JDS Healthcare Solutions can support our customers in a variety of ways. Our team has over 30 years of experience in managed healthcare business operations and over 20 years experience in information technology. We collaborate with our customers to design and implement innovative solutions that meet our customers’ needs. Our expertise includes these areas:
Healthcase System Business Design and Configuration
JDS Healthcare Solutions provides Healthcare system design and configuration services. As your design architects, we work with your business and technical teams to design the optimal configuration that meets your business needs. These include complete implementations as well as enhancements to existing configurations. In addition to designing the configuration, we can configure, test, and implement the configuration. Just as importantly, we will train your team on how to maintain the configuration. This helps your team understand the system – and the business – better so that you can continue to make the right system decisions to support your objectives. Our areas of configuration expertise include: Lines of Business, Groups, Members; Benefits and Medical Definitions; Vendor and Provider Network; Provider Professional Pricing; Institutional Pricing; Provider Capitation; Authorizations; Claims; AP/Finance; Security; Reports; Interfaces.
Project Management
Managed-care organizations often juggle multiple high-priority projects simultaneously, sometimes with the same resources. Multiple priorities, tight time-constraints, inadequate communication, incomplete analysis, and resource overload can delay a project’s completion and even jeopardize its success. JDS Healthcare Solutions has the skills to rescue distressed projects. By re-engineering your project management methodology, JDS Healthcare Solutions can help you manage your mission critical projects – from the full-scale vision down to the task-level details – to help you meet your business objectives. We provide leadership, management, quality-measurement skills, as well as project plans, communication plans, risk assessments, and performance metrics.
Systems Integration and Implementation
Few systems exist in isolation in today’s managed care world of interdependent systems and processes. MCOs must rely on multiple systems to operate – such as claims processing, medical management, financial management, reporting systems, and third-party systems to name a few. These system interdependencies require accurate and timely information. JDS Healthcare Solutions can provide the analytical skills to ensure your systems work together harmoniously.
Business & Systems Analysis
The blueprint for successful projects and change management is based on cogent and complete analysis and documentation. JDS Healthcare Solutions is well versed in working with both business and technical team members to analyze opportunities for improvement. We can provide: Needs Assessment; Business Requirements Specifications; Functional Specifications; Gap Analysis (what you have vs. what you require); Data Flow Diagrams; Business Process Diagrams; Data Mapping Specifications.
Business Process Re-Engineering
All managed healthcare organizations face changes in today’s market to remain competitive. However, in an increasingly complex market, it may be difficult to determine not only what to change – but how to change – and still maintain your core business. JDS Healthcare Solutions can work with your organization to re-engineer business processes that will optimize resources and processes. This will help you improve your customer satisfaction as well as your bottom line. Our team can:
- Identify and document “current state” processes of your organization. We will provide you focused “to the point” documentation to help you understand your business operations and processes - opportunities for change.
- Design improvements for the “future state.” Our designs consider your business objectives, your market position, and statutory regulations - including HIPAA requirements. Just as importantly, we help you control changes so that your core business is not disrupted.
- Collaborate with you to implement, manage, and measure the positive impact of changes. Our team has extensive Project Management and Healthcare Administration Business Management experience. We can provide Change Management Plans; Communication Plans; Policies and Procedures; Training; Improvement Measurement Metrics.
Quality Assurance and Testing
Successful projects require embedded quality assurance standards and complete lifecycle testing from inception through implementation and through production. JDS Healthcare Solutions can provide: Scenario Tests; Use Cases; Integration Tests; Regression Tests; Success Metrics.
User Training, Documentation, and Operational Policies and Procedures
“No documentation is job security;” “Just train the users on what they need to know.” In hindsight, organizations often find that this philosophy can cripple a project. How can users understand your mission if they have not been properly trained or have inadequate documentation? JDS can provide: Tailored End-User Training; User Documentation; Operational Policy and Procedure Training.
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