Clinical Operations, Revenue Cycle & Population Health Intelligence on Sigma
Clinical Operations, Revenue Cycle & Population Health Intelligence on Sigma
Healthcare providers generate massive volumes of operational, clinical, and financial data every day. The challenge is not collecting data — it is converting that data into timely decisions that improve patient outcomes, reduce costs, and accelerate revenue realization.
PROLIM has built a production-ready analytics solution for healthcare providers, fully powered by Sigma Computing on Snowflake. The solution integrates data from EHR systems (Epic, Cerner, MEDITECH, Athenahealth), Revenue Cycle Management platforms, Bed Census and Capacity systems, Workforce and Staffing applications, and Population Health programs – consolidated into a governed Snowflake data platform with no data copies and no extracts.
Sigma serves as the intelligence and action layer, delivering persona-specific dashboards, AI-powered natural language querying, and secure writeback — all queried live from Snowflake.
Built for COOs, Bed Managers, and Hospital Administrators. Provides real-time visibility into Bed Occupancy Rate (71%), Average Length of Stay (8.56 days), 30-Day Readmission Rate (22%), and Bed Availability across facilities. Includes discharge trend analysis, LOS vs. DRG benchmark comparisons, and facility-level occupancy breakdowns — enabling operations teams to identify bottlenecks and optimize patient flow before capacity becomes a crisis.
Built for CFOs, RCM Managers, and Billing Teams. Surfaces denial trends, AR aging by payer, payer performance benchmarks, and claims-level detail. With a 21% denial rate and $67M+ in AR outstanding as baseline challenges, the dashboard uses Pareto analysis to pinpoint the specific denial codes driving the highest financial impact — enabling billing teams to prioritize recovery effort and reduce revenue leakage systematically.
Built for CMOs, Care Coordinators, and Quality Leaders. Identifies high-risk patient segments, tracks 5,556 open care gaps, monitors readmission trends, and measures intervention effectiveness. Risk-based segmentation and patient-level drilldowns allow care teams to prioritize outreach, close gaps proactively, and reduce avoidable readmissions.
Available across all three dashboards. Users ask questions in plain English — “Which facilities have the highest readmission rates?” or “Which denial codes are driving the most revenue leakage?” — and receive governed, role-scoped answers instantly from live Snowflake data. No SQL, no IT dependency.
A key differentiator. Care coordinators update intervention status, billing teams log denial resolution notes, and operational users capture actions — directly within Sigma. All changes write back securely to source systems, creating a closed loop between insight and action with full governance and auditability.
Each persona sees only the data relevant to their role, enforced through Sigma’s Row-Level Security. Operational teams monitor capacity and patient flow. Finance teams track denials and AR. Clinical leaders focus on patient risk, care gaps, and outcomes.
This solution is built natively on Sigma. Sigma’s ability to query Snowflake live at enterprise scale, deliver spreadsheet-familiar exploration to non-technical healthcare users, support secure writeback to operational systems, and embed an AI Agent for natural language querying makes it the only platform that can serve every persona — COO, CFO, CMO, Bed Manager, Care Coordinator, and Billing Analyst — from a single governed workspace.