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Perfecting Provider Directory AI Modeling

Q&A with Bob Lindner on why sustainably-fed AI models are the path forward

As an AI company powered by our proprietary data training AI models, the article, “When A.I.’s Output Is a Threat to A.I. Itself,” in the New York Times caught our eye. Illustrating exactly what happens when you make a copy of a copy, the article lays out the problems that arise when AI-created inputs generate AI-created outputs and repeat…and repeat.

Veda focuses on having the right sources and the right training data to solve provider data challenges. A data processing system is only as good as the data it’s trained on; if the training data becomes stale—or, is a copy of a copy—inaccurate outputs will likely result.

We asked Veda’s Chief Science & Technology Officer, Bob Lindner, PhD, for his thoughts on AI-model training, AI inputs, and what happens if you rely too heavily on one source.

At Veda, we use what we call “sustainably-fed models.” This means we use hundreds of thousands of input sources to feed our provider directory models. However, there is one kind of source we don’t use: payer-provided directories.

Provider directories are made by health plans that are spending millions of dollars of effort to make them. By lifting that data directly into Veda’s AI learning model, we would permanently depend on ongoing spending from the payers. 

We aim to build accurate provider directories that allow the payers to stop expensive administrative efforts. A system that depends on payer-collected data isn’t useful in the long term as that data will go away.

The models will begin ingesting data that was generated by models and you will experience quality decay just like the New York Times article describes.
We use sustainably sourced inputs that won’t be contaminated or affected by the model outputs.

Veda does the work and collects first party sources that stand independently without requiring the payer directories as inputs.

Beyond the data integrity problems, if you are using payers’ directories to power directory cleaning for other payers, you are effectively lifting the hard work from payer 1 and using it to help payer 2, potentially running into data sharing agreement problems. This is another risk of cavalier machine learning applications—unauthorized use of the data powering them.

Imagine we make chocolate and we are telling Hershey that they should just sell our chocolate because it’s way better than their own. We tell them, “You could save a lot of money by not making it yourselves anymore.”

However, we make our chocolate by buying a ton of Hershey’s chocolate, remelting it with some new ingredients, and casting it into a different shape.

In the beginning, everything is fine. Hershey loves the new bar and they’re saving money because we’re doing the manufacturing. Eventually, they turn off their own production. Now, with the production turned off, we can’t make our chocolate either. The model falls apart and in the end, no one has any chocolate. A real recipe for disaster.

Health Tech Solution Veda Ranks No. 417 on the 2024 Inc. 5000

With Three-Year Revenue Growth of 1,066 Percent, Veda Ranks No. 417 Among America’s Fastest-Growing Private Companies

August 13, 2024 – Veda Data Solutions, healthcare’s leading AI provider data platform, was named No. 417 on the 2024 Inc. 5000 list revealed today.

Among software companies, Veda was ranked 47th and the Madison, Wis.-based company was the 4th highest-ranked company on the list from Wisconsin. This is Veda’s second consecutive year on the Inc. 5000 list. 

“At Veda, we are committed to improving the healthcare experience by creating the most accurate, curated provider data on the market and partnering with health plans and provider organizations to ensure their members have seamless access to appropriate care,” said Meghan Gaffney, CEO and co-founder of Veda. “Being named in the top 10 percent of high growth companies validates our solution and reflects the value our customers place on member satisfaction, patient access to care, and their commitment to delivering on Medicaid and Medicare requirements.”

The Inc. 5000 class of 2024 represents companies that have driven rapid revenue growth while navigating inflationary pressure, the rising costs of capital, and seemingly intractable hiring challenges. Among this year’s top 500 companies, the average median three-year revenue growth rate is 1,637 percent. In all, this year’s Inc. 5000 companies have added 874,458 jobs to the economy over the past three years. 

“Veda is committed to Health Equity, and creating the most accurate provider data is how we make good on that promise,” said Gaffney. “I am so proud of our customers and team members who ensure members have access to timely, high-quality care.”

For complete results of the Inc. 5000, including company profiles and an interactive database that can be sorted by industry, location, and other criteria, go to www.inc.com/inc5000. All 5,000 companies are featured on Inc.com starting Tuesday, August 13, and the top 500 appear in the new issue of Inc. magazine, available on newsstands beginning Tuesday, August 20. 

