Healthcare providers face a tight balancing act amid several regulatory and economic forces. Many are in survival mode, especially after the challenges faced due to the COVID-19 pandemic. Although providers can greatly benefit from investment in business intelligence (BI) and automation, they face unique challenges and constraints in moving forward.
Each year, healthcare providers must comply with federal, state, and/or other external funding agencies, including frequent major inspections. Directors across all departments spend much of their efforts to update policies, processes, and equipment in preparation. Additionally, in the United States, Medicare-participating hospitals must test and treat emergency patients, regardless of their ability to pay. Many healthcare providers compensate for these compliance pressures by short-staffing and cutting elsewhere.
COVID-19 caused further strain on providers due to the influx of COVID-19 patients and delaying (higher-margin) revenue from elective surgeries. At the same time, an increasing volume of ransomware attacks for lucrative personal medical data put focus on securing data vs. strategically using data. The consequent survival mode limits the capacity of many C-suite executives to understand, invest in, and make the changes necessary to use BI in strategic, sophisticated ways. Organizations pass over the perceived “soft” costs of BI investment for more immediate needs such as broken equipment or data security. But this means that many healthcare organizations find it perpetually difficult to move past the initial levels of the Hyper-Decisive Maturity Model®.
Healthcare providers find themselves in a Catch-22: high need for BI in all areas of their business but also a limited ability to understand and show its strategic value beyond reactive compliance needs. Moving toward Hyper-Decisive Maturity can help providers more effectively navigate the complex insurance, compliance, and operational landscapes, as well as the trend of mergers and acquisitions.
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