Managed Care Organization Improved Regulatory Compliance By 64% With Kure
PROJECT SUMMARY
Problem: A leading managed care organization faced a significant challenge with its contractor offboarding process. System access for departing contractors wasn’t revoked quickly enough, with delays occurring as often as 12 times per month. These delays put the organization at risk of non-compliance and created potential security vulnerabilities.
The organization recognized the urgency of this issue and sought a solution to eliminate these risks. They turned to Kure, an AI-powered process improvement software, to guide them through a streamlined, structured approach to tackling their challenges. With Kure they reduced non-compliance incidents from 10.5 to 3.8 per month—a 64% improvement.
The Problem
A managed care organization faced a significant challenge in ensuring the timely removal of system access for departing contractors. Delays were happening up to 12 times a month, which put the organization at risk of non-compliance and security vulnerabilities. These lapses not only consumed valuable resources but also created potential threats to the organization's sensitive data. Leadership knew they needed a solution to bring the number of incidents down to zero to maintain compliance and operational integrity.
A skilled team, led by a project leader undergoing GLSS’s Lean Six Sigma Green Belt Training & Certification, was assembled to address the issue. They utilized Kure’s AI-driven workflow, which follows the DMAIC (Define, Measure, Analyze, Improve, Control) methodology. Kure provided the team with step-by-step guidance, offering examples, suggestions, and AI-powered data analysis to help them stay focused on solving the right problems—allowing them to complete the project up to three times faster.
The Root Causes
Using Kure’s insights and guidance, the team conducted an in-depth analysis and discovered several critical reasons behind the delays:
Limited Awareness: Leadership lacked visibility into the extent of the issue and its impact on compliance and security.
Disorganized Monitoring: Without a centralized tracking system, termination requests were inconsistently managed.
Lack of Accountability: The absence of performance goals related to termination timelines led to inconsistent follow-through.
The Solutions
With Kure’s support, the team implemented a series of targeted solutions to resolve these challenges effectively:
Regular Progress Reporting: Weekly reports on termination metrics provided leadership with clear visibility and accountability.
Performance Goals Integration: System access termination timelines were incorporated into staff performance reviews to encourage timely action.
Centralized Tracking: A single point of contact was designated to oversee termination processes and ensure consistency.
Process Optimization: Workflows were simplified and standardized to eliminate delays and ensure accuracy in execution.
The Results
The organization saw significant improvements almost immediately after implementing these solutions:
Enhanced Compliance: The number of non-compliance incidents dropped from 10.5 to 3.8 per month—a remarkable 64% improvement, with efforts ongoing to achieve zero occurrences.
Greater Efficiency: Audit teams experienced a reduced workload with fewer incidents requiring investigations.
Improved Workflow: The newly standardized process made it easier for employees to follow procedures, reducing errors and ensuring consistency.
Long-Term Success: With Kure's continued support, the organization established a sustainable framework to maintain compliance and drive continuous improvement.
Conclusion
This managed care organization’s success showcases how targeted process improvements can lead to significant results. By leveraging Kure’s AI-driven workflow, the organization was able to identify inefficiencies, implement solutions, and achieve compliance goals faster than ever. Kure’s innovative approach provided the team with clear direction, expert guidance, and AI-powered insights, enabling them to complete their project efficiently and effectively.
With a solid system in place and a commitment to continuous improvement, the organization is now well-equipped to maintain compliance, safeguard sensitive information, and confidently navigate future challenges. Kure didn't just solve their immediate challenges; it empowered the team with the tools and strategies for long-term success.
*We value our clients’ confidentiality. While we’ve changed their names, the results are real.