“One of the greatest joys of my job is going through the Inc. 5000 list,” says Mike Hofman, who recently joined Inc. as editor-in-chief. “To see all of the intriguing and surprising ways that companies are transforming sectors, from health care and AI to apparel and pet food, is fascinating for me as a journalist and storyteller. Congratulations to this year’s honorees, as well, for growing their businesses fast despite the economic disruption we all faced over the past three years, from supply chain woes to inflation to changes in the workforce.” 

About Veda

Veda blends science and imagination to solve healthcare’s most complex data issues. Through human-in-the-loop Smart Automation, our solutions dramatically increase productivity, enable compliance, and empower healthcare businesses to focus on delivering care. Veda is simple to use and requires no technical skills or drastic system changes because we envision a future for healthcare where data isn’t a barrier—it’s an opportunity. To learn more about Veda, follow us on LinkedIn.

More about Inc. and the Inc. 5000 

Methodology 

Companies on the 2024 Inc. 5000 are ranked according to percentage revenue growth from 2020 to 2023. To qualify, companies must have been founded and generating revenue by March 31, 2020. They must be U.S.-based, privately held, for-profit, and independent—not subsidiaries or divisions of other companies—as of December 31, 2023. (Since then, some on the list may have gone public or been acquired.) The minimum revenue required for 2020 is $100,000; the minimum for 2023 is $2 million. As always, Inc. reserves the right to decline applicants for subjective reasons. Growth rates used to determine company rankings were calculated to four decimal places. 

About Inc. 

Inc. Business Media is the leading multimedia brand for entrepreneurs. Through its journalism, Inc. aims to inform, educate, and elevate the profile of our community: the risk-takers, the innovators, and the ultra-driven go-getters who are creating our future. Inc.’s award-winning work achieves a monthly brand footprint of more than 40 million across a variety of channels, including events, print, digital, video, podcasts, newsletters, and social media. Its proprietary Inc. 5000 list, produced every year since its launch as the Inc. 100 in 1982, analyzes company data to rank the fastest-growing privately held businesses in the United States. The recognition that comes with inclusion on this and other prestigious Inc. lists, such as Female Founders and Power Partners, gives the founders of top businesses the opportunity to engage with an exclusive community of their peers, and credibility that helps them drive sales and recruit talent. For more information, visit www.inc.com. 

Veda First to Achieve Third-Party Data Validation from Erdős Institute, Reinforcing Commitment to Accountable AI-Powered Solutions in Healthcare

Independent Audit Says Veda’s AI Precision Exceeds 90%, Solving Ghost Networks and Payer Network Attestation Challenges

MAY 6, 2024 – MADISON, WI Veda, a leading health technology company specializing in provider data solutions, announced today that it has achieved third-party validation from the prestigious Erdős Institute, an independent organization of university PhDs advancing the fields of Data Science and Machine Learning.

Following a blind independent review of Veda’s AI-powered data curation engine—the backbone of its product stack—Erdős Institute researchers found highly accurate provider directory data with certain accuracy scores exceeding 90 percent for critical information like addresses, locations, and phone numbers.

By facilitating accurate provider directory data, as mandated by the No Surprises Act, validation of Veda’s proprietary curation and machine learning methodologies represents a pivotal milestone in Veda’s journey towards fostering greater transparency and accountability in payer data solutions.

“As skepticism surrounds AI tools in healthcare, validation from the Erdős Institute underscores Veda’s commitment to leading the market with ethical and reliable solutions,” said Meghan Gaffney, Co-Founder and CEO of Veda. “While outdated methods for maintaining accuracy and compliance continue to fail, Veda is proof positive that automation is an effective and necessary approach to supporting health plan members who rely on provider directories to find care.”

A rigorous analysis by Erdős not only demonstrates Veda’s commitment to AI excellence but also sheds light on the prevalent issue of ‘ghost networks,’ or inaccurate provider directories. Yale Law and Policy Review found between forty-five and fifty-two percent of provider directory listings had errors, with some individual plans having error rates as high as ninety-eight percent. 

Increased pressure on state and federal lawmakers to protect seniors from surprise medical bills and improve access to mental health treatment has spurred a wave of bipartisan legislation seeking to hold commercial and Medicare Advantage plans accountable. 

