November 18, 2008 | |
Cash Flow

Strategic Reporting

 

Real-Time Revenue Cycle

 

Clinical Reporting

 

Operational Efficiencies & Cost Control

 

Quality Programs & Satisfaction

 

Gold Nuggets

Through cross-departmental facilitation methods, on-line surveys, brainstorming sessions and overall Program Management, many improvement projects are identified.  We call each potential solution a Gold Nugget (representing the value of savings).  Given the technology platform that would allow access and use of data from anywhere, what information might be useful, to solve what issue or uncover what metric or improve what process?

 

Below is a small list of Gold Nuggets actually generated at one of our hospital clients.  Are any of these issues worth improving at your hospital?  Are all of them?

 

Strategic Reporting

l       Benchmark you hospital against 5 others in your market

l       ANCILLARY SALARY COST

¡      A hospital can use this chart to gauge generally how efficient these departments are versus other hospitals of similar size.

l       NET PATIENT REVENUES PER ADJUSTED DISCHARGE

¡      This chart shows how much each hospital is reimbursed or paid per adjusted discharge.  Hospitals with lower NPR likely have room to increase their charges for services rendered.

l       Medicare Case Mix Index (CMI) by Major Diagnostic Category (MDC)

¡      This chart compares each hospital's major types of patients against the same population at competitors and the CMI indicates the complexity of patients in each category.

l       Medicare CMI Adjusted Cost for each MDC

¡      This chart shows how each hospital's costs compare after adjusting for the complexity of patients treated.  Higher costs usually result in losses from the Medicare population as the whole reimbursement system is geared to reimbursement of average cost for hospitals nationwide.  

 

Real-Time Revenue Cycle

l       Real-Time Eligibility Determination

l       POS Collections, Self-Pay

l       Claims Lifecycle Management

¡      Medical Coding, Denials, Rework

¡      Real-Time Remittance

l       Payer Mix and Bad Debt Reporting

l       A/R Aging Reporting

 

Clinical Reporting

l       Published Outcomes Reporting

l       Surgical Procedure Reporting

l       Re-Admittance Reporting

l       Patient Acuity Reporting

l       Scheduling Efficiencies

l       Ventilator Bundle Interventions

l       Rapid Response to Clinical KPIs

 

Operational Efficiencies & Cost Control

l       Real-Time Staffing Reports

¡      Contract Nursing & Overtime

¡      Real-Time Census vs. Schedule

l       Departmental Expense Reporting per Unit

l       Physician Office Integrated Scheduling

l       Creative Use of Fixed Assets

¡      Web-Based Off Hours Scheduling of CAT scan

l       Accts in Med Coding by Age, Amount

 

Quality Programs & Satisfaction

l       Same-Day Patient Results Reporting

l       Patient & Employee Satisfaction

l       Productivity per employee

l       Analyze Medical Errors, Falls, etc.

l       Total Supply cost per DRG

l       Pharmacy Waste

l       Communication between Physicians and Hospital systems and process

l       Lab turnaround

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Gold Nuggets | Medicaid Conversion | CMS Reporting
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Bluespring and TMP partner - Sunday, March 09, 2008

Bluespring Software, the Business Process Management Suite (BPMS) software company, announces that it has teamed up with Technology Medical Partners to deliver business process management (BPM) solutions to the national healthcare industry.

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