Intelligent pathway automation for the competitive edge in the imaging market
Whether you are an independent diagnostic testing facility, radiology practice group, or part of a broader care network, changes in the way care is paid for and delivered mean greater pressure to lower operational costs and enhance your value-add in the wider pathway context.
Lumeon helps leading diagnostic imaging providers to orchestrate and automate their end-to-end workflows to deliver unbeatable service quality at reduced operational cost.
Our Care Pathway Management (CPM) platform enables you to create your own diagnostic pathways that reduce variation, keep radiologists working at the top of their license and provide real-time visibility across predictable patient journeys. They also contain timers and protocols that are variable by health plan, to help you more easily meet complex contractual requirements.
Whether you are looking to maximize ‘commoditized’ services, or form more strategic joint ventures with health systems, we can help you transform and scale your business like never before.
Benefits
Improve referrer and patient satisfaction
By using algorithms, timers and escalation protocols to automatically tailor your pathways to meet needs of referrers, patients and payers
Reduce operational costs
By using automation to assist with scheduling, referral screening and billing as well as operational coordination such as determining which radiologists should be involved in reporting
Rapidly innovate and scale your business
By instigating digital pathways that remove unwanted variation and inefficiencies and can be centrally controlled, measured and refined
[:en]Create your own digital pathway[:us]The intelligent app that's revolutionizing patient engagement[:]
We’ll show you how to adopt Lean Six Sigma process models to seamlessly connect and drive efficiency throughout your diagnostic and broader referral network, leveraging real-time communications and intelligent automation.
Referral screening and patient preparation
A backlog of referrals waiting to be screened, inappropriate cases that should have been rejected, patients who don’t properly prepare for scans – your digital pathways can help you reduce all these inefficiencies that slow down your diagnostic network.
Just a few of the many possibilities:
- Use automation rules to screen referrals for procedure suitability and eligibility (reject unsuitable referrals that don’t meet basic clinical/health plan criteria, escalate referrals that require clinical review, or progress referrals straight to booking)
- Create protocols to guide administrators through data collection, call scripts etc. as well as creating auto-suggested appointment slots according to modality/health plan/risk level/payer etc.
- Deploy scheduling rules to improve efficiency e.g. to block book scans that require a certain type of contrast, allowing it to be bulk ordered
- Automate patient preparation instructions and reminders that are dynamically tailored around each individual patient’s health profile to take their individual needs into account
- Adapt pathway protocols and procedures for patients identified as ‘high-risk’, for example, those who are diabetic, to reduce risk of elongated discharge periods
Diagnostic reporting
Once scans are conducted, (whether that’s by you or by a third-party) our platform can direct images to the relevant PACS, for seamless control of image study distribution and reporting throughout your network.
Just a few of the many possibilities:
- Create automation rules for PACS re-routing e.g. to ensure certain pathways send scans to particular radiologists (in-network or outsourced) depending upon modality, complexity, payer or required turnaround time
- Gain a real-time view of all downstream activities and deploy SLA timers to send automated chasing emails and alerts to clinical and administrative professionals in order to ensure prompt turnaround
- Use report auto-formatting tools and automatically distribute reports according to client preferences (e.g. if they would just like the summary report emailed out to certain people or would like the original images sent to their PACS as well)
- Create overflow pathways that accommodate last-minute requests from hospitals who usually do their own scanning and reporting
- Integrate AI software into standardized workflows
Contract handling and SLAs
You can easily create master or sub-pathways that prompt different end-to-end processes to suit each of your clients or payers, and effortlessly meet the requirements of any number of contracts.
Just a few of the many possibilities:
- vary your pathways by payer (create protocols and SLAs for appointment generation, preferred reporting mechanisms, billing etc.)
- use our portals to provide your clients with a real-time view of their referrals and exactly what stage of the process they are currently in
- create pathway timers that trigger automated breach avoidance sequences e.g. escalation, chasing missing information, changing traffic light color-status etc.
- use our integrations with revenue cycle management software to create pathway protocols that produce and distribute accurate invoices
- create custom reports/dashboard for clients using Lumeon Analytics
Hospital and IDN partnerships
For advanced collaboration with hospitals, IDNs, ambulatory centers and even payers, Lumeon offers the ability to create integrated digital pathways with a shared real-time view of the patient journey. We can join existing technology and teams onto a single platform that prompts best practice.
Just a few of the many possibilities:
- create shared pathways for seamless transfer of patients into and out of radiology departments, with real-time visibility of patient progress
- add radiologists into wider follow-up procedures, including prompting consultations with original referrers, integrating telehealth software events etc.
- create pathways that prompt automated recall of patients with chronic diseases for regular screening in order to refresh clinical data
- use automation to enable radiologists to work at the top of their licence and make more decisions about value-based strategy
- integrate with population health management tools to rapidly update end-to-end operational processes using centrally controlled pathways and automation rules
Core capabilities
Pathway protocols and SLA timers
The Lumeon CPM platform allows you to attach different automated rulesets and SLA timers to each pathway. This means you can easily vary processes by contract/health plan/modality/patient risk category etc. as well as triggering automated breach avoidance activities.
Sophisticated PACS and diagnostic machinery management
The platform seamlessly integrates with all leading PACS and diagnostic equipment. Algorithms can help fill radiographers’ diaries to avoid unwanted waiting periods and control which PACS images are routed to.
Pathway analytics
Our analytics engine can help you measure pathway efficiency and radiographer or radiologist productivity, including metrics such as appointment overrun, patient and referrer satisfaction rates, scan failure rates, patient cancellations/no shows, capacity levels, missed SLAs etc.