6/3/2015. Introductions. The CHI Physician Services (CHIPS) Journey: Transforming the Physician Practice Model Across a Large Hospital Based System

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1 The CHI Physician Services (CHIPS) Journey: Transforming the Physician Practice Model Across a Large Hospital Based System Catholic Health Assembly June 9, 2015 Washington, DC Introductions Beth Cafaro, JD Vice President Practice Operations President of CHIPS Jamie Dye Chief Development Officer MedSynergies CHIPS Board Member Reflection 1

2 Organizational Overviews Catholic Health Initiatives (CHI) Today MISSION: To nurture the healing ministry of the Church, supported by research and education. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we create healthy communities About MedSynergies MISSION: To partner with hospitals and physicians to improve the way health care is delivered in the communities they serve 2

3 MedSynergies National Footprint MedSynergies By the Numbers 24 Markets 7.6K Providers 10.6M 2.2M 1.3B Visits Number of Patients Total Collections Synergistic Missions Catholic Health Initiatives To nurture the healing ministry of the Church, supported by research and education. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we create healthy communities MedSynergies To partner with hospitals and physicians to improve the way health care is delivered in the communities they serve. 3

4 Next Era Evolution Focused Next Era Strategic Priorities Clinical and Operational Excellence Integrated Care Delivery Payment for Value Demonstrated Quality and Service Physician Network Growth and Engagement Cost Effectiveness Financial Performance Organizational Model IT Investment Clinically Integrated Network (CIN) Development Organic Growth Strategies Care Management Models and Capabilities Integrated National and Regional Service Lines Retail, Ambulatory and Post Acute Strategies Risk and Insurance Capability (Prominence Health) Employee Health Management Payer and Insurance Product Strategies Consumer Engagement Strategies The Next Era of Healthy Communities Physician Enterprise Growth Region # of Providers Nebraska 898 Pacific Northwest 746 KentuckyOne 556 Iowa 517 East Southeast 616 Minnesota/North Dakota 366 Texas 74 Total Providers 3,773 12% 33% 55% Primary Care Specialists Other 1,320 Advance Practice Clinicians Transforming the Physician Practice Model 4

5 What is CHIPS? Catholic Health Initiatives Physician Services is a management services organization created to support our provider practices with resources and proven practice management solutions that optimize performance and free up physicians, clinicians and their staffs to deliver better patient care. Do What You Do Best: Care for Patients. Leave the Rest to Us. How Did CHIPS Transform the Model? CHI Partnerships Drawing the Plans Faith Based For Profit 5

6 Governance Laying the Foundation Strategic Imperatives 1. Establish and maintain a clear organizational governance structure. 2. Lead with a defined communications campaign. 3. Transition and on board resources with diligent and thoughtful care. 4. Implement solutions on time and on budget. 5. Identify data sources of truth. 6. Establish baseline standards and success criteria metrics. MSIGHT Standard of Excellence Laying the Foundation MSO Services Alignment Establishing the Framework CHIPS Coding JV Management Services Practice Management Practice Marketing Strategy (option) Human Resources Quality Metrics/Management Revenue Cycle Centralized Scheduling (option) Charge Entry CHI Will Retain the Provision of Some Physician Services Practice Accounting Services Communications Care Management Legal Compliance 6

7 5 Phase Implementation Starting the Build Phase 1 Complete Fargo CHI Health Nebraska Phase 2 Complete KentuckyOne Roseburg Phase 3 Complete Pendleton Tacoma St. Luke s Phase 4 Current Des Moines Chattanooga Little Rock Phase 5 Future Lufkin Steubenville /Bryan Bismarck The People Transition Installation of Core Features Billable providers (MD s, DO s, NP s PA s) and Directors remain employees of the MBO All other practice employees transition to CHIPS CHIPS employees have their own compensation, benefits and retirement programs aligned with ambulatory practice not hospitals Common Job Descriptions Standardized compensation Best Practices The Finish Out CHIPS Suite of Tools Referral Management Solutions Online Appointment Scheduling Patient Outreach Solutions 7

8 Enhancing Operational & Financial Performance Inspection Pre Point of Service First point of contact with the patient during which the appointment is scheduled and continues through preregistration and benefits verification Point of Service Activities begin with the check in process prior to the patient seeing the physician and after they have received care with patient check out Post Point of Service Administrative and financial activities associated with collecting payment for services rendered Revenue Cycle Management Process & Discipline The Walkthrough Monthly Meetings with practice managers, client services managers and health system leadership Provider Practice Workflows Revenue Cycle Management / Five Key Metrics HR Analytics Project Management Physician Engagement Growth through Care Gap Identification Productivity Overhead & Compensation Analysis Provider Practice Workflows The Walkthrough CHI/CHIPS MedSynergies CHI Physicians/ Physician Organization Practice Managers Business Reviews Business Reviews Client Management Real time Customer Service Service Requests Operations Business Partner Practice Partners Ticketing, Metrics, Reporting Systems and Lean Analysis/Improvement Michael Stroope Tactical Strategic 8

9 Five Key Metrics The Walkthrough Metrics Revenue Cycle Metrics HR Analytics 9

10 Metrics Project Management Metrics Physician Engagement Metrics Care Gap Identification 10

11 Metrics Productivity Overhead The Punch List Successes Benefits of Building Enhancing the Revenue Cycle starting to see positive gains Improving Coding Making Front End Process Improvements Growing Market Share through Patient Outreach Building Relationships through Physician Engagement health world/article/march /chi and medsynergies bring efficient practice management todoctors%27 offices 11

12 Lessons Learned Training and education of staff Unanticipated level of resistance to change Sense of loss of control by market leadership Lack of analytic tools in the markets Expectations for immediate results following transition Need to over communicate to leadership in markets and national office Although providers are not in scope, they are a key audience Prioritize markets using an overall needs assessment Difficulty in extracting data (willingness to share data) 3,800 CHIPS Employees CHIPS Today Fiscal Year 2014 Statistics EMPLOYEE COMMUNITY Approximately 90,500 Employees Including approximately 3,500 employed physicians and advance practice clinicians The Future of CHIPS Develop MSO Offerings for our Private Aligned Physicians delivered through our CIN s Practice and Revenue Cycle Assessments across our Service Line Structure Closer alignment with our JV partners 12

13 Q&A 13

The CHI Physician Services (CHIPS) Journey: Transforming the Physician Practice Model Across a Large Hospital Based System

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