Capacity Management: Patient Throughput and Case Management Improvement. February 25, 2015
|
|
- Cori Tucker
- 8 years ago
- Views:
Transcription
1 Capacity Management: Patient Throughput and Case Management Improvement February 25, 2015
2 Agenda Introduction Impetus for Change Approach to Improving Case and Capacity Management Client Case Study Key Takeaways 1
3 Speaking Today: Christine Sullivan, Manager, KPMG LLP Background Christine is a manager in KPMG s Advisory Services practice with experience advising a wide variety of healthcare providers in revenue cycle engagements. Areas of expertise include Patient Access, pre-service and point of service collections, charge capture, Patient Financial Services, denials management and managed care contract reimbursement. Professional and Industry Experience Christine Sullivan Manager KPMG LLP 312 Walnut St. Suite 3400 Cincinnati, Ohio Tel Fax Cell christinesullivan@kpmg.com Professional Associations Healthcare Financial Management Association, Member Education, Licenses & Certifications MHSA, Xavier University BA, Summa Cum Laude, Xavier University Project Management Certificate, Xavier Consulting Group Licensed Nursing Home Administrator (L.N.H.A.), State of Ohio Christine has extensive experience partnering with academic medical centers, community health systems, physician practices and continuing care retirement communities on revenue cycle initiatives. She has conducted comprehensive acute care provider end-to-end revenue cycle assessments and led implementations, using a proven methodology to increase cash flow and revenue performance. Her background includes leading projects in financial clearing services, financial counseling, charge capture functions, root cause denial analysis and Central Business Office internal controls and dashboard development. Revenue Cycle Assessments Conducted extensive qualitative interviews with key hospital management and staff to assess areas of opportunities within Patient Access and Patient Financial Services. Reviewed internal policies, dashboards and reporting tools for effectiveness and metrics compared to industry standards and benchmarks. Revenue Cycle Implementations Reorganized hospital and clinic services into a centralized Business Office model, developed a comprehensive AR strategy, created and implemented policies and procedures for all aspects of the Business Office and completed extensive training for all staff. Led a comprehensive denials reduction project with a five hospital system in a major metropolitan area. The findings and recommendations resulted in the implementation of a denial management dashboard, a dedicated physician advisor role to assist with clinical denials and a payer liaison role in Patient Financial Services to address denial trends with payers. 2
4 Impetus for Improving Capacity Management Bridging the gap between financial and clinical departments Reduce hospital readmissions Decrease average length of stay Improve both patient and staff satisfaction Mitigate financial pressures related to RAC and Value Based Purchasing Program from CMS Streamline patient throughput operations 3
5 Additional Benefits to a Focused Case and Capacity Management Program The financial pressures on hospitals cannot be ignored. Ensuring that your case management department is a powerful resource and ally in supporting the revenue cycle is a vital approach for success. Adaptability: Increased flexibility, scalability, to react to changes in the industry. Reliability: Processes are repeatable, automated, and more streamlined, which helps reduce variability. Profitability: Aligning RC activities closely with high-value outcomes may positively impact the bottom line, including increased net revenue and ROI. Improved efficiency: Identifying the next highest value activity for maximum value in a repeatable processes contributes to smoother operations. Predictability: More projects and tasks will be completed on time with a reduced cost model. Increased productivity and efficiency: Higher request resolution means that end users have what they need to do their jobs. 4