In a crowded marketplace of payer solutions, the independent validation from Erdős sets a new benchmark for accuracy and compliance.

“Our blinded study found that Veda’s data-driven automation is capable of producing accurate provider data quickly and efficiently,” said Roman Holowinsky, PhD, Managing Director of the Erdős Institute. “Automated, real-time provider datasets like Veda’s can greatly benefit the market and save users a lot of time over manual attestation or intervention.”

To access a copy of the whitepaper, please visit vedadata.com/case-studies/erdos-white-paper-vedas-ai-precision-exceeds-90.

About Erdős Institute:

The Erdős Institute is a multi-university collaboration focused on helping PhDs get jobs they love at every stage of their career. Founded in 2017, the Institute helps train and place a diverse pool of PhDs through boot camps, workshops, mini-courses, consulting opportunities, and direct employer connections. For more information, visit www.erdosinstitute.org

About Veda:Veda blends science and imagination to solve healthcare’s most complex data issues. Through human-in-the-loop Smart Automation, our solutions dramatically increase productivity, enable compliance and empower healthcare businesses to focus on delivering care. Veda is simple to use and requires no technical skills or drastic system changes, because we envision a future for healthcare where data isn’t a barrier—it’s an opportunity. To learn more about Veda, visit vedadata.com.

We promise accuracy, and we deliver.

Provider Data Accuracy Verified By Third-Party Audit

Independent Audit Says Veda’s AI Precision Exceeds 90%, Solving Ghost Networks and Payer Network Attestation Challenges

Veda is paving the way for improved data quality, transparency, and accountability in healthcare through continuous validation and testing of our AI-powered solutions. Our scientific rigor commits us to continuously testing our methodology and we believe all AI-powered data solutions should undergo an unbiased independent validation of their data. Learn about our approach to healthcare data challenges and the third-party study performed by Erdős Institute proving our data accuracy.

Provider Data Inaccuracy

Provider data management is inherently flawed. The information found in provider directories is often manually updated, the scope of required information keeps expanding and information changes often; practices move, physicians change practices, and contracts between practices and health plans expire. Multiple industry reports state between 20% and 30% of directory information changes annually

With provider data accuracy rates of 90+%, the study highlights the potential of automation and machine learning in achieving high levels of data accuracy

Reinforcing Commitment to Accountable AI-Powered Solutions in Healthcare

Inaccurate provider directories and networks full of “ghosts” (or unavailable providers) aren’t just frustrating to patients making appointments, they’re making waves among policymakers. The bipartisan Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, introduced by U.S. Senators and Representatives calls to eradicate ghost networks that are impacting patients nationwide and states across the U.S. have followed suit with their own proposed regulations.

Vectyr Curated Dataset

To prove our products and approach to provider directory accuracy are best-in-class, the Erdős Institute conducted a blind third-party audit of Veda’s Vectyr product.

Vectyr is Veda’s curated dataset that powers all our provider data products. With Vectyr’s continuously monitored and validated data, Veda customers can quickly find correct provider information with the confidence of Veda’s optimal accuracy. Many back-office workflows—like directory management, credentialing, and claims—need access to accurate, up-to-date provider information. Our Vectyr product curates data from over 300,000 sources including NPPES, DEA, and state licensing organizations. 

Why validate with impartial analysis?

As a leader in the industry, armed with proprietary solutions, we understand the key to solving complex healthcare problems lies in innovative technology. We’re taking the lead again, this time via rigorous third-party validation. By subjecting our technology to impartial analysis we’re taking a step forward in the evolution towards greater transparency.

Employing rigorous methodologies and independent sampling techniques, ensuring an unbiased assessment of provider directory accuracy? Sounds like our scientific approach to everything we do.

Additionally, having an independent institute like Erdős conduct the validation study safeguards against potential conflicts of interest and ensures the credibility and integrity of the findings.

Erdõs’ Method for Proving Accuracy

To gauge provider data accuracy, Erdős and Veda simulated a Centers for Medicare & Medicaid Services “secret shopper” audit. Callers attempted to make an appointment on behalf of a patient and collect information that would be necessary to do so: the phone number and location of the provider (which are typically major areas of inaccuracies). The audit provided a measure for the main appointment information and manual research was used to measure more detailed provider information.

