Activity Based Cost Accounting and Payment Bundling
|
|
- Marsha Bishop
- 6 years ago
- Views:
Transcription
1 Activity Based Cost Accounting and Payment Bundling 1
2 Agenda Introduction of Speakers Fast Facts about Jewish Senior Life/Jewish Home of Rochester Determining the need and uses for an Activity Based Cost Accounting System Overview of the system Factors considered, informational needs and challenges faced during implementation Current utilization & the future!
3 Speakers Travis Masonis Jewish Senior Life - CIO Michael Ryan- Cost Flex Vice President Patricia Hughes Jewish Senior Life - Assistant Director of Finance Debbie McIlveen Jewish Senior Life CFO
4 Jewish Senior Life Background Long Term Care facility with 362 Beds with 68 Transitional Care beds (TCP) 84 Medical Adult Day Care slots CCRC with 90 independent living apartments; 60 Assisted Living units and 18 Memory Care beds. Outpatient Rehab, Physician House Calls program Companion Services and other community services Please note the cost accounting system is currently utilized in the Jewish Home (nursing home) only at the present time.
5 Rationale Shift from Fee-For-Service to Payment Bundling Preparation to negotiate Post-Acute portion of a bundle Utilization of historical data to understand costs based on diagnoses and other demographic data Other operational efficiencies and analysis around non-bundled patients Mitigation of uncertainty in costs and risk.
6 The Requirements A company willing to provide SNF friendly pricing A software company whose business IS healthcare cost accounting and understood our needs A product that was either built for Long Term/Post Acute Care (LTPAC) or could be modified to work with LTPAC. There were limited options that would fit our needs. Need to interface with existing billing, clinical and general ledger software packages.
7 The Selection Process Management determined what data was desired. Staff involved in the decision Clinical, Financial, IT, EMR/Billing software vendors Interviewed a few companies Determine ability to interface with existing software packages Took over six months to identify the firm Final selection Cost Flex
8 Necessary Electronic Information This information comes primarily from the Billing/Census systems Patient Charges Includes charge codes, descriptions, quantities, $ amounts, posting and service dates Patient Cash Posting dates, transaction codes, amounts Patient Adjustments Patient Demographics RUG, Age, Sex, Financial Class, Insurance, diagnoses codes, procedure codes
9 Challenges Finding the right solution Activity Based Cost Accounting was relatively unexplored in postacute care Cost of the systems and implementation MS-DRG availability It has been difficult to obtain MS-DRG information on discharged hospital patients. Used hospital discharge diagnosis/post-acute admitting diagnosis instead, to evaluate patient costs. Using a hospital centric system in Post Acute Care RUGS, per diem room charges, RVU s
10 Challenges (cont.) What data is useful to us? Do we look at cost per RUG? Cost per diagnosis? Cost per diagnosis with comorbidities? Are outliers skewing the results? The more historical data you have, the better you are able to predict and create cost trends. Was historical data captured the way we needed it in our current systems? ICD10 conversion
11 How Cost Accounting Works - Concepts 1. Your Expenses - money you spent that month - are your Costs 2. Cost Accounting is simply taking known Expenses (salaries, supplies, etc) and restating them on known patients you cared for.