6 Key Attributes of a Standardized Patient Throughput and Care Management Continuum Streamline the Case Management Workflow through prioritization of patients based on risk, rapid and guided documentation and view of multiple concurrent guidelines Review the supporting evidence Protect revenue with strong documentation Reduce preventable readmissions Access evidence and clinical rationales that support the medical necessity of inpatient care decisions Admission Indicators, Level of Care Determination, Daily Optimal Recovery Milestones, Hospital Care Planning and Discharge Planning Establish medical necessity with intuitive, easy-to learn interface designed to quickly document care decisions Use the latest clinical evidence that has broad adoption in the payer industry Interactive, easy to look up and interpret guidelines Develop an easy to read encounter summary Readmission risk indicators Readmission alerts built into real time workflows Reporting tools and dashboards Use of clinical criteria that mimics the payer guidelines 5 5
7 Approach to Capacity Management Improvement Access to Care Coordination of Care Post Acute Care Direct / Scheduled Admits Emergency Department Observation Patient Placement Case Management Physician Advisors Nursing Clinicians Social Work Support Services The Process The Result 1 2 Patient Throughput/Case Management processes are modeled to document current state. The bed management processes are simulated in order to identify gaps. An undefined, inconsistent, and over-complicated process... A D B E C = The processes are streamlined through reengineering to fill gaps and eliminate bottlenecks. Automation is introduced into the processes wherever possible. The processes are monitored to ensure improved outcomes are achieved. BECOMES A simplified, consistent, and streamlined process. A B C Unnecessary steps and task variability are reduced while efficiencies are gained and financial outcomes are improved. = 6
8 Client Case Study: Improving Capacity Management Client Overview: 700+ bed, Northeastern multi-disciplinary health system, High Average LOS Client Objectives: Enhancing end-to-end patient throughput and capacity management capabilities and processes Enhancing inpatient case management capabilities and processes Establishing the necessary target operating model, infrastructure and level of stakeholder engagement to enable and sustain meaningful change Outpace Greater standardization of processes and reduced process and resource redundancy/ duplication Solution Improve Reduce Improved service alignment (bed allocation/ utilization vs. demand) Enhanced support for effective clinical decision making and interdisciplinary teaming Equip Increased service responsiveness (for patients and staff) Increased patient access and throughput levels 7
9 Client Case Study (continued): Engagement Overview Case / Capacity Management Process Overview Access to Care Coordination of Care Post Acute Care Registration Medical Necessity Screening Patient Placement MDR Rounds Concurrent Denials / Appeals Utilization Review Referral to Continuing Care Retro Denials / Appeals Stage 1 (4-6 Weeks) Stage 2 (6-8 Weeks) Stage Stage 3 (6-8 Months) 1 Opportunity Identification 2 Future State Operating Model and Roadmap Development 3 Initial Implementation Identification of potentially high-impact action items in-line with organization s goals, values, capabilities and resources Development of a plan to implement an appropriate and sustainable set of future state processes, structures and capabilities for capacity and inpatient case management Support in implementing the FSOM leveraging a set of initial pilot activities and milestones (to be included in the roadmap from stage 2) b Organization/ Infrastructure current state e FSOM Development f Roadmap Development h Program deployment/ training a Engagement initiation/ baseline performance review c Capacity management processes current state Prioritized improvement opportunities Collaborative/ Iterative Process Stakeholder engagement/ Input HUMC approved FSOM and Roadmap i Progress Monitoring Progress reports/ roadmap update d Case management processes current state g FSOM and Roadmap Review and Refinement j Project management 8
10 In Summary: Converging Markets = New Business Model At KPMG, we believe that health care providers should be thinking beyond transformation and focus on healthcare convergence and the broader implications of operating in a more collaborative and integrated U.S. healthcare delivery model. While transformation of current operations is likely going to be a business requirement, the real question for forward-looking organizations is what role they plan to play in a new and more converged health system. 9
