Gold Nuggets
The application of a repeatable methodology to uncover and address the many potential projects in a typical hospital allows us to use The EDGE™ to continuously deliver improvement projects that deliver more and more bottom line benefit. We call each potential solution a Gold Nugget (representing the value of savings).
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Labor and Supply Cost Control
Utilize real-time data for staffing decisions to create a staffing model that reports by unit based on patient census. Using this model, adjust staffing at the beginning of each shift based on real-time census data and the staffing model. Expand to the physician offices based on physicians working each day and visit load.
Physician Integration
Integrate the Physician Offices into the Health Information System (HIS) scheduling module. Connect via a web-based portal and allow direct integration into the HIS for Real-Time scheduling at the Physician Offices. This eliminates inefficient fax or manual based processes to schedule care referred by physician offices. Also the workflow for follow on task and Referring Physician processes are easily deployed.
Real-Time Revenue Cycle
The elimination of traditional clearinghouses and Insurance Verification solutions is a must to reduce the cost and time lag for eligibility checking. Direct Connection to your top managed care payers allows for multiple transactions to be run without worry of transaction costs. The workflow and logic of checking multiple payers for eligibility is easily delivered. Integration to the HIS system is also critical to success. Finally the workflow for follow on tasks, based on the primary and secondary payers that are determined can also be easily deployed.
Same-Day Patient Results Reporting
Using web-based portals for Patient Access and workflow for notification to Physicians and Patients, rules can determine when patients can be automatically informed of lab or other results when appropriate. Physician notification can occur for special rules to control proper notification of results that are not to be shared without explanation or Physician involvement.
Compliance Costs of Reporting
The elimination of many tasks related to data extraction and the creating of Published Outcome reports can accomplish significant improvements in efficiency. The control of high salary nurse hours can result in savings and eliminate mundane reporting and administrative reports that are better automated. Nursing Satisfaction would improve, better work flow processes would result in better reporting, management by exception and better compliance with CMS, avoiding possible fines.
Patient Satisfaction
Better processes for Access Management and Patient Flow may result in much higher patent satisfaction scores. Using lean techniques, value stream mapping, work flow and automation, many bottlenecks to pre-registration, registration, admitting, and billing can improve the patient experience. Hundreds of process improvements are possible with a repeatable process based approach to workflow, notification, reporting and the flow of patients and information throughout the continuum of care.