12 Concepts of Patient Costing 1. The cost of a patient is simply the sum of the cost of things we provided to the patient 2. To cost a patient we will cost the things we did for them room and bed, supplies consumed, drugs consumed, therapy services, medical services, nursing, etc. 3. Maxim: To cost it you must count it
13 CostFlex is a Monthly Costing Process Costing Application GL: Jan Cost: Jan WL: Jan GL: Feb Cost: Feb WL: Feb Expenses: GL: Mar GL: Apr Cost: Mar Cost: Apr WL: Mar WL: Apr Workload: Salaries, Supply $, Depreciation, ect. GL: May GL: Jun GL: Jul Cost: May Cost: Jun Cost: Jul WL: May WL: Jun WL: Jul Room Charges, Supplies used Drugs issued, etc GL: Aug Cost: Aug WL: Aug GL: Sep Cost: Sep WL: Sep GL: Oct Cost: Oct WL: Oct GL: Nov Cost: Nov WL: Nov GL: Dec Cost: Dec WL: Dec
14 Concept: Costs change from month to month Cost ($) Due to changes in expenses and workload / census, The costs for an activity can change from month to month Monthly Months ----->
15 Concept: Costs can be smoothed for patient reporting (i.e. apply a 3 month weighted average) Cost ($) Costs are smoothed but trends are still visible for management. Note: cost trending up! Monthly 3 Month Avg Months ----->
16 Annual Costing just gives 1 number per year Expenses GL: Jan Costing Application Workload WL: Jan GL: Feb WL: Feb GL: Mar WL: Mar GL: Apr WL: Apr GL: May GL: Jun GL: Jul Gen. Ledger Jan Dec Costs Jan Dec Workload Jan Dec WL: May WL: Jun WL: Jul GL: Aug WL: Aug GL: Sep WL: Sep GL: Oct WL: Oct GL: Nov WL: Nov GL: Dec WL: Dec
17 Annual Costing vs. Monthly Costing Cost ($) Costs hold consistent for 12 months at a time. - Management cannot see trends to take action on Monthly Annual Months ----->
18 Knowing your Annual Cost of patients vs the Monthly Cost is like knowing the Average Depth of the lake vs how deep it is where you are right now.
19 Considerations of LTC costing vs Hospital Costing 1. Create patients by month for costing trends 2. Attaching cash to correct monthly patient 3. Non Patient Cash i.e. insurance settlements can be large. 4. Get more activities from other feeds in organization (i.e. Labs, Pharmacy, Radiology)
20 System Setup Where does the data come from? Billing software Accounting software Online purchasing software Invoice detail from third party vendors What do we do with all of this data? All of the data is then uploaded into Cost Flex Each cost is stepped down from Nursing Home to Transitional Care Unit to Patient and allocated as a direct or indirect cost Reimbursement is then attached to the stay to calculate a gain or loss
21 Costs Accumulators Direct Costs related to the care of the patient Nursing Labor Therapy Labor Medical Labor Pharmacy Lab Radiology Direct Supplies Indirect Costs overhead costs stepped down to the patient Support departments Facility Costs utilities Depreciation and Interest
22 Reimbursement Reimbursement Direct payments Accounts receivable balance Allocation of overhead revenue (Contributions, discounts, etc) Allocates all costs and reimbursements at a daily level Determines daily gain/loss that provides analytical tools for admissions and nursing management
23 Report Utilization Developed a team to review the data on a monthly basis: Clinical Coordinator from TCP Finance Staff Admissions Coordinator Administrator Several iterations of the reports that we wanted to use What metrics to measure that will allow us to use this data strategically? Determine what will provide the most useful for our partners?
24 Operational Challenges Not having a dedicated position for creating the reports and analyzing the data. Another thing added to the to do list! Not being able to spend as much time on it as we would like. Developing financial and clinical understanding for the other side. Not having enough historical data to really develop trends at this point Trying to operationalize our findings how do we change our practices based on this. Not real time.looking at things after the fact. But at least now we re looking at it. Not being able to benchmark yet with other facilities only to ourselves. Will be changing clinical and billing software will require re-working all of the systems.
