Need to roll out operational cost reductions?

Need to roll out operational cost reductions?

VHA has the right tools. As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs while improving clinical outcomes. Selective outsourcing of operational services can help reduce costs and improve operational efficiencies resulting in better clinical outcomes, improved patient satisfaction and enhanced employee satisfaction. Outsourcing can also help health care providers focus staff resources on core competencies like patient care. u Operational support solutions VHA and Novation offer members outsourcing of operational services including food and nutrition, patient transport, housekeeping, laundry and linen services, pharmaceutical and hazardous waste management, document management including scanning, print shop and mailroom services, document shredding, and health care marketing services. Additionally, VHA and Novation offer members assistance with capital equipment planning, budgeting, purchasing, installing, maintaining and disposing as well as financial advisory services, real estate advisory services and master facility planning. Asset disposition Centurion Service Group, LLC (SVC977) Asset maintenance services Great American Insurance Group (U0929) Mediserve (SVC836) Capital and real estate advisory services Lillibridge Healthcare Services, Inc. (SVC947) Capital and technology informatics MD Buyline, Inc. (SVC983) Document destruction Cintas Corporation (SVC966) Shred-it USA, Inc. (SVC927) Elevator and escalator maintenance KONE Corporation (U0818) Otis Elevator Company (SVC960) ThyssenKrupp Elevator Corporation (SVC1000) Environmental services Crothall Services Group, Inc. (SVC827) Sodexo Operations, LLC (SVC820) Capital equipment sourcing and planning tools Attainia, Inc. (SV40010) Equipment and technology planning RTKL Associates, Inc. (SVC944) Clinical equipment maintenance GE Healthcare CompreCare (SVC833) Great American Insurance Group (U0929) Mediserve (SVC836) Sodexo Operations, LLC (SVC820) Universal Hospital Services (U0932) Document and printer management IKON Office Solutions, Inc. (SVC948) Xerox Corporation (SVC811) Food and nutrition services Morrison Management Specialists, Inc. (SVC826) Sodexo Operations, LLC (SVC820) Hazardous waste management services Clean Harbors Environmental Services, Inc. (SVC1011) Stericycle (SVC1013) Inventory control RGIS, LLC (U0928) Universal Hospital Services (U0932)

Sodexo eliminates the days when cold trays by the patient s bedside led to waste and disappointment, and it has been such a satisfier for both patients and families who can also order from the menu and have meals at the bedside. Robert Longo, chief executive officer, Good Samaritan Health System Language interpretation services SpectraCorp Technologies Group, Inc. (IT173) Laundry and linen services Crothall Services Group (SVC827) Sodexo Operations, LLC (SVC820) Managed print service and print shop IKON Office Solutions, Inc. (SVC948) Xerox (SVC811) Market intelligence Thomson Reuters (IT154) Marketing services including social media, Internet, Yellow Pages and direct mail Berry Network (MIS019) Operational benchmarking Thomson Reuters (IT154) Patient transport Crothall Services Group (SVC827) Sodexo Operations, LLC (SVC820) Pharmaceutical waste management services Clean Harbors Environmental Services, Inc. (SVC1011) Stericycle (SVC1013) Plant operations and maintenance management Crothall Services Group (SVC827) Sodexo Operations, LLC (SVC820) Reusable Sharps containers and Sharps waste management Daniels Sharpsmart (MS01221) Stericycle (MS01222) Strategic planning and space utilization RTKL Associates, Inc. (SVC944) Uniform services Cintas Corporation (SVC966) It s really a partnership where the managers we have working at the hospital are considered part of the staff, they re integrated into everything we do, and as a result, it s been a win-win between Union Memorial, Crothall and Morrison. Neil MacDonald, vice president of operations, Union Memorial Hospital

We improved the quality and efficiency of the print center s services and expanded our document management capabilities all while reducing costs over $220,000 from the previous year. Cintas and Shred-it, Novation suppliers for document destruction services, collectively help members save nearly 13 million trees per year and more than 1.25 million cubic yards of landfill space through their recycling programs. 52% 48% Diane Waters, purchasing manager for Pitt County Memorial Hospital Supply spend Services spend On average, the typical budget for services rivals that for medical supplies in the majority of hospitals today. As a result, many consider services as the next major area of focus for their revenue enhancement efforts. VHA can provide you with the top 10 areas to focus your cost reduction efforts along with a review of your performance against national benchmarks and a plan on how to implement changes to help you improve your cash flow. Call 800.437.3293 or visit www.vha.com/cashflow. VHA offers a variety of Purchased Services suppliers to meet members needs. Supplier portfolios include: Clinical and Financial Solutions Information Technology and Telecommunications Solutions Labor Management Solutions Operational Support Solutions VHA Inc 220 E. Las Colinas Blvd. Irving TX 75039 Tel : 800.842.5146 www.vha.com 2011 VHA Inc. All rights reserved.