11 What should you do next? Evaluate patient throughput processes in your current environment Evaluate reporting capabilities Build appropriate business case to support Capacity Management deployment Gain insight into revenue cycle and case management processes and drive significant benefits 10
12 Contact Information: Christine Sullivan, Manager, Advisory KPMG LLP
PRODUCT OVERVIEW. Sunrise Revenue Cycle. It s all about Outcomes
PRODUCT OVERVIEW Revenue Cycle It s all about Outcomes How can health systems maximize reimbursement and reduce inefficiencies in uncertain times? The key to successfully overcoming these challenges is
More informationTransformational Data-Driven Solutions for Healthcare
Transformational Data-Driven Solutions for Healthcare Transformational Data-Driven Solutions for Healthcare Today s healthcare providers face increasing pressure to improve operational performance while
More informationExecutive Brief: Beaufort Memorial Hospital
Executive Brief: Beaufort Memorial Hospital Beaufort Memorial Hospital Realizes $480,000 in Annualized Cost Savings with MEDHOST PatientFlow HD and Consulting Services You simply cannot strap new technology
More informationCOLLABORATIVE CARE MANAGEMENT. throughout the continuum
COLLABORATIVE CARE MANAGEMENT throughout the continuum OPTIONAL modules Morrisey helps hospitals and other healthcare providers achieve measurable clinical, process and financial outcomes. Our products
More informationComprehensive Cost and Margin Improvement
Comprehensive Cost and Margin Identify your organization s most challenging areas and find the biggest opportunities for savings and process improvement. From labor resource and compensation optimization
More informationHow a Pre-Service Center at MetroHealth System Improved Satisfaction, Efficiency, and Revenue
How a Pre-Service Center at MetroHealth System Improved Satisfaction, Efficiency, and Revenue Craig Richmond The MetroHealth System Associate Chief Financial Officer & Vice President, Revenue Cycle Introduction
More informationImprovements Across the Continuum of Care at a National Top 10 Academic Medical Center
Improvements Across the Continuum of Care at a National Top 10 Academic Medical Center A national top 10 academic medical center and leader in healthcare innovation engaged Tefen to improve the efficiency
More informationEvaluating Your Hospitalist Program: Key Questions and Considerations
Evaluating Your Hospitalist Program: Key Questions and Considerations Evaluating Your Hospitalist Program: Key Questions and Considerations By Vinnie Sharma, MBA, MPH Manager, Physician Advisory Services
More informationIT S TIME! PRIMARIS EHR SOLUTION. Benefits of Operational Efficiency. Why Primaris?
IT S TIME! PRIMARIS EHR SOLUTION For years, Primaris has advocated the use of health information technology to improve patient care. We help providers take full advantage of their electronic health records
More informationStandards of Practice & Scope of Services. for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals
A M E R I C A N C A S E M A N A G E M E N T A S S O C I A T I O N Standards of Practice & Scope of Services for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals O
More information3M Health Information Systems Solutions Overview. Navigating change... across the continuum of care
3M Health Information Systems Solutions Overview Navigating change... across the continuum of care Integrated, enterprise-wide solutions Most people know us for our market-leading coding and grouping products,
More informationLeveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance
Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance Matt Seefeld CEO & Co-Founder mseefeld@interpointpartners.com www.interpointpartners.com (404)446-0051
More informationBed Management Solution
Bed Management Solution Author: Nikhilesh.T nikhilesh@helicaltech.com www.helicaltech.com Table of Contents 1. Introduction... 3 2. Bed Management The Need... 3 4. Typical Bed Management Problems Impact...
More informationEmpowering Case Managers In The Emergency Department A STRATEGIC ROLE BENEFITS PATIENTS, CARE TEAMS, AND PROVIDERS
Empowering Case Managers In The Emergency Department A STRATEGIC ROLE BENEFITS PATIENTS, CARE TEAMS, AND PROVIDERS Empowering Case Managers In The Emergency Department A STRATEGIC ROLE BENEFITS PATIENTS,
More informationEarly warning of changes in a resident s condition is critical.