25 Demographic Data Used Length of Stay Financial Class actual payor Admitting source Discharge Source RUG score ICD Admitting Diagnosis Number of episodes/admissions during this stay
26 Sample Detailed Cost Information LOS Nursing Labor Therapy Labor Medical Labor Lab Radiology Pharmacy Direct Supplies Indirect Total Costs Daily Cost Total Reimb Daily Reimb Gain / (Loss) Daily Gain / (Loss) 20 $ 2,733 $ 1,534 $ 671 $ 54 $ - $ 387 $ 1,085 $ 4,729 $ 11,193 $ $ 11,417 $ $ 223 $ ,278 1, ,842 8, , ,544 2, ,975 17, , , ,137 7, ,
27 Sample of Executive Summary Report Trends for Overall Gains/Losses 2015 / 2016 Month Average LOS Average Cost/Day Average Reimb/Day Average Gain/(Loss) /Day Average Gain/Loss /Stay October 24 $ $ $ (41.19) $ (901) November December January February (73.75) (138) March April May June July August September Rolling Average 23 $ $ $ (12.90) $ 79
28 Monthly Review Also Includes: Top Five Losses and Top Five Gains for each month. Discuss the impact of comorbidities what caused each of the results for these 10 patients. What can we learn; what could we have done differently? Look at the average LOS, Cost, Reimbursement and Gain/Loss for Hospital Readmission Penalty Dx s: CHF Stroke Pneumonia COPD Joints Sepsis What would our colleagues at the hospitals find interesting or helpful about this data?
29 Where do we go from here? We need to continue to analyze and operationalize our data As we have more historical data will be able to share the results with our partners Begin to share our findings and accomplishments with our partners in preparation for bundling More informed decisions on our admission practices Possibly utilize the data for budgeting by nursing unit Look at the implementation of the system in areas such as LTC and Adult Day Care Looking at adding some additional hours to support this system as we move forward.
30
Winning at Care Coordination Using Data-Driven Partnerships
Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker
More informationLESSONS LEARNED IN LENGTH OF STAY (LOS)
FEBRUARY 2014 LESSONS LEARNED IN LENGTH OF STAY (LOS) USING ANALYTICS & KEY BEST PRACTICES TO DRIVE IMPROVEMENT Overview Healthcare systems will greatly enhance their financial status with a renewed focus
More informationHow Does Payroll-Based Journal Reporting Impact Your Five Star? Don Feige, ezpbj
How Does Payroll-Based Journal Reporting Impact Your Five Star? Don Feige, ezpbj About Our Speaker ezpbj provides easy-to-use software to manage all aspects of Payroll-Based Journal reporting ezpbj assembles,
More informationStakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from
Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes
More informationMedicare, Managed Care & Emerging Trends
Medicare, Managed Care & Emerging Trends LeadingAge Michigan 2015 Annual Leadership Institute August 12, 2015 Jon Lanczak, Manager Beth Sullivan, Senior Manager Plante Moran, PLLC Overall Theme Healthcare
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836
More informationReadmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ. A Catholic healthcare ministry serving Ohio and Kentucky
Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ A Catholic healthcare ministry serving Ohio and Kentucky 1 Mission, Values and Promise Our Mission We extend the healing ministry of Jesus by improving
More informationWill PBJ erase your star rating?
Will PBJ erase your star rating? How Payroll-Based Journal reporting impacts your Five-Star Carl Moellenkamp, CPA, CliftonLarsonAllen Don Feige, ezpbj Housekeeping 1. If you are experiencing technical
More informationAchieving Operational Excellence with an EHR a CIO s Perspective
Achieving Operational Excellence with an EHR a CIO s Perspective Phyllis Schuck, SPHR CIO of Pinehurst Surgical HIT Session 6.02 Thursday, March 29, 2007 Pinehurst Surgical Organization Overview Founded
More informationGrant Reporting for Faculty Grant Expense Detail
Grant Reporting for Faculty Grant Expense Detail This report provides line item detail expenses for a user-specified Sponsored Program. The report allows faculty and department administrators to more easily
More informationRebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO
Rebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO THE MARKET & PHS S POSITION 2 Progressive Health Systems, Inc. (dba Pekin Hospital) Pekin, IL 3 4 5 Nearby
More informationAvoiding the Cap Trap What Every Hospice Needs to Know. Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc.