To reduce bias in the CMS simulation, Erdős created a sample of NPIs for the measurement. The selection of the sample was aimed to be representative with respect to geographic categories of rural and urban and focused on stratified sampling by specialty. In the total sample, 184 NPIs were called. Of these 184 NPIs, 92 phone numbers and 118 locations could be assessed.

The call-based outcomes found phone and address accuracy are consistent at 90%. Moreover, Erdős found that additional Vectyr fields were also highly accurate. For example, the Vectyr database demonstrated accuracy levels of 99% for fields such as languages spoken. With provider data accuracy rates of 90+%, the study highlights the potential of automation and machine learning in achieving high levels of data accuracy.

Reinforcing Commitment to Accountable AI-Powered Solutions in Healthcare

With a commitment to accountable AI-powered solutions and five approved patents in the industry, we believe all healthcare data vendors need to think more rigorously about what “correct” data means. Attestation does not create quality data. Patients don’t need attested data, they need correct data. Therefore, data vendors must measure performance the same way patients do: making an appointment on the first try, with the correct information. We promise accuracy, and we deliver.

Why It Took Language Processing For AI To Go Mainstream

Scientists and technologists have been using AI for decades. We’ve used it to do complicated calculations and run algorithms and equations that we couldn’t previously conceive of. Your favorite streaming services have been using it for years to recommend shows and movies. But looking at media coverage of the past year, you’d think that AI was just developed. Why is mainstream AI language processing now taking off?

In late 2022, did AI experience an onslaught of media attention that made it seem like it was a new functionality? Why are legislators and regulators now racing to regulate something that has been in existence for about the same length of time as the color TV?

Learning To Learn

Tools powered by AI have essentially learned to learn. The language models we’re all seeing now train themselves with two primary algorithms. First, they can look at any sentence in any context and try to predict the next one.

The other way that language models try to learn is by guessing words in a sentence if some words are randomly removed. These are examples of implicit supervised training, and it’s made possible because these tools use the entire corpus of the internet as training data. This is the actual breakthrough.The other way that language models try to learn is by guessing words in a sentence if some words are randomly removed. These are examples of implicit supervised training, and it’s made possible because these tools use the entire corpus of the internet as training data. This is the actual breakthrough.

Read Chief Science & Technology Officier Dr. Bob Lindner’s entire article on Mainstream AI Language Processing.


Rural healthcare challenges: How bad data deepens disparities

In rural healthcare, timely access to crucial mental healthcare and other specialized services presents a significant challenge. Over the last decade, numerous rural hospitals have shuttered, with more at risk of closure due to staffing shortages, declining reimbursement rates, diminished patient volume, and challenges attracting talent. The answer to the challenges in rural healthcare is to get more data.

With very few options for specialty and subspecialty providers, rural patients often endure long journeys for necessary care. According to a Pew Research Center report, the average drive to a hospital in a rural community is approximately 17 minutes, nearly 65 percent longer than the average drive time in urban areas. Such systemic failures not only exacerbate disparities but also challenge the very foundation of patient care.

A functioning rural health system relies on legions of specialty care doctors conducting outreach visits across vast geographic areas. In principle, this approach presents an efficient means to provide rural patients with access to specialty care, eliminating the need for extensive travel to major urban centers. However, the persistence of inaccurate data poses a significant barrier to achieving comprehensive access to specialty care in rural regions.

Discover Bob Lindner’s take on how bad data exacerbates rural healthcare challenges and impacts patients on Chief Healthcare Executive.

Connect with Dr. Bob Lindner on LinkedIn. Read more from Bob with Automation, Machine Learning, and the Universe: Q&A with Veda’s Chief Science and Technology Officer and Co-founder, Dr. Bob Lindner

Addressing Challenges in Rural Healthcare Data

HEALTHCARE BUSINESS TODAY — Specialty and subspecialty healthcare services are less likely to be available in rural areas and are less likely to include highly sophisticated or high-intensity care. This exacerbates problems for rural patients seeking specialized care who must travel significant distances for treatment.

It comes as no surprise a 2019 policy brief from the University of Minnesota Rural Health Research Center found that 64% of surveyed rural health clinic staff members reported difficulties finding specialists for patient referral.