Need a better way to reduce the pressure of clinical and financial challenges?

VHA has the right prescription. As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs and seek new revenue streams while continuing to improve clinical outcomes. Selective outsourcing of clinical services can help reduce costs, generate new revenue and improve patient satisfaction. Optimizing processes and transactions across the entire revenue cycle helps drive increased reimbursements, improved cash flow and better regulatory compliance. VHA and Novation offer members outsourcing of clinical services including behavioral health, wound care management, inpatient and outpatient rehabilitation, anesthesia management and operating room services such as perfusion, surgical first assistants, clinical technicians, minimally-invasive surgical support and sterile processing management. VHA and Novation also offer a complete revenue cycle management portfolio including HIM, medical coding services, electronic payment solutions, clinical compliance management, accounts receivable services, document conversion and imaging services, chargemaster and strategic pricing services, self-pay and eligibility management solutions, and medical transcription services. u Clinical and financial solutions Accounts payable audit and recovery Business Strategies, Inc. (SVC962) Anesthesia management and consulting Premier Anesthesia (SVC1014) Behavioral health and psychiatric services Diamond Healthcare Corporation (SVC990) Chargemaster and pricing services PARA Healthcare Financial Services (SVC1001) Document management and conversion EDCO Group, Inc. (SVC981) ICD-10 services and consulting 3M Health Information Systems CARE Communications, Inc. Deloitte Consulting United Audit Systems, Inc. VitalWare Medical coding services CARE Communications, Inc. United Audit Systems, Inc. Medical device reprocessing Ascent Healthcare Solutions, Inc. Hygia Health Services, Inc. (IT128) (SVC972) (SVC931) (SVC972) (SVC931) (SVC970) (U0707) Financial advisory and acquisition services Ponder & Co. (SVC946) HIM software (encoding, etc.) 3M Health Information Systems (IT128) Outsourced clinical services (OR, sterile processing management, surgical support) SpecialtyCare, Inc. (SVC939) Patient billing and payment Emdeon (SVC1010X)

We have been able to complete charts quicker, which has allowed us to drop patient bills sooner. As a result, we ve seen two days reduced from accounts receivable. Deloris Farthing, RHIA, director, Health Information Management, Hays Medical Center Patient eligibility/verification and self pay RelayHealth (SVC994) P-cards and e-payables Bank of America (SVC1006) PNC Bank (SVC1007) Rehabilitation services Milestone Healthcare, Inc. (SVC941) RehabCare Group, Inc. (SVC843) Revenue cycle management consulting services Deloitte Consulting Perfusion services SpecialtyCare, Inc. (SVC939) Pharmacy repackaging Safecor Health, LLC (U0814 RAC services and software 3M Health Information Systems (IT128) CARE Communications, Inc. (SVC972) Transcription services CBay Systems and Services, Inc. (U0627) Spheris Operations, LLC/MedQuist (SVC850) Transcend Services, Inc. (SVC991) Wound care management and consulting Diversified Clinical Services, Inc. (SVC919) Our morbidity and mortality rates are significantly less than national benchmarks, which speaks to the talent, skills and knowledge of SpecialtyCare s perfusionists, Kourosh Baghelai, M.D., chief of cardiothoracic surgery, Lakeland HealthCare

Sentara had not previously tried reprocessing, but I saw it as one way to help us achieve our financial goals, while also doing our part to protect the environment. With the first wave of Baby Boomers entering Medicare in 2011, expenditures for post-acute services (excluding home health) are projected to increase 113% from 2007 to 2021.* 52% 48% Jean Potter, former standardization/utilization manager, Sentara Healthcare Supply spend Services spend On average, the typical budget for services rivals that for medical supplies in the majority of hospitals today. As a result, many consider services as the next major area of focus for their revenue enhancement efforts. VHA can provide you with the top 10 areas to focus your cost reduction efforts along with a review of your performance against national benchmarks and a plan on how to implement changes to help you improve your cash flow. Call 800.437.3293 or visit www.vha.com/cashflow. VHA offers a variety of Purchased Services suppliers to meet members needs. Supplier portfolios include: Clinical and Financial Solutions Information Technology and Telecommunications Solutions Labor Management Solutions Operational Support Solutions VHA Inc 220 E. Las Colinas Blvd. Irving TX 75039 Tel : 800.842.5146 www.vha.com *MedPAC Data Book, June 2009; does not include Home Health or Medicare Advantage 2011 VHA Inc. All rights reserved.