Approximately 60% of senior care residents are sent to emergency rooms and 25% are admitted to hospitals each year. What can senior care providers do to reduce hospital readmissions? Although hospitalizations
More informationUnderstanding Revenue Cycle Strategy How to Optimize Process and Performance
Understanding Revenue Cycle Strategy How to Optimize Process and Performance White Paper 1.800.4BEACON BeaconPartners.com BOSTON CLEVELAND SAN FRANCISCO TORONTO The revenue cycle can no longer be seen
More informationRetrospective Denials Management
Retrospective Denials Management Weaving together the Clinical, Technical, and Legal Components Glen Reiner, RN, BSN, VP of Clinical Operations Nicole Guido, VP Business Development Our goals for our time
More informationDriving Healthcare n Today healthcare spending in the United States exceeds $1.4 trillion, driven by
Driving Healthcare n Today healthcare spending in the United States exceeds $1.4 trillion, driven by regulatory, patient safety and business issues that are transforming healthcare in America n Healthcare
More informationTransforming the pharmacy into a strategic asset
Transforming the pharmacy into a strategic asset Unlocking hidden savings Ten-hospital health system in the Midwest Success snapshot In a time of reimbursement reductions and declining revenue, cost reduction
More informationCARE MANAGEMENT SERIES Part 6 Developing a Staffing Model That Works
CARE MANAGEMENT SERIES Part 6 Developing a Staffing Model That Works We will get to staffing but let s start by reviewing core functions. Care Management As we have discussed previously, Care Management
More informationConifer Health Solutions Tenet Investor Webinar
Conifer Health Solutions Tenet Investor Webinar May 16, 2012 Stephen Mooney President, Conifer Health Solutions 1 2012 Conifer Health Solutions, LLC. All Rights Reserved. Forward Looking Statements Certain
More informationEFFICIENCY UP. COSTS DOWN. The Benefits of an Automated Healthcare Revenue Cycle
EFFICIENCY UP. COSTS DOWN. The Benefits of an Automated Healthcare Revenue Cycle 1 Executive Summary Do more with less. It s a tall order for healthcare providers facing elevated quality expectations,
More informationMEDHOST Integration. Improve continuity of care, resulting in more informed care decisions
Improve continuity of care, resulting in more informed care decisions Integration Data exchange, visibility, timeliness and mobility directly influence patient safety and satisfaction, care transitions,
More informationStrategic Consulting Services
www.usa.siemens.com/healthcare Strategic Consulting Services from Siemens Enterprise Services Connecting care by providing executable strategies to help providers achieve meaningful outcomes Answers for
More informationAllscripts Hospital and Health System Solutions
Allscripts Hospital and Health System Solutions It s all about Outcomes A new way of doing business in healthcare is upon us. How can hospitals and health systems thrive in this environment while delivering
More informationRevenue Cycle Objectives Challenges Management Goals and Expected Benefits Sample Metrics Opportunities Summary Solution Steps
Common Findings Revealed: Revenue Cycle Review John Bartell, RN, BSN, Partner Tina Nazier, MBA, Director Wipfli LLP Topics for Discussion Revenue Cycle Objectives Challenges Management Goals and Expected
More informationA New Payer Model For Medical Management Execution
A New Payer Model For Medical Management Execution To combat rising costs and inefficient use of resources, payers can streamline utilization management and optimize care management through medical management
More informationRejection Prevention. How Actionable Data Can Drive Results in Your Revenue Cycle
Rejection Prevention How Actionable Data Can Drive Results in Your Revenue Cycle Objectives Build a data collection strategy in denials and rejections that drives action and ultimately improved results
More informationUsing Six Sigma Concepts to Improve Revenue Cycle
Using Six Sigma Concepts to Improve Revenue Cycle Presented by Joseph Koons, MHSA, FHFMA, CRCE-I Managing Director, Revenue Cycle Centra Health Lynchburg Virginia March 4, 2014 Agenda Introduction to
More informationCreating a Virtual CBO while guaranteeing AR performance. University of Maryland Medical System Case Study
Creating a Virtual CBO while guaranteeing AR performance University of Maryland Medical System Case Study Today s objectives Do you really need to convert your hospital information system?» Alternatives
More informationPatient Flow and Movement
Solution in Detail Healthcare Executive Summary Contact Us Patient Flow and Movement Efficient, Cost-Effective Access to Care Efficient Access to Care Improved Process Flow Better Care, Effectively With
More informationThe Evolving Comparative Analytics Market:
The Evolving Comparative Analytics Market: Benchmarking Key Business Metrics Against Peers to Reduce Risk, Pinpoint Areas for Improvement, and Optimize Performance March 2013 UNDERSTANDING THE OPPORTUNITY
More informationRealizing ACO Success with ICW Solutions
Realizing ACO Success with ICW Solutions A Pathway to Collaborative Care Coordination and Care Management Decrease Healthcare Costs Improve Population Health Enhance Care for the Individual connect. manage.