Avoiding the Cap Trap What Every Hospice Needs to Know Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc. Overview 11% of hospices exceeded the cap in 2012 with an average overage
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationMEASURING POST ACUTE CARE OUTCOMES IN SNFS. David Gifford MD MPH American Health Care Association Atlantic City, NJ Mar 17 th, 2015
MEASURING POST ACUTE CARE OUTCOMES IN SNFS David Gifford MD MPH American Health Care Association Atlantic City, NJ Mar 17 th, 2015 Principles Guiding Measure Selection PAC quality measures need to Reflect
More informationThe Shift is ON! Goodbye PPS, Hello RCS
The Shift is ON! Goodbye PPS, Hello RCS Presented By Maureen McCarthy, RN, BS, RAC-MT, QCP-MT President/CEO Maureen McCarthy, RN, BS, RAC-MT, QCP-MT Maureen is the President of Celtic Consulting, LLC and
More informationPage 347. Avg. Case. Change Length
Page 345 EP 8 How nurses use trended data to formulate the staffing plan and acquire necessary resources to assure consistent application of the Care Delivery Model(s). The development of operational budgets
More informationIntegrating Quality Into Your CDI Program: The Case for All-Payer Review
7th Annual Association for Clinical Documentation Improvement Specialists Conference Integrating Quality Into Your CDI Program: The Case for All-Payer Review Katy Good, RN, BSN, CCDS, CCS CDI Program Coordinator
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)
More informationQuality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals
Quality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals DMC Harper- Hutzel Hospital The DMC is an 8 facility academic medical center Harper-Hutzel is
More informationMark Stagen Founder/CEO Emerald Health Services
The Value Proposition of Nurse Staffing September 2011 Mark Stagen Founder/CEO Emerald Health Services Agenda Nurse Staffing Industry Update Improving revenue trends in healthcare staffing 100% Percentage
More information4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional
More informationNational Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions
National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions Michael Kanter, MD, Medical Director Quality and Clinical Analysis Patti Harvey, RN,
More informationReadmission Reduction: Patient Interviews. KHA Quality Conference March, 2018
Readmission Reduction: Patient Interviews KHA Quality Conference March, 2018 Initial Driver Diagram Use Data and Root Cause Analysis to drive Continuous Improvement Analyze data to inform targeting approach
More informationCombining Nursing Power and Quality Metrics to Influence Policy Development
Combining Nursing Power and Quality Metrics to Influence Policy Development Patricia Nevins, MSN/Ed, RN, FANAI Baylor Scott and White Hospital Patient Advisory Nursing Department Objectives Analyze financial
More informationSENTARA HEALTHCARE. Norfolk, VA
SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding
More informationUI Health Hospital Dashboard September 7, 2017
UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases
More informationCAUTI Reduction A Clinton Memorial Presentation
CAUTI Reduction 2016 A Clinton Memorial Presentation Clinton Memorial Statistics Rurally situated in a primarily agricultural community with a population of 42,000 The hospital is licensed for 165 beds
More informationTina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN
Establishing a Conservative Approach to the Prevention of Pressure Ulcers with the Utilization of Data Analytics to Monitor Effectiveness of Quality Efforts and Best Practice Models Tina Nelson, MBA, BSN
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationLoyola University Chicago ~ Archives and Special Collections
UA1980.04-.16, 1980.18-.23 Treasurer s Office Records - Ledgers Dates: 1904-1969 Creator: Loyola University (1870-) Extent: 124 volumes Level of description: Item Processor & date: John L. Daniels, June
More informationUser Group Meeting. December 2, 2011
User Group Meeting December 2, 2011 1 Agenda 12:00 Welcome Christine Lavoie 12:05 Session Objectives Christine Lavoie 12:10 USC s Research Administration System Christine Lavoie 12:20 Project Overview
More informationPhysician Performance Analytics: A Key to Cost Savings
Physician Performance Analytics: A Key to Cost Savings Session #90, February 21, 2017 Jim Gera, SVP of Business Development, Signature Medical Group, Inc. 1 Speaker Introduction Jim Gera, MBA SVP of Business
More informationPSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
More informationOhioHealth s Mission: To Improve the Health of Those We Serve
Enhancing SAFE SKIN Through Computer Utilization OhioHealth s Mission: To Improve the Health of Those We Serve 2 1 3 Grant Medical Center 21,000 patient discharges/year Average daily census of 260 Magnet
More informationGoodbye PPS: Hello RCS!
