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What is patient access: Exploring the key benefits and challenges

Updated : May 31, 2024 Published: May 31, 2023 by Experian Health

what is patient access exploring key benefits and challenges

When it comes to healthcare, patient access is a top priority. But what is patient access, and why is it so crucial? Surveys consistently show that timely access to healthcare providers ranks highest among patient concerns. According to Experian Health’s State of Patient Access 2024 survey, efficient scheduling is crucial for patient satisfaction. Many patients believe that accessibility has improved thanks to faster appointment booking systems. However, those who disagree often cite slow booking processes as a significant barrier to care.

The challenges of delivering quality patient intake

Providing a high-quality patient intake experience is complex. The aging population, many of whom manage multiple chronic conditions, faces increasing difficulties amidst shortages of clinical and administrative staff. Healthcare providers must balance the need to attract and retain both patients and staff to maintain financial stability, making the optimization of patient access services a critical task.

Defining patient access and its importance

What is patient access?

Patient access refers to the systems and processes that determine how easily patients can obtain healthcare services. This includes finding a suitable provider, booking appointments, registering for care, and understanding billing. Effective patient access services are essential for delivering timely, high-quality care.

Why is patient access critical?

Patient access impacts the entire healthcare experience. Can they find a suitable provider in their area? How easy is it to book appointments and register for care? Can they understand and pay their bills without too much difficulty?

While logistical elements such as geographic location and transportation certainly factor into how easily a patient can get care, patient access tends to focus on the administrative processes involved in scheduling and registration, verifying insurance coverage, appointment management, patient billing and payments, and patient communications. If these services are clunky, slow and disjointed, healthcare providers will fail to deliver high-quality and timely care to those who need it.

Key performance indicators for patient access services

To achieve high-quality patient access, healthcare providers must track various key performance indicators (KPIs), including:

  • Appointment wait times
  • Speed and accuracy of appointment scheduling
  • First-contact resolution rate for access-related inquiries
  • No-show rates
  • Efficiency of insurance verification and billing processes
  • Revenue collected at the point of service
  • Staff performance and productivity

Monitoring these KPIs helps providers identify areas for improvement and optimize their patient access services.

Strategies for improving patient access services

Embracing digital solutions

Digital and data-driven systems are vital for improving patient access services. Offering online scheduling, pre-registration, and payment options enhances the patient experience and boosts operational efficiency.

Enhanced patient experience

Alex Harwitz, Vice President of Product, Digital Front Door at Experian Health, emphasizes that digital solutions offer patients more convenience, choice, and control. Online self-scheduling allows patients to book, reschedule, or cancel appointments at their convenience, often outside office hours. Automated scheduling protocols streamline the process, particularly for those with complex medical needs.

Digital pre-registration enables patients to complete paperwork from home, reducing errors and saving time. Secure patient portals and messaging platforms facilitate direct communication with healthcare providers, strengthening the patient-provider relationship.

Increased operational efficiency

Automation reduces manual labor, improves workflows, and enhances profitability. Tools like Patient Scheduling Software and Registration Accelerator decrease administrative overhead, allowing staff to focus on essential tasks. According to Experian Health’s survey, 36% of providers found technological improvements helped mitigate staff shortages.

Accurate data entry from digital tools reduces errors, speeding up services and reimbursements. Additionally, digital patient access software generates performance reports, driving further operational improvements.

Overcoming implementation challenges

Resource limitations and costs

Implementing patient access software can be daunting due to resource limitations and cost concerns. However, the long-term return on investment often outweighs initial expenses. Providers experiencing significant benefits demonstrate the value of these digital solutions.

Standardizing policies

Accurate patient pricing estimates are crucial but challenging due to varying insurance and reimbursement policies. New federal price transparency rules add to the complexity. Tools like Patient Payment Estimates offer accurate, personalized financial breakdowns, enhancing patient satisfaction and reducing missed payments.

Research by Experian Health and PYMNTS suggests that such tools can boost patient satisfaction by 88% and reduce the risk of missed payments. To help providers comply with broader requirements around price transparency, Experian Health has joined forces with Cleverley + Associates to offer a standardized solution.

Interoperability with existing systems

Compatibility issues between electronic health records and hospital management software can cause significant errors and delays. Providers should choose automated patient access tools that integrate seamlessly with existing systems. For instance, Experian Health’s eCare Next® users can integrate additional access solutions through the same interface, streamlining patient intake and enhancing data security.

The future of patient access solutions

The future of patient access is shaped by rapid technological advancements, evolving policies, and changing patient expectations. Key trends include:

  • Increased use of digital platforms for accessing and paying for care, especially among younger generations.
  • Growing demand for personalized care and tailored patient access experiences.
  • Expanding use of data analytics and artificial intelligence (AI) to identify patterns and automate workflows.

Digital patient access services are now integral to the healthcare landscape, essential for improving patient outcomes and ensuring business success.

Learn more about how Experian Health’s patient access solutions can enhance patient satisfaction, operational efficiency, and long-term financial health.

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