A functioning rural health system relies on legions of specialty care doctors doing outreach visits across a wide geography. In theory, that’s an effective way to ensure that rural patients have access to specialty care without traveling to a major metro area. But, bad data is keeping us from achieving complete access to specialty care in rural areas and experts across industries are weighing in on the issue.

Read Chief Science & Technology Officier Dr. Bob Lindner’s entire article addressing rural healthcare data challenges.


Progress in healthcare data quality

Health tech companies have attempted to solve provider data inaccuracy problems with a number of products, platforms, and integrations. No solutions have been able to offer members the ability to easily book an appointment armed with accurate information.

While many solutions focus on gathering all data sources available to identify providers, most don’t have the ability to effectively clean up those databases. That’s where we comes in. Veda is leading efforts to eradicate rural healthcare data challenges in the U.S. Discover how our technology connects patients to the critical care they need while ensuring that individuals are not burdened with unexpected healthcare costs.

AI for Amateurs: Questions Answered by Veda’s AI Experts

Everything You Always Wanted to Know About AI But Were Afraid to Ask


Impossible to miss, 2023 is synonymous with the year AI debuted to the masses. AI capabilities have brought up questions in every industry, including healthcare. Your organization will likely find itself navigating the risks and rewards associated with healthcare AI in the coming year.

But, let’s start with a question you’re too afraid to ask at the company meeting: What is AI? Like, really. We’ve found a lot of false information out there and we’re here as a trustworthy source you can pull information from.

Why is Veda a Trusted Source?

As pioneers who have used AI technology since our founding, we’re passionate advocates for AI and want to ensure everyone else feels comfortable with it too.

Want our credentials? Our technology and data science team has 80 years of collective AI experience. Veda co-founder and Chief Science and Technology Officer, Bob Lindner, is the author of five technology patents on AI, entity resolution, and machine learning. Bob also has over 16 years of experience writing and publishing scientific and academic papers in the artificial intelligence field.

Backed by extensive experience and science, we’re the AI experts.

What is AI?

OFFICIAL ANSWER: Artificial intelligence Is a field of study that focuses on how machines can solve complex problems that usually involve human intelligence.

AI is not one specific tool. It is a field of study. With AI’s computing power, computers can make decisions and predictions, and take actions. An algorithm recommending which movie you should watch next is an AI action.

VEDA’S TAKE: So why does this matter? Why is AI important? By freeing up human resources, AI can reduce manual and often error-prone tasks. Freeing up people so they have the time to do the things they do best, that’s the power of AI.

What is machine learning?

OFFICIAL ANSWER: Machine learning is a sub-field of AI and focuses on algorithms that train models to make predictions on new data without being explicitly programmed. Meaning, the machine learns the way humans do, with experience.

Note: In recent years, some organizations have begun using the terms artificial intelligence and machine learning interchangeably.

Instead of learning step by step, computers using machine learning can learn through trial and error and lots of practice. What does machine learning practice on? Lots and lots of data. The data can be things like images, video, audio, and text. When fed loads of data, machine learning will recognize patterns and make predictions based on these patterns.

AI is not one specific tool. It is a field of study. With AI’s computing power, computers can make decisions and predictions, and take actions.

VEDA’S TAKE: Veda uses machine learning, and therefore, AI for the healthcare industry, every day. For what exactly? To power our provider information. Veda uses machine learning to:

  • Determine correct addresses and phone numbers
  • Transform provider rosters from one format to another
  • Simulate an experience a member may have when booking an appointment

With a patented training data approach, our machine learning can make predictions on a wide variety of new data (that it has never seen before in the training set).

Feeling good about AI and machine learning? Further your AI understanding with these blogs:

Healthcare Business Today: Congress, Bad Data, and Ghost Networks

The Senate Finance Committee has advanced legislation that aims to eradicate ghost networks, a goal that will benefit payers, providers, and patients alike.

As the legislation advances through the halls of Congress, all stakeholders must have a clear understanding of why the bill is necessary and what’s behind all those ghosts anyway.

Ghost networks are provider networks that appear robust and full of available providers but actually contain inaccurate data and, in reality, have limited availability and unreachable providers. These “ghosts” are no longer practicing, not accepting new patients, are not in-network, or have errors in their contact information.

Read Veda CEO Meghan Gaffney’s entire article in Healthcare Business Today.