More informationWHITE PAPER. How a multi-tiered strategy can reduce readmission rates and significantly enhance patient experience
WHITE PAPER How a multi-tiered strategy can reduce readmission rates and significantly enhance patient experience Vocera Communications, Inc. June, 2014 SUMMARY Hospitals that reduce readmission rates
More informationAvanade Point of View. Getting it right with a project and portfolio management solution
Avanade Point of View Getting it right with a project and portfolio management solution Better control, higher value Orchestrating a portfolio of projects, and the resources for execution, challenges leaders
More informationBEYOND ACUTE CARE: NEXT STEPS IN UNDERSTANDING ALC DAYS
BEYOND ACUTE CARE: NEXT STEPS IN UNDERSTANDING ALC DAYS MARCH 19, 2008 1.0 EXECUTIVE SUMMARY In its continued efforts to improve the delivery of and access to rehabilitation services, the GTA Rehab Network
More informationTen Overlooked Opportunities For Significant Performance Improvement and Cost Savings
Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Huron Healthcare s Performance
More informationBridging the Gap between Inpatient and Outpatient Worlds. MedPlus Solution Overview: Hospitals/IDNs
Bridging the Gap between Inpatient and Outpatient Worlds MedPlus Solution Overview: Hospitals/IDNs Introduction As you look to develop your organization s health information technology (HIT) plans, selection
More informationUsing Technology to Reduce Catheter-Associated Urinary Tract Infections
Using Technology to Reduce Catheter-Associated Urinary Tract Infections Abstract Catheter-associated urinary tract infection, a common and potentially preventable complication of hospitalization, is the
More informationHospital Performance Management: From Strategy to Operations
Hospital Performance Management: From Strategy to Operations Every hospital wants to be on top in terms of revenue and quality of care. It is tough enough to get to the top, but tougher still to stay there.
More informationAnalytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst
Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,
More informationEmpowering Value-Based Healthcare
Empowering Value-Based Healthcare Episode Connect, Remedy s proprietary suite of software applications, is a powerful platform for managing value-based payment programs. Delivered via the web or mobile
More informationRevenue Integrity Strategies
Agenda Discuss the key activities performed, risks and typical deficiencies that exist, and various process improvement strategies within the following revenue cycle components: Patient Access Utilization
More informationR. Kendall Smith, Jr., MD, SFHM. 601 NW 22 nd Court Wilton Manors, FL 33311 Phone: (954) 610-381
601 NW 22 nd Court Wilton Manors, FL 33311 Phone: (954) 610-381 PROFESSIONAL SUMMARY I am a hospitalist of 18 years with an extensive background in quality improvement, utilization review, information
More informationBeyond the Basics: Accelerating the Revenue Cycle Through Advanced KPI s
Optimizing the business of healthcare Beyond the Basics: Table of Contents Overview 1 The Importance of Metrics 1 Taking the Next Step 1 Baseline KPI s 2 Why Advanced KPI s 2 Advanced KPI s In Action 3
More informationCHANGING YOUR CASE MANAGEMENT MODEL OF CARE. Jan Lear, RN, CMC Director of Case Management MedStar Franklin Square Medical Center
CHANGING YOUR CASE MANAGEMENT MODEL OF CARE Jan Lear, RN, CMC Director of Case Management MedStar Franklin Square Medical Center 1 Program Objectives To be able to describe the compliance and regulatory
More informationPatient Relationship Management
Solution in Detail Healthcare Executive Summary Contact Us Patient Relationship Management 2013 2014 SAP AG or an SAP affiliate company. Attract and Delight the Empowered Patient Engaged Consumers Information
More informationRevenue Cycle Management Transformation
Revenue Cycle Management Transformation Daniel R. Frietze, Partner 1 Company at a Glance Offices: Virginia Beach, Virginia / Dallas, Texas Clients include: Integrated Delivery Networks Critical Access
More informationA TECHTARGET WHITE PAPER
Healthcare-aware business intelligence platforms can help you quickly implement actionable, role-based BI across the organization. Healthcare providers are under pressure to lower operating costs and healthcare
More informationServices. Hospital Solutions: Integrated Healthcare IT and Business Process Solutions that Achieve Breakthrough Results
Services Hospital Solutions: Integrated Healthcare IT and Business Process Solutions that Achieve Breakthrough Results Hospital Solutions Overview Hospital Solutions Backed by more than 20 years of strength
More informationLeveraging Streamlined Patient Flow to Improve Care Delivery and Financial Health
Technology and process improvements yield material impact to the bottom line. Leveraging Streamlined Patient Flow to Improve Care Delivery and Financial Health Combining new technology with consultative
More informationCLINICAL DOCUMENTATION DRIVING PERFORMANCE IN THE NEW WORLD OF HEALTHCARE
CLINICAL DOCUMENTATION DRIVING PERFORMANCE IN THE NEW WORLD OF HEALTHCARE Patient CARE Financial Integrity HEALTHCARE S New REALITIES A host of critical imperatives from Meaningful Use and ACOs, to ICD-10,
More informationSession Name Objectives Suggested Attendees
Cerner Demonstration Sesion Descriptions Cerner Demonstration Session Descriptions Thursday, November 12 th Session Name Objectives Suggested Attendees Day in the Life - Care Across the Continuum An overview
More informationHealthcare Provider. Costs, complexities and regulations keep multiplying. Change the equation and improve quality care.
