work around the missing data. This helps keep progress in planning services, managing clinical networks, and running care systems.
For medical practice administrators, this means they need to rethink how they depend on data and adopt flexible analytic methods that can use several data sources beyond claims. Healthcare owners and IT managers must make sure their data systems can handle surprises without losing track of key performance indicators (KPIs).
Some good practices have come from experts in managing change and healthcare analytics to handle data interruptions well. These methods help keep work going during data problems while still improving healthcare service quality and efficiency.
One main reason many healthcare change projects do not succeed is poor planning and lack of involvement from all staff levels. Almost two-thirds of change projects fail partly because staff are not involved early or do not understand why the change is needed.
Good approaches use ideas like Lewin’s Theory of Planned Change, which has three steps: unfreezing (making people aware why change is needed), moving (starting the change), and refreezing (making the change last). For data disruptions, administrators need to involve data users from frontline clinical teams to IT early on to find gaps and problems. This way, everyone understands the effects and supports the plan.
Also, Kotter’s 8-Step Change Model says to form guiding teams and build a sense of urgency. This helps keep projects on track even when there are disruptions. Including staff from different shifts, like night and weekend workers, makes sure everyone who uses data systems has a voice and that solutions fit real work situations.
Healthcare teams often have a mix of people: some who like new ideas, some who accept them early, and some more cautious. Rogers’ Diffusion of Innovation Theory groups them this way and suggests focusing first on innovators and early adopters. These people can become change champions who motivate others and reduce resistance.
Using change champions helps keep energy high and improves communication during changes, especially when data problems happen. Medical practice administrators can find and support these champions to lead training and collect feedback.
Force field analysis is a way to look at forces that help change and forces that stop change. In healthcare data management, barriers might be old systems, staff resisting new software, or not enough data skills.
Leaders can make things better by cutting down these barriers with clear communication, regular training, and recognizing staff efforts. At the same time, they should support things that help, like leadership backing, new analytics tools, or working with data experts.
Change is not a one-time event; it keeps going. Regularly checking clinical and operational numbers helps healthcare groups find early problems or backslides. For example, watching patient satisfaction scores, fall rates, or scheduling efficiency provides useful feedback.
Doing spot checks and always checking data helps make sure new data handling ways become normal. It also stops staff from going back to old habits that might hurt data accuracy and patient care.
Sg2 has helped healthcare providers with recent data problems. They work on helping health systems grow smartly by improving how clinical services are offered. When claims data was disrupted, Sg2 improved their methods by adding new analytics tools and using many data sources, including partnerships with Vizient.
Their efforts focus on several key areas:
Sg2’s focus on consumer strategy is important because healthcare providers now compete for patient loyalty by improving access and convenience. Even with data challenges, these strategies help healthcare groups keep moving forward and working well.
Good change management gives healthcare leaders a plan to protect analytics projects during data problems. Jennifer M. Barrow and Pavan Annamaraju studied change theory in healthcare and pointed out several key ideas:
Since nearly two-thirds of healthcare change projects fail without these steps, medical practice administrators who want to keep strong analytics need to use good change methods.
Artificial intelligence and automation are becoming important tools for healthcare providers dealing with data problems. Simbo AI is a company that focuses on front-office phone automation and AI-driven answering services. They show how AI helps healthcare work better.
For healthcare administrators and IT managers handling many patient contacts, AI can reduce the work by automating simple tasks like appointment reminders, answering patient questions, and checking insurance. This frees up staff time and helps keep data accurate by lowering human mistakes.
When claims data is disrupted, AI tools can help by getting information from different sources like electronic health records (EHR), patient portals, and call records. This helps care teams keep working smoothly, having the latest data for scheduling, billing, and making clinical decisions.
AI analytics can also spot unusual patterns or data problems right away. This lets IT managers fix issues quickly and keeps data quality high.
Combining automation and AI also helps with managing change. Automated systems can remind staff about training, send alerts about new steps, and create reports on following new workflows. Putting these features into daily routines helps healthcare teams deal with less disruption and adjust faster when systems change.
Medical practice administrators and healthcare owners can do several practical things to be ready for future data problems:
By actively managing data disruption risks and using good change methods, healthcare providers can keep strong analytics that support both good operations and staying competitive.
Healthcare data management in the United States is at an important turning point. The recent claims data problems have shown that healthcare groups need to be flexible and use new ideas to keep up with fast changes in healthcare. Medical practice administrators, owners, and IT managers who use structured change methods, AI, automation, and involve their teams will be in a better position to handle problems while improving patient care and operations.
Sg2 aims to help health systems achieve smart growth by optimizing their healthcare delivery experiences and competing effectively in the market.
They focus on Network Integrity Management to enhance clinical network performance, ensuring an optimal mix through a System of CARE.
Service line optimization is about configuring services to meet current and future clinical demand, helping health systems compete more effectively.
This involves expanding patient reach by optimizing healthcare footprints based on acuity, access, market volume, and clinical capabilities.
Sg2 helps healthcare providers build loyalty among their best customer segments and drive growth more efficiently.
Sg2 dealt with a data disruption in 2024, advancing strategies related to analytics rather than halting operations.
Sg2 employs strategic and clinical insights derived from both Sg2 and Vizient data analytics to inform strategies.
Claims data allows for rethinking strategies to better adapt to market changes and consumer needs in a healthcare context.
Sg2 offers podcasts, such as Sg2 Perspectives, connecting audiences with thought leaders and insights in healthcare analytics.
Sg2 emphasizes outperforming competitors by not only controlling the top line but also optimizing overall healthcare delivery experiences.