Managing information is the key to operational efficiency.

VHA has your tech support. As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs while maintaining or improving clinical outcomes. Information technology and telecommunications play a vital role in helping providers improve operational efficiencies and manage information in every area of patient care, reimbursement and compliance. From wireless devices and personal computers to enterprise-wide IT systems and electronic medical records management, information technology and telecommunications services streamline processes, improve communication, provide immediate access to patient data, and assist with more accurate and timely claims submissions leading to improved cash flow. VHA and Novation are committed to helping members reduce costs, increase revenues, improve outcomes and increase overall effectiveness through the use of technology. Our contract portfolio includes the following telecommunications, IT infrastructure and IT applications contracts: u Information technology and telecommunications solutions Asset tracking (RFID) Electronic medical records Aeroscout (U0815) athenahealth, Inc. (SVC1004) Ekahau, Inc. (U0816) Greenway Medical Technologies, Inc. (IT195) TeleTracking Technologies, Inc. (SVC984) NextGen Healthcare Information Systems, Inc. (IT196) Bed tracking/patient flow TeleTracking Technologies, Inc. (SVC984) Community health needs assessment (Web based) Healthy Communities Institute (SVC1009) Data management solution services GHX (U01047X) Directory and operator assistance SpectraCorp Technologies Group, Inc. (IT173) Document conversion and storage EDCO Group, Inc. (SVC981) Document management and imaging software IKON Office Solutions, Inc. (SVC948) Xerox (SVC811) Enterprise software integration CDW Government, LLC eplus Technology, Inc. Insight Public Sector, Inc. MoreDirect, Inc./PC Connection Paragon Development Systems Equipment leasing eplus Group IT hardware, software and accessories CDW Government, LLC eplus Technology, Inc. Insight Public Sector, Inc. MoreDirect, Inc./PC Connection Paragon Development Systems Information technology consulting ACS, a Xerox company (IT178) (IT132) (IT194) (U0919) (SVC1003) (IT132A) (IT178) (IT132) (IT194) (U0919) (SVC1003) (SVC811)

Our applications run faster and perform better enabling us to implement a network solution that will help our clinicians provide rapid, quality patient care. Eric Mynster, IT operations manager, Mercy Memorial Hospital System Mobile patient data delivery Virtual conferencing Thomson Reuters (IT154) CDW Government, LLC (IT178) eplus Technology, Inc. (IT132) Non-acute revenue cycle Insight Public Sector, Inc. (IT194) athenahealth, Inc. (SVC1004) MoreDirect, Inc./PC Connection (U0919) Paragon Development Systems (SVC1003) Physician practice management SpectraCorp (IT173) athenahealth, Inc. Greenway Medical Technologies, Inc. (SVC1004) (IT195) Wireless NextGen Healthcare Information Systems, Inc. (IT196) AT&T Wireless (IT141) Sprint, Nextel (IT158) Telecom audit Verizon Wireless (SV0070) Business Strategy, Inc. Telesoft Corporation (SVC962) (U1043) Wireline telecommunications AT&T (IT193) Telecom communications systems Sprint (IT158) CDW Government, LLC (IT178 eplus Technology, Inc. (IT132) Insight Public Sector, Inc. (IT194) MoreDirect, Inc./PC Connection (U0919) Paragon Development Systems (SVC1003) A critical factor in providing better patient care is putting the right information in the hands of the right clinician at the right time. In a short period of time, our clinicians have made significant improvements in clinical quality and patient safety. Bill Moore, chief information officer, Parrish Medical Center

Members have a combined spend of $1 billion on VHA information technology and telecom contracts. It would have cost us at least $1 million over five years to continue down the road we were previously on, and that s with no replication of our data. Now we re spending much less with data replication and a onetime cost per image. Alberto Kywi, vice president and chief information officer, Cottage Health System 52% 48% Supply spend Services spend On average, the typical budget for services rivals that for medical supplies in the majority of hospitals today. As a result, many consider services as the next major area of focus for their revenue enhancement efforts. VHA can provide you with the top 10 areas to focus your cost reduction efforts along with a review of your performance against national benchmarks and a plan on how to implement changes to help you improve your cash flow. Call 800.437.3293 or visit www.vha.com/cashflow. VHA offers a variety of Purchased Services suppliers to meet members needs. Supplier portfolios include: Clinical and Financial Solutions Information Technology and Telecommunications Solutions Labor Management Solutions Operational Support Solutions VHA Inc 220 E. Las Colinas Blvd. Irving TX 75039 Tel : 800.842.5146 www.vha.com 2011 VHA Inc. All rights reserved.