Disclosure of Commercial Interests I consult for the following organizations: Celtic Consulting LLC President, CEO Celtic Consulting is a Long-Term Care advisory firm, focused on providing one-on-one oversight
More informationColumbus Regional Hospital Pressure Ulcer Prevention
Columbus Regional Hospital Pressure Ulcer Prevention Kathryn Jackson RN, MSN, CRRN Pressure Ulcer Prevention Columbus Regional Hospital, Columbus, IN Objectives & About Us Describe current pressure ulcer
More informationLeveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationFrom Implementation to Optimization: Moving Beyond Operations
From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest
More informationTaming Length of Stay Challenges Through Analytics
Taming Length of Stay Challenges Through Analytics March 3, 2016 Dr. Michelle Pezzani, Medical Director Utilization Management at El Camino Hospital & Palo Alto Medical Foundation (PAMF) Petrina Griesbach
More informationAdvancing Popula/on Health and Consumerism
Advancing Popula/on Health and Consumerism 44,954 Senior Enrollees 274,345 Commercial Enrollees 66,070 Commercial ACO Members Popula/on Health Risk Stra/fica/on: Keep Pa/ents Healthy, Happy & at Home Tier
More informationPost-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016
Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference
More informationElectronic Physician Documentation: Increased Satisfaction
Electronic Physician Documentation: Increased Satisfaction Session 222, February 23, 2017 Robert (Bob) Diamond, Sr. Vice President / CIO, Health Quest Kshitij (Tij) Saxena, MD, CMIO, Health Quest 1 Speaker
More informationManaging Healthcare Payment Opportunity Fundamentals CENTER FOR INDUSTRY TRANSFORMATION
Managing Healthcare Payment Opportunity Fundamentals dhgllp.com/healthcare 4510 Cox Road, Suite 200 Glen Allen, VA 23060 Melinda Hancock PARTNER Melinda.Hancock@dhgllp.com 804.474.1249 Michael Strilesky
More informationImproving Clinical Outcomes The Case for Electronic ED Door to EKG Time Monitoring
Improving Clinical Outcomes The Case for Electronic ED Door to EKG Time Monitoring 2014 Distinguished Achievement Award for Clinical Excellence TM Competition October 22, 2014 St. Dominic-Jackson Memorial
More informationPREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE
CPAs & ADVISORS experience support // PREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE Jackie Nussbaum MHA, CPC, CHFP, FHFMA Director Eric Rogers M.Ed. RT Managing Consultant THE CHANGING HEALTH CARE
More informationAppendix B: Formulae Used for Calculation of Hospital Performance Measures
Appendix B: Formulae Used for Calculation of Hospital Performance Measures ADJUSTMENTS Adjustment Factor Case Mix Adjustment Wage Index Adjustment Gross Patient Revenue / Gross Inpatient Acute Care Revenue
More informationThree C s of Change in the Value-Based Economy: Competency, Culture and Compensation. April 4, :45 5:00 pm
Three C s of Change in the Value-Based Economy: Competency, Culture and Compensation April 4, 2014 3:45 5:00 pm 1 Introduction Kevin McCune, MD Chief Medical Officer Advocate Medical Group Peg Stone Vice
More informationMaximizing the Power of Your Data. Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker
Maximizing the Power of Your Data Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker Objectives Explore selected LTC Trend Tracker reports & features including: re-hospitalization,
More informationCPAs & ADVISORS. experience support // ADVANCED PAYMENT MODELS: CJR
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Andy M. Williams Partner BKD Eric M. Rogers Managing Consultant BKD Will McLeod VP of Patient Services McLeod Health Emily Adams Associate
More informationBoosting Your Bottom Line
Boosting Your Bottom Line Making More Money for Clinics Lisa Clark, MBA NYS Office of Mental Health 7/26/16 Partners in CTAC and MCTAC include: Agenda Introduction Review of Revenue Maximization Basics