MedCity News: Healthcare Doesn’t Need More Big Tech

Healthcare Doesn’t Need More Big Tech; It Needs Specialized Tech. Byline by Dr. Bob Lindner in MedCity News.

It’s easy to oversimplify and say, “These big tech companies are now doing healthcare and they’re going to solve everything.” But the reality is that often, the solutions are not going to come from big tech.

READ FULL MEDCITY NEWS ARTICLE

Just like clinicians who specialize in an area of medicine, healthcare’s tech problems need specialized solutions. That’s because the industry doesn’t have a single general issue to solve, healthcare has many discrete issues to address.

To further complicate things, healthcare is not one industry but many industries under the same umbrella. Clinical care, devices, diagnostics, pharmaceuticals, hospitals, payers, and more each has its own unique challenges and opportunities that need to be addressed with unique solutions.

It’s easy to oversimplify and say, “These big tech companies are now doing healthcare and they’re going to solve everything.” But the reality is that often, the solutions are not going to come from big tech.

Our healthcare system is built on a series of complex requirements and regulations that conventional technology solutions aren’t built for. Patient data privacy, regulatory compliance, interoperability, and the sensitivity of medical information call for a specialized set of solutions. A solution for a payment issue isn’t the same as a solution for patient records or network construction, telehealth, provider data, or a condition-specific issue.

These individual problems are being addressed by legions of innovative people working in smaller, more focused organizations where they are experimenting, iterating, pivoting, and getting closer and closer to solutions to the issue they’re addressing. These teams are focusing on singular issues and solutions in a way that bigger, more general tech doesn’t.

To compound the issue, healthcare is an ever-changing industry and requires solution providers to be agile in order to keep up with emerging trends, new discoveries, new regulations, and shifts in patient and provider preferences. These smaller more specialized companies may not have the resources of large tech enterprises; however, they are inherently more adept at quickly iterating solutions, responding to changes, and adapting to evolving needs.

This is why specialized solutions and specialized tech providers are ultimately going to be the problem solvers.

Does this mean that big tech doesn’t have a place? Of course not. Big tech can do what big tech does best: identify, vet, and foster some of these solutions and ultimately scale the right ones.

But what about the funding? These entrepreneurial companies who are developing innovative tools are often start-ups and frequently raising capital at the same time they are building the solution.

A recent Pitchbook report covered by MedCity News included a mixed bag of news for these entrepreneurial companies in the medtech space. The report noted that venture capital funding to medtech appears to have bottomed out in the first quarter of this year and has been ticking slightly upward. That’s the good news. The troubling news is that this year’s medtech funding total may not reach the 2022 funding total of $13.5 billion and certainly won’t even approach the 2021 funding total of more than $19 billion.

In healthcare the stakes are high, and any tech solution needs to operate as a “mission-critical” part of the equation. Think NASA or car safety where there are no margins for error or experimentation like there are if we were building a ridesharing or shopping app. We’re dealing with people’s health and lives on a daily basis. The stakes should be treated as life or death because they are. And the solutions we deploy need to be more than adequate. They need to be infallible.

Connect with Dr. Bob Lindner on LinkedIn. Read more from Bob with Automation, Machine Learning, and the Universe: Q&A with Veda’s Chief Science and Technology Officer and Co-founder, Dr. Bob Lindner

You know your business. We know data.

One Simplified Platform

Veda’s provider data solutions help healthcare organizations reduce manual work, meet compliance requirements, and improve member experience through accurate provider directories. Select your path to accurate data.

Velocity
ROSTER AUTOMATION

Standardize and verify unstructured data with unprecedented speed and accuracy.

Vectyr
PROFILE
SEARCH

The most up-to-date, comprehensive, and accurate data source of healthcare providers, groups, and facilities on the market.

Quantym
DIRECTORY ANALYSIS

Review and refresh your network directory to identify areas that affect your quality metrics.

Resources & Insights

Provider Data Solution Veda Automates Over 59 Million Hours of Administrative Healthcare Tasks Since 2019
October 21, 2024
HealthX Ventures Blog: How Veda Is Aiming to Fix Healthcare’s Broken Provider Directories
October 17, 2024
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Let’s transform your healthcare data. Contact Veda to learn how our solutions can help your organization improve efficiency and data accuracy.