Healthcare Provider Costs, complexities and regulations keep multiplying. Change the equation and improve quality care. Spend less time on processes. And more time on patients. Your number one priority:
More information3M s unique solution for value-based health care
A quick guide to 3M s unique solution for value-based health care Volume-based health care Part 1: Helping your organization navigate the journey from volume- to value-based health care. Value-based health
More informationEffective Approaches in Urgent and Emergency Care. Priorities within Acute Hospitals
Effective Approaches in Urgent and Emergency Care Paper 1 Priorities within Acute Hospitals When people are taken to hospital as an emergency, they want prompt, safe and effective treatment that alleviates
More informationHealth Home Performance Enhancement through Novel Reuse of Syndromic Surveillance Data
Health Home Performance Enhancement through Novel Reuse of Syndromic Surveillance Data Category: Fast Track Solutions Contact: Tim Robyn Chief Information Officer Office of Administration Information Technology
More informationPREDICTIVE ANALYTICS FOR THE HEALTHCARE INDUSTRY
PREDICTIVE ANALYTICS FOR THE HEALTHCARE INDUSTRY By Andrew Pearson Qualex Asia Today, healthcare companies are drowning in data. According to IBM, most healthcare organizations have terabytes and terabytes
More informationMEDICAL MANAGEMENT PROGRAM LAKELAND REGIONAL MEDICAL CENTER
MEDICAL MANAGEMENT PROGRAM LAKELAND REGIONAL MEDICAL CENTER Publication Year: 2013 Summary: The Medical Management Program provides individualized care plans for frequent visitors presenting to the Emergency
More informationACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have
More informationClient Onboarding Process Reengineering: Performance Management of Client Onboarding Programs
KNOWLEDGENT INSIGHTS volume 1 no. 4 September 13, 2011 Client Onboarding Process Reengineering: Performance Management of Client Onboarding Programs In the midst of the worst economic environment since
More informationKPIs for Effective, Real-Time Dashboards in Hospitals. Abstract
KPIs for Effective, Real-Time Dashboards in Hospitals Abstract The disparate and disjointed data silos across various hospital departments constitute the biggest decision-making bottleneck. They impede
More informationEnterprise Analytics Strategic Planning
Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management
More informationThe Financial Case for EHR/RCM Integration. White Paper. The Power of Clinically Driven Revenue Cycle Management. Presented by
The Financial Case for EHR/RCM Integration The Power of Clinically Driven Revenue Cycle Management White Paper Presented by The Financial Case for EHR/RCM Integration The Power of Clinically Driven Revenue
More informationGE Healthcare. Proven revenue cycle management supporting profitability in an era of healthcare reform.
GE Healthcare Proven revenue cycle management supporting profitability in an era of healthcare reform. Enterprise-ready Profitability, efficiency, and enhanced quality of care A proven, next-generation
More informationElectronic data interchange and proactive services for customers using revenue cycle management solutions from the Centricity portfolio
GE Healthcare Electronic data interchange and proactive services for customers using revenue cycle management solutions from the Centricity portfolio imagination at work Accelerate revenue cycle performance
More informationINTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN
INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS Karen Unholz, RN, BSN Origins of the Accountable Care Organization ACOs originated from the Patient Protection and Affordable Care Act (Healthcare Reform)
More informationUsing data analytics and continuous auditing for effective risk management
Using data analytics and continuous auditing for effective risk management April 2014 Irakis Kanavaris Agenda Current trends Common terminology of Data Analytics and CA/CM KPMG approach & observations
More informationPatient Flow Software
Patient Flow Software You ve heard it all before! Ambulance ramping Bed block Wait lists New hospitals Alternate models of care Overflowing emergency departments Why do we have this problem? Supply Vs
More informationAnthony Rodgers Deputy Administrator Centers for Innovation and Strategic Planning
Anthony Rodgers Deputy Administrator Centers for Innovation and Strategic Planning Importance of establishing the value proposition for EHR adoption in Medicaid Reengineering the Medicaid Health Information
More informationMaking Revenue Cycle Outsourcing an Organization Wide Responsibility
Making Revenue Cycle Outsourcing an Organization Wide Responsibility Michael S. Browning Chief Financial Officer Madison County Hospital Jeffrey Ellerbrock Consultant (formerly with The Outsource Group)
More informationempowersystemstm empowerhis Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size
empowersystemstm empowerhis TM Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size ADT / Patient Registration System + Fully Integrated Patient Registration
More informationIN AMERICA, HEALTH CARE COSTS
Impacts & Innovations Cynthia Plonien Six Sigma for Revenue Retrieval EXECUTIVE SUMMARY Deficiencies in revenue retrieval due to failures in obtaining charges have contributed to a negative bottom line
More informationA Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure
+ A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure + Disclosures: Timothy Harlan: I have no actual or potential conflict of interest in relation to this presentation.
More informationBelow are listed the most significant collaborative activities at the operational, system, training and oversight level.
5(d) Increase collaboration between outpatient and inpatient mental health providers (e.g. create system to give immediate notification to outpatient providers when their clients are hospitalized; The
More informationContext. Accessibility. Relevance.
CLINICAL COLLABORATION PLATFORM Context. Accessibility. Relevance. CLINICAL DATA WORKFLOW FOR MEANINGFUL COLLABORATION. Connect. Collaborate. Care. Give physicians and administrators the clinical support
More informationElectronic data interchange and proactive services for Centricity revenue cycle management customers
GE Healthcare Electronic data interchange and proactive services for Centricity revenue cycle management customers Accelerate revenue perf Key features Tight alignment with payers ensures mandates, updates
More informationWHITE PAPER APRIL 2012. Leading an Implementation Campaign to Address the Convergence of Healthcare Reform Initiatives
WHITE PAPER APRIL 2012 Leading an Implementation Campaign to Address the Convergence of Healthcare Reform Initiatives New healthcare reforms have created an unprecedented impact on hospital systems operations.
More informationHow to Use Telehealth to Improve Outcomes: Banner Health s Experience with Patients in its Pioneer ACO. Objectives
How to Use Telehealth to Improve Outcomes: Banner Health s Experience with Patients in its Pioneer ACO 2015 NAHC Annual Meeting Session 603 October 30 th, 2015 Julie Reisetter, MS, RN CNO, Banner Telehealth
More informationEmpowering Value-Based Healthcare
Empowering Value-Based Healthcare Episode Connect, Remedy s proprietary suite of software applications, is a powerful platform for managing value based payment programs. Delivered via the web or mobile
More informationCurrent Trends in Revenue Cycle Performance Benchmarks, Outsourcing and Reform
Current Trends in Revenue Cycle Performance Benchmarks, Outsourcing and Reform 1 Discussion Outline Discussion Objectives and Approach Process Definition Leading Practice Comparison Trends in Outsourcing
More informationProvider Revenue Cycle Management (RCM) and Proposed Solutions
Provider Revenue Cycle Management (RCM) and Proposed Solutions By: Ranjana Maitra General Manager, Manufacturing & Healthcare Vertical Executive Summary It takes more than world-class service to be competitive
More informationUsing analytics to get started with population health. The 3M 360 Encompass Health Analytics Suite
Using analytics to get started with population health The 3M 360 Encompass Health Analytics Suite The need for analytics in health care The global healthcare analytics market is expected to reach $21 billion
More informationUtilization Review and Denial Management
September 2014 Clinical Resource Management Series Part 3 of 10 Utilization Review and Denial Management Part 3 in our Clinical Resource Management (CRM) series is focused on utilization review and denial
More informationClintegrity 360 QualityAnalytics
WHITE PAPER Clintegrity 360 QualityAnalytics Bridging Clinical Documentation and Quality of Care HEALTHCARE EXECUTIVE SUMMARY The US Healthcare system is undergoing a gradual, but steady transformation.