More informationTransitions in Care. Discharge Planning Pathway & Dashboard
Transitions in Care Discharge Planning Pathway & Dashboard Scott Jarrett Executive Vice President and Chief of Clinical Programs Humber River Hospital Carol Hatcher Vice President Clinical Programs Humber
More informationIntegrating Community and Primary Care: the eyes and ears of general practice
re Integrating Community and Primary Care: the eyes and ears of general practice Context and Evidence Increasing numbers of people over 65 with chronic conditions being managed in primary care. Acute exacerbations
More informationFrom Big Data to Big Knowledge Optimizing Medication Management
From Big Data to Big Knowledge Optimizing Medication Management Session 157, March 7, 2018 Dave Webster, RPh MSBA, Associate Director of Pharmacy Operations, URMC Strong Maria Schutt, EdD, Director Education
More informationOntario Shores Journey to EMRAM Stage 7. October 21, 2015
Ontario Shores Journey to EMRAM Stage 7 October 21, 2015 ICE BREAKER Agenda System overview & pervasiveness of use Review Clinical Practice Guideline implementation Discuss Patient Portal implementation
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationCAMDEN CLARK MEDICAL CENTER:
INSIGHT DRIVEN HEALTH CAMDEN CLARK MEDICAL CENTER: CARE MANAGEMENT TRANSFORMATION GENERATES SAVINGS AND ENHANCES CARE OVERVIEW Accenture helped Camden Clark Medical Center, (CCMC), a West Virginia-based
More informationDriving High-Value Care via Clinical Pathways. Andrew Buchert, MD Gabriella Butler, MSN, RN
Driving High-Value Care via Clinical Pathways Andrew Buchert, MD Gabriella Butler, MSN, RN 1 Andrew Buchert, MD Medical Director, Clinical Resource Management Children s Hospital of Pittsburgh of UPMC
More informationLessons Learned from MLTSS Implementation in Florida Where Have We Been and Where Are We Going?
Lessons Learned from MLTSS Implementation in Florida Where Have We Been and Where Are We Going? David Rogers Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration 2016
More informationChanges in the School Based Access Program (SBAP)
Pennsylvania Association of School Business Officials Changes in the School Based Access Program (SBAP) April 23, 2013 Webcast (9:30-11:00 AM) Listen to audio over your computer speakers (If you prefer
More informationUniversity of Illinois Hospital and Clinics Dashboard May 2018
May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last
More informationBOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,
More informationCreating Data-driven Strategies to Improve Hospital Outcomes
Annual National Institute October 16, 2014 Creating Data-driven Strategies to Improve Hospital Outcomes A Case Manager s Guide Information Data Knowledge 1 2014 Conifer Health Solutions, LLC. All Rights
More informationPredicting 30-day Readmissions is THRILing
2016 CLINICAL INFORMATICS SYMPOSIUM - CONNECTING CARE THROUGH TECHNOLOGY - Predicting 30-day Readmissions is THRILing OUT OF AN OLD MODEL COMES A NEW Texas Health Resources 25 hospitals in North Texas
More informationThe Triple Aim. Productivity: Digging Deep Enough 11/4/2013. quality and satisfaction); Improving the health of populations; and
NAHC Annual Conference October, 2013 Cindy Campbell, BSN, RN Associate Director Operational Consulting Fazzi Jeanie Stoker, BSN, RN, MPA, BC Director AnMed Health Home Care Context AnMed Health Home Health
More informationMedicare P4P -- Medicare Quality Reporting, Incentive and Penalty Programs
Medicare P4P -- Medicare Quality Reporting, Incentive and Penalty Programs Presenter: Daniel J. Hettich King & Spalding; Washington, DC dhettich@kslaw.com 1 I. Introduction Evolution of Medicare as a Purchaser
More informationClinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play?
Clinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play? June 17, 2016 Agenda Clinical Documentation Improvement (CDI) Perspective An Effective CDI Program Core Focus: Compliance
More informationA. Encounter Data Submission Requirements
A. Encounter Data Submission Requirements APPLIES TO: A. This policy applies to all IEHP Medi-Cal Providers. POLICY: A. As of October 1, 2015, IEHP has transitioned to ICD-10 diagnosis and procedure coding
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationDischarge and Follow-Up Planning. Presented by the Clinical and Quality Team
Discharge and Follow-Up Planning Presented by the Clinical and Quality Team After today s training you will be able to: Identify and summarize important information about discharge planning Have adequate
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More information2015 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.
EHR Documentation and CDI: What to Expect and How to Successfully Handle the Transition Sam Antonios, MD, FACP, FHM, CCDS CDI and ICD 10 Physician Advisor Hospital CMIO Via Christi Health Wichita, Kansas
More informationPRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication
More informationEpisode Payment Models Final Rule & Analysis
Episode Payment Models Final Rule & Analysis February 15, 2017 Agenda Overview Changes from Proposed Rule Categorization of Episodes Episode Attribution Reconciliation Quality Performance Cardiac Rehab
More informationChange Management at Orbost Regional Health
Change Management at Orbost Regional Health Our change management journey 1 Medication Change System Meds at Beds 2 The slightly exaggerated before process 3 Project Goals The purpose of the Meds at Beds
More informationMEDICARE FFY 2017 PPS PROPOSED RULES OVERVIEW OHA Finance/PFS Webinar Series. May 10, 2016
MEDICARE FFY 2017 PPS PROPOSED RULES OVERVIEW 2016 OHA Finance/PFS Webinar Series May 10, 2016 Spring is Medicare PPS Proposed Rules Season Inpatient Hospital Long-Term Acute Care Hospital Inpatient Rehabilitation
More informationDriving the value of health care through integration. Kaiser Permanente All Rights Reserved.
Driving the value of health care through integration February 13, 2012 Kaiser Permanente 2010-2011. All Rights Reserved. 1 Today s agenda How Kaiser Permanente is transforming care How we re updating our
More informationFLORIDA CENTER FOR HEALTH INFORMATION AND TRANSPARENCY
FLORIDA CENTER FOR HEALTH INFORMATION AND TRANSPARENCY DATA CATALOG Rick Scott, Governor Justin M. Senior, Secretary Visit AHCA online at: www.floridahealthfinder.gov Revised 2017 TABLE OF CONTENTS PAGE
More informationMedicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015
Medicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015 Steve Neorr Chief Administrative Officer, Triad HealthCare Network Jeff Jones Chief Financial Officer, Cone Health
More informationAtiit Activity based costing. Discussion document May 2007
Atiit Activity based costing Discussion document May 2007 Costing and why activity based costing? Knowing the total in a hospital as well as the total income is required to calculate the profit. It doesn
More informationExecutive Summary MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q STATE OF CALIFORNIA
MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q3 2013 Executive Summary STATE OF CALIFORNIA The Centers for Medicare & Medicaid Services (CMS) has tasked Health Services Advisory
More informationPost-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016
Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference
More informationA Multi-Pronged Approach to Improve Provider Satisfaction
A Multi-Pronged Approach to Improve Provider Satisfaction Session 149, March 7, 2018 1-2 p.m. Thomas Selva, MD, CMIO, MU Health Care Bryan Bliven, CIO, MU Health Care 1 Conflict of Interest Thomas Selva,
More informationImprove the Efficiency and Service of the Emergency Room at North Side Hospital
Improve the Efficiency and Service of the Emergency Room at North Side Hospital John Melton, VP and CEO Washington County Operations meltonjw@msha.com Kerry Vermillion, CFO Washington County Operations
