Fully Modernizing Healthcare Operations End to End
Background
Our client is a nonprofit human services organization that empowers people with the resources they need to thrive, and to live the lives they envision in their communities of choice. With a staff of 500 employees, it supports more than 15,000 state residents — including children, adults with disabilities, and combat veterans — through case management and over 20 direct service programs.
Case management, electronic health records (“EHR”), and provider management are vital for the organization to track, monitor, and measure client outcomes. Their legacy technology and processes for client management were antiquated, limiting program staff from working efficiently with accurate, real-time data needed to meet client needs.
Our Role
The client engaged Ignyte Group to replace its existing case management and EHR systems with a new Appian-based software platform that streamlines claims management and is easier and less costly to maintain on a nonprofit’s limited budget. Ignyte Group led the planning, analysis, and implementation of a solution to automate the end-to-end case lifecycle, client and provider correspondence, and supporting documents. Our team also delivered internal and external portals to manage cases and claims reimbursements, with integration across enterprise systems including finance, billing, and human resources.
Ignyte Group played an integral role in designing a system capable of meeting the client’s unique requirements while improving usability — limiting complexity and avoiding unnecessary functionality that could overwhelm users. As a healthcare organization, security and compliance are critical, so Ignyte Group built on the secure, scalable, HIPAA-compliant Appian platform, meeting or exceeding the Security Assessment and Authorization requirements of the organization’s state and local government partners and other funding stakeholders, backed by rigorous compliance controls and audit-ready reporting.
Ignyte Group has built an effective, security-first delivery model that continuously delivers new capabilities to modernize the organization’s care delivery while supporting and enhancing previously delivered functionality. This ongoing partnership helps streamline communication, improve patient outcomes, and ensure continuity across the care ecosystem. Additional details on Ignyte Group and Appian’s impact on the organization’s operations — and on reducing the complexity and cost of IT — can be found below.
Measurable Outcomes & Impact
The following are the key accomplishments and impact of our team’s solution and delivery:
- Reduced process errors by over 25% through automated, guided checklists.
- Enabled real-time tracking of additional case details previously impractical with manual processes.
- Replaced over a dozen departmental spreadsheets previously used for tracking program metrics.
- Provided management real-time KPI visibility (claims paid, pending, rejected, and aged).
- Caregivers documented notes more quickly and accurately than in the legacy system.
- Enabled caregivers to more easily view and manage assigned patients and their specific health issues.
- Locked clinical notes prior to Medicare billing.
- Reduced revenue cycle timelines by more than 15%.
- Used AI to automate ~900-1000 referrals per month, ~150 hours per month.
- Established a formal HIPAA Business Associate Agreement (BAA) with Appian and Ignyte.
- Protected the PHI and PII of more than 15,000 patients.