More informationRevenue Cycle Assessment
Revenue Cycle Assessment Your Challenge Maintaining the status quo can be costly. As health care operating margins shrink, hospitals need to find efficient and innovative ways to capture and collect revenues.
More informationPremier ACO Collaboratives Driving to a Patient-Centered Health System
Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency
More informationHealthcare Provider. Costs, complexities and regulations keep multiplying. Change the equation and improve quality care.
Healthcare Provider Costs, complexities and regulations keep multiplying. Change the equation and improve quality care. Spend less time on processes. And more time on patients. Your number one priority:
More informationSupport: Andrew Gardner Clinical Data manager Mount Auburn Hospital Email: agardner@mah.harvard.edu Tel: 617-441-1625 Pager: 6707
Support: Andrew Gardner Clinical Data manager Mount Auburn Hospital Email: agardner@mah.harvard.edu Tel: 617-441-1625 Pager: 6707 Mount Auburn Hospital Case Management Department PROCESS STEP See page...
More informationAccountable Care Solutions
Accountable Care Solutions Transform Today. Thrive Tomorrow. Clinical Transformation Services As your organization faces rapid industry and regulatory change, including evolving reimbursement models, your
More informationThe MSS Approach to BPM
The MSS Approach to BPM Ryan McMahon, PMP MSS Management Consulting Agenda BPM defined MSS BPM Offerings and Approach Key BPM Benefits Q&A - Improve the Big Picture - Identify Problem Areas and Bottlenecks
More informationIntegrated Comprehensive Care Bundled Care
Integrated Comprehensive Care Bundled Care Health Council of Canada National Symposium on Integrated Care Oct 10, 2012 C. Gosse, K. Ciavarella St. Joseph s Health System SJHS is one of Canada s largest
More informationPractice profitability
GE Healthcare Practice profitability Centricity Practice Management Clear path to growth Your patients only know their office visits are hassle-free. Making appointments is easy. When they arrive, they
More informationIntroduction. Table of Contents
Introduction To stay competitive, you know how important it is to find new ways to streamline and save on your company s operations. Learning how leading companies handle commercial payments can give you
More information1 st to serve over 40 HBMA member companies
1 st to serve over 40 HBMA member companies 1 st offshore healthcare vendor with over 1600 employees 1 st offshore vendor with 125+ quality assurance and compliance personnel 1 st Offshore vendor to develop
More informationMDaudit Compliance made easy. MDaudit software automates and streamlines the auditing process to improve productivity and reduce compliance risk.
MDaudit Compliance made easy MDaudit software automates and streamlines the auditing process to improve productivity and reduce compliance risk. MDaudit As healthcare compliance, auditing and coding professionals,
More informationSolutions for Clinical Documentation Improvement and Information Integrity
Solutions for Clinical Documentation Improvement and Information Integrity Improve patient care. Optimize reimbursement. Ensure regulatory compliance. Each of these mission-critical imperatives depends
More informationr e v e n u e Enhanced Collection Processing with the Right Software and Workflow Tools cycle
Enhanced Collection Processing with the Right Software and Workflow Tools r e v e n u e cycle David Burton Executive Director, Clarian Health Partners Robert M. Zimmerman, President/COO, The CSC Group
More informationInpatient EHR. Solution Snapshot. The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT
Inpatient EHR The right choice for your patients, your practitioners, and your bottom line SOLUTIONS DESIGNED TO FIT Our customers do more than save lives. They re helping their communities to thrive.
More information*Explain strategies that support utilization management in a health care setting.
Deborah Cutts, Chief Quality Officer 1 Chris Rovinski-Wagner, Coach Captain Discuss utilization management in the context of variation in health care delivery. Explain strategies that support utilization
More information