After collective decades spent integrating and applying technology within the healthcare
industry, Celera Group's founders are excited to finally work where we can honestly say
at the end of every day that the customers that we work for are better off than they were
at the beginning of the day.
Please click on any of the projects below to learn more about some of our more recent project successes.
System Integration for the regional health care provider.
Already a large provider with a proprietary system, it merged
with two additional providers in another state, forming a
multi-state provider organization. All three providers were
on separate systems including both vendor systems and home
grown proprietary software. The objective was to integrate
the three systems into a single solution that the entire provider
could utilize. This vision was accomplished by developing and
implementing a plan to take the best that the three systems had
to offer and continuing to utilize those features. This resulted
in the referral/intake, scheduling, case management, documentation
and billing being used from the primary system, treatment planning
and service documentation taken from the other proprietary system
and a conversion of all other data into a single database. These
system components were integrated into a single web-based portal
that allows for one menu system that interfaces with multiple
technologies – Oracle-based web services, Microsoft C#.NET and
ASP.NET, as well as further integration with third party products,
such as ePrescribing.
As TennCare Managed Care Organizations (MCOs) have changed in the past
two years, Celera Group has worked with multiple providers to ensure a
successful transition in encounter and claims data reporting. Each MCO has
their own transmission medium and reporting requirements and Celera Group
has worked closely with all three MCO’s (AmeriChoice, AmeriGroup and Volunteer
State Health Plan). The submission of encounter and claims data does not
guarantee timely reimbursement. Celera Group has created processes to ensure
encounter and claims data is reconciled accurately and timely by each MCO.
As with any new implementation, there are a number of issues that can arise.
Celera Group has established the expertise and worked closely with each MCO
to ensure a successful relationship with the provider agencies.
Celera Group worked closely with a regional healthcare provider to utilize
a Lean Six Sigma* approach to streamlining and redefining their Treatment
Planning process. We assembled a 10-person team including managers, clinicians,
and IT personnel. Within 6 months of finishing the project, the completion rates
for treatment plans had increased 35%. Streamlining the planning process resulted
in a 75% reduction in time – down from 1 hour to 15 minutes per plan. For a
provider with 100 staff, the results are approximately 2,000 staff hours per
year that can now be shifted from care planning to direct client service.
* Lean Six Sigma is a quality improvement technology that focuses on processes
for doing things right the first time, and creates processes to remove anything
that is not required or of benefit to the consumer.
For a national healthcare provider that was merging with agencies in another
state, analysis was conducted on the legacy billing system to determine how
effective it would be at meeting the billing, accounts receivable, and collections
functionality required by the overall Health and Human Services (HHS) market.
The solution resulted in designing and transforming the existing state-specific
financial system into a financial system that is now flexible enough to handle
any type of healthcare billing.
A leading software vendor that provides clinical outcomes driven software
has expanded their product to include billing and accounts receivable functionality.
With the additional functionality and other clinical initiatives, they needed to
know what verticals of health and human services their software would now meet,
and what size agencies in that market they would be a good match for. The project
included an analysis of the software’s functionality, an analysis of the healthcare
market verticals and an analysis of the software needs within each of those markets.
In this project a local healthcare agency engaged Celera Group to assist
them in multiple ways. First, through a transition from one software vendor
to another, they needed a reporting database and system created in order to
continue to have access to and query their "old" data. Currently, we are loading
data from the new system into the reporting database to give access over a broader
timeframe. In the future, there will be a third data source integrated into this
reporting database – a state-mandated set of software that requires providers to
enter data directly into their system. However, as this third-source data becomes
available for download, we will help make that data available for reporting in
conjunction with the existing data that is currently being utilized for research
and reporting.