More informationFiscal Year 2014 Final Rule: Updates for LTCHs
Fiscal Year 2014 Final Rule: Updates for LTCHs Kristen Smith, MHA, PT Senior Consultant, Fleming-AOD Mary Dalrymple Managing Director, LTRAX FY14 Final Rule & Impact Objectives Review updates to the FY14
More informationRegulatory Compliance Risks. September 2009
Rehabilitation Regulatory Compliance Risks September 2009 1 Agenda - Rehabilitation Compliance Risks Understand the basic requirements for Inpatient Rehabilitation Facilities (IRFs) and Outpatient Rehabilitation
More informationAdvancing Accountability for Improving HCAHPS at Ingalls
iround for Patient Experience Advancing Accountability for Improving HCAHPS at Ingalls A Case Study Webconference 2 Managing your audio Use Telephone If you select the use telephone option please dial
More informationPOST-ACUTE CARE Savings for Medicare Advantage Plans
POST-ACUTE CARE Savings for Medicare Advantage Plans TABLE OF CONTENTS Homing In: The Roles of Care Management and Network Management...3 Care Management Opportunities...3 Identify the Most Efficient Care
More informationUsing EHRs and Case Management to Improve Patient Care and Population Health
Using EHRs and Case Management to Improve Patient Care and Population Health Session #211, February 22, 2017 Thomas Schiller, MD and Jennifer Kuroda, SwedishAmerican Health System A Division of UW 1 Speaker
More informationSTATEMENT OF FINANCIAL POSITION
STATEMENT OF FINANCIAL POSITION TEMPORARILY TOTAL ACCT DESCRIPTION GENERAL RESTRICTED FUNDS CURRENT ASSETS ASSETS 1030 Cash in Bank - Wells Fargo Operating 44,053 44,053 1031 Deposits in transit 1045 First
More informationpaymentbasics The IPPS payment rates are intended to cover the costs that reasonably efficient providers would incur in furnishing highquality
Hospital ACUTE inpatient services system basics Revised: October 2015 This document does not reflect proposed legislation or regulatory actions. 425 I Street, NW Suite 701 Washington, DC 20001 ph: 202-220-3700
More informationDistrict of Columbia Medicaid Specialty Hospital Payment Method Frequently Asked Questions
District of Columbia Medicaid Specialty Hospital Payment Method Frequently Asked Questions Version Date: July 20, 2017 Updates for October 1, 2017 Effective October 1, 2017 (the District s fiscal year
More informationA McKesson Perspective: ICD-10-CM/PCS
A McKesson Perspective: ICD-10-CM/PCS Its Far-Reaching Effect on the Healthcare Industry Executive Overview While many healthcare organizations are focused on qualifying for American Recovery & Reinvestment
More informationMedicare Part A SNF Payment System Reform: Introduction to Resident Classification System - I ZIMMET HEALTHCARE 2018
Medicare Part A SNF Payment System Reform: Introduction to Resident Classification System - I Introduction to the Resident Classification System - I Concepts Structure Implications RCS is NOT the Unified
More informationFHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018
FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge July 24, 2018 Welcome & Overview How are we doing on Reducing Readmissions? Peer Sharing Presentation:
More information9/10/2016. What is a Cycle? Learning Objectives
Keep the Cycle Going: Maintaining a Healthy Long Term Care Revenue Cycle and Key Strategies for Successful Reimbursement Management September 29, 2016 What is a Cycle? By law of periodical repetition,
More informationChapter 6 Section 3. Hospital Reimbursement - TRICARE DRG-Based Payment System (Basis Of Payment)
Diagnostic Related Groups (DRGs) Chapter 6 Section 3 Hospital Reimbursement - TRICARE DRG-Based Payment System (Basis Of Payment) Issue Date: October 8, 1987 Authority: 32 CFR 199.14(a)(1) 1.0 APPLICABIITY
More informationReducing Readmissions: Potential Measurements
Reducing Readmissions: Potential Measurements Avoid Readmissions Through Collaboration October 27, 2010 Denise Remus, PhD, RN Chief Quality Officer BayCare Health System Overview Why Focus on Readmissions?
More informationOverview of the Federal 340B Drug Pricing Program
Overview of the Federal 340B Drug Pricing Program Presented by: James A. Raley, CPA Senior