Do your staffing needs require emergency care?

VHA can help STAT. As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs while improving clinical outcomes and HCAHPS. Proper staffing at all levels in the organization is a critical component of improving overall performance including clinical outcomes, patient satisfaction and employee satisfaction. However, management of staffing can be a challenge, and many health care organizations contract with multiple staffing agencies which prevents them from achieving best pricing. VHA and Novation offer members a variety of staffing and human resource solutions on contract. From physician staffing, nurse staffing, allied health staffing and pharmacy staffing to IT staffing, administrative staffing and executive-level recruitment, members have access to industry-leading staffing and services companies, including the three largest in the industry. Additionally, VHA and Novation offer time and attendance software and relocation and storage services which assist human resource professionals with recruiting top talent and managing day-to-day operations and reporting. u Labor management solutions Accounting and financial staffing Spherion Staffing, LLC The Mergis Group Administrative and clerical staffing Spherion Staffing, LLC Today s Office Allied staffing Club Staffing Cross Country Staffing Resources on Call Billing and collections staffing Spherion Staffing, LLC (SVC974) (SVC974) (SVC974) (SVC974) (SVC942) (SVC1005) (SVC942) (SVC974) IT staffing services Parker Healthcare IT Spherion Staffing, LLC (SVC974) Technisource (SVC974) Learning management systems Mzinga (U0923) PerforMax3, Inc. (U0820) Nurse practitioner & physician assistant staffing Advanced Practice Nurse staffing AMN Healthcare, Inc. (SVC942) Cross Country Staffing (SVC1005) CRNA staffing Jackson & Coker LocumTenens.com Pharmacy staffing Jackson Pharmacy Professionals Employee satisfaction survey & consulting services Morehead Associates (U0925) Executive recruitment services Furst Group (U0933) Witt/Kieffer, Ford, Hadelman, Lloyd Corp (SVC876) Physician staffing (locum tenens) Jackson & Coker LocumTenens.com

With one radiologist, I couldn t keep up with a robust schedule. By having an efficient locums radiologist who reads exams in a timely, quality manner, patients didn t have to wait as long for appointments and results, and we were able to increase our patient numbers to where we wanted them to be. And with exam results in the system sooner, we can bill for them sooner as well. Connie Deardorff, breast health program manager, Athens Regional Medical Center Relocation services Allied Van Lines, Inc. Armstrong Relocation Company Atlas Van Lines, Inc. Cartus Corporation Therapy staffing Jackson Therapy Partners (SV0030) (SV0040) (SV0060) (U0817) Travel nurse staffing AMN Healthcare, Inc. (SVC942) Cross Country Staffing (SVC1005) Travel Nurse Solutions Vendor management services AMN Healthcare, Inc. (SVC942) Cross Country Staffing (SVC1005) According to a new research study published in the New England Journal of Medicine, when nurse staffing levels fell below target levels in a large hospital, more patients died. Hospitals need to know what their nursing needs are for their patients, and they need to bring staffing into line, says Jack Needleman, professor of health services at the School of Public Health of the University of California Los Angeles.

52% 48% Supply spend Services spend On average, the typical budget for services rivals that for medical supplies in the majority of hospitals today. As a result, many consider services as the next major area of focus for their revenue enhancement efforts. VHA can provide you with the top 10 areas to focus your cost reduction efforts along with a review of your performance against national benchmarks and a plan on how to implement changes to help you improve your cash flow. Call 800.437.3293 or visit www.vha.com/cashflow. VHA offers a variety of Purchased Services suppliers to meet members needs. Supplier portfolios include: Clinical and Financial Solutions Information Technology and Telecommunications Solutions Labor Management Solutions Operational Support Solutions VHA Inc 220 E. Las Colinas Blvd. Irving TX 75039 Tel : 800.842.5146 www.vha.com 2011 VHA Inc. All rights reserved.