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Bon Secours: The Cure for Data Management

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2 4 | 360º Aon eSolutions » Improving Day-to-Day Access: Pinney and his team were using a 2,500-line-long Excel spreadsheet to store and access physician data. "We referred to that spreadsheet on a regular basis," Pinney recalls. "For example, we provide insurance credentialing for our physicians. We field questions about the status of providers—whether their coverage is active or inactive—and the dates of their coverage." » Streamlining Renewals and Submissions: Pinney and his team also relied on spreadsheets during renewals and submissions for its providers' professional liability coverage. "We needed to be more confident in the information we provided actuaries," Pinney states. "The spreadsheet system was not only time consuming, it also presented accuracy challenges, including associating physicians with the correct local facility." » Improving Premium Allocations and Tax Filings: The BSHSI Finance department is responsible for allocating premiums back to each physician's respective facility. The department also generates tax filings for physicians who are independent contractors. Therefore, Finance needed to be able to access physician information—including physician class codes and locations—that are essential to accurate allocations. » Centralizing and Digitizing Records: Going paperless was another goal BSHSI set for the physician management module. "Until RiskConsole, most of our physician information was in paper files," Pinney recalls. "We were taking a lot of the paper information that we received electronically, printing it, and putting it in paper files. We wanted to attach those documents, including professional liability applications and employment contracts, directly to the physician's electronic file so that, ultimately, members of the Finance, Risk Management and HR teams could go into RiskConsole and access the documents they need." AnAtomy of the physiciAn mAnAgement module The BSHSI custom physician management module is the repository for the data and re- cords associated with more than 1,000 providers whose professional liability coverage is provided by BSHSI. Included in the module database are each provider's name, date of birth, Social Security number, practice location(s), hospital Since its first hospital was established in Baltimore in 1919, the Bon Secours Health System (BSHSI) has grown into a $3.3 billion not-for-profit Catholic health system that owns, manages or joint ventures 19 acute- care hospitals, one psychiatric hospital, five nursing care facilities, four assisted living facilities and 14 home-care and hospice services in six states, primarily on the East Coast. BSHSI's roots trace to 1881, when three Sisters of the Bon Secours order arrived in Baltimore to care for those who were sick or dying in their homes. Today, BSHSI continues its legacy service while also focusing on the future. We talked with Doug Pinney, BSHSI's Director of Insurance and Workers' Compensation, about a particularly innovative RiskConsole module that Pinney and his colleagues developed in collaboration with Aon eSolutions: a physician management module designed to improve BSHSI's management of the physician data and associated records needed to provide professional liability coverage for physicians, registered nurses, physician assistants and other providers. In 2009, BSHSI's Risk and Insurance Services department set out to select a new risk management information system. Pinney and his colleagues in the corporate Finance department took a careful, deliberate approach to selecting a new RMIS. In 2011, BSHSI selected Aon RiskConsole as its new RMIS and set about immediately to implement the vehicle, driver, policy and property management modules. Yet Pinney's ambitions for RiskConsole extended beyond those standard modules; upon implementation, Pinney and his Finance colleagues set to work on developing the custom physician management module. "We were relying on Excel spreadsheets to manage our physician data, but it had become very unwieldy to navigate through all the information," Pinney says. "We told all the RMIS providers we were considering that we wanted to build a custom physician management module. Because RiskConsole is a true database-driven RMIS, we recognized that it would be uniquely capable of taking in all the information we needed it to manage. We also knew that as we added data points and fields, it would be pretty easy to update those values in RiskConsole. The ability to create customized reports on an ad hoc basis, especially during renewals, was also very attractive." the prescription for physiciAn dAtA mAnAgement In prioritizing a custom physician management module, BSHSI sought to automate manual processes and improve the accessibility, accuracy and ability to report on its employed physicians' data and associated documents. The module was designed to address four key needs:

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