Dbtech Blog

Dealing With Disparate HIT Systems

Waiting For A Punchline

How many computer applications and manual processes are required to service the business needs of a typical hospital? Sounds like the setup to a joke, but the answer for most hospitals foretells a serious productivity dilemma.

Traversing from one computer application to the next, then scurrying to access unstructured paper documents frustrates employees and creates inefficiencies in a hospital’s operations. Increased business demands combined with a “the way it has always been done” mentality is a recipe for stagnation, decreased productivity and unnecessary expense.

Users are drowning in inefficiency due to a lack of interoperability.

A Day In The Life

A typical day in the life of a hospital’s business office manager consists of accessing between five to ten different applications along with dozens of paper data sources. For example, employees may move from patient profiles within the EHR to signed, paper forms located in a paper chart in a file room. Then, insurance requires yet more convoluting access strategies with insurance bills accessed in claims scrubbers or in-patient accounting systems – depending upon the required need.

Payment reviews also occur over various platforms with 835 remittance data perhaps being downloaded and exported to various analytics tools for reviews of denials, failed medical necessity and cash posting analysis. And, paper remittances might be stored in physical charts in the business office. Then, to compare insurance payments against bank data, employees may need to pull both internal system data and external data from bank websites and lock-box downloads.

What’s more, managers must assure patient registrations are complete and contain all required documents by physically reviewing paper charts completed by patients, registrars and financial councilors. Are all required documents signed and all mandatory data collected? Were any documents lost between registration and the back-office?

What is Your Gameplan?

Think about it … How are your users accessing non-EMR documents and images in your EMR? After all, this is the key to a complete legal record and will soon be critical to achieving Meaningful Use.

Ask yourself about non-patient-specific workflows as well. How many hours did you pay out in the last cycle? How much sick time has your staff accrued? How many widgets did you order last month? Are all of your nurses up-to-date with their certifications?

While reviewing employees, it may be a good time to review how staff is accessing patient data. What records have they been seeing? What charts have they checked out in Medical Records? Has anyone been making copies of PHI, perhaps for Release of Information purposes? What are the reasons why staff might be emailing patient data to other users?

At the end of the day, employees may have traversed over a dozen systems and information sources, logging in and out of many applications, multiple times each day. Hours are wasted walking from office to chart room, mailroom to printer room. Not to mention interruptions occurring as users socialize while en-route to access paper documentation.

Ras has been helping hospitals aggregate HIT data for years.

And, since information demands continue to increase while bandwidth remaining the same, users are drowning in inefficiency because of a lack of interoperability.


Dbtech Ras has been aggregating disparate systems for years and offers an eloquent solution for optimizing workflows while unifying data. Whether system content resides in billing, payroll, materials management, paper charts or bank lock-boxes, our seamless unifying solution can meet all data requirements.

Additionally, many hospitals find that their legacy applications and new EMR’s are excellent sources for data collection, but less than adequate for presenting data to users in a concise and consolidated manner. It’s not surprising that users without a platform like Ras waste hours every day navigating applications and physical sources of data.

Ras can also serve as an information portal solution that is relevant today in your current environment and tomorrow as you migrate to new platforms.

And the best part is that Ras is simple to use and implement. Our support staff has earned customer praise consistently for the last twenty years.

Achieve platform interoperability today with Ras!Contact us for more information.

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