Ventiv Technology

Optimising Your Claims Management Process

Ventiv Resource Library

Issue link: https://ventiv.uberflip.com/i/711165

Contents of this Issue

Navigation

Page 6 of 10

St Vincent's Health Australia (SVHA) is the largest Catholic not-for-profit provider in Australia, with dozens of facilities in Victoria, Queensland and New South Wales. They work across public, private and aged-care sectors. However, despite having such a large national presence, the structure of the organisation and their insurance processes were highly regional. In 2010 the group was restructured and came together under a single board. Recognising that this was a good time to get all the disparate state and regional operations under one administrative umbrella, SVHA Group Manager of Quality and Safety Sarah Michael decided to implement a Risk Management Information System (RMIS), Ventiv Technology's RiskConsole. Before the adoption, SVHA relied largely on spreadsheets and Word documents to capture their data. While the data itself was good, there were limitations as to what they could achieve with it. With a manual process, there was no way to easily compare data sets — the spreadsheets were set up by years, so compiling specific comparisons was very time-consuming and awkward. In addition to this, other organisations working with SVHA's claims needed to have quick and easy access to information, which could be difficult given the volume of correspondence and documentation involved. "All the relevant information is now kept in one place, which means that the searchability function has vastly improved." Sarah Michael Group Manager, Quality and Safety, St Vincent's Health Australia The adoption of an RMIS turned a cumbersome process into a much sleeker one. Not only did it allow for a more streamlined way of compiling and sharing information, but it also enabled Sarah Michael to easily gather and 07 Company Snapshot 2: St Vincents Health Australia Key takeaways Overhauling their systems allowed SVHA to streamline their processes. This enabled them to: • Consolidate all relevant information in one location and reduce admin time • Compare and contrast data sets • Report to their board with accuracy and efficiency • Integrate their regional agencies contrast data, quickly pull together reports for the board and reduce human error. This didn't just lead to a optimised, smoother process but also made it easier to compare important sets of information and improved the quality of reporting. As Ms Michael says: "Great data helps to ensure that what we are providing to our board is credible, transparent and accessible" Correspondence before the implementation of RiskConsole Manual notification of a claim escalated sent on to broker sent on to insurer acknowledgement dates saved in spreadsheets Correspondence after RiskConsole An incident alert is sent to all parties involved you go to a central location and all correspondence pertaining to that claim is kept there 07

Articles in this issue

view archives of Ventiv Technology - Optimising Your Claims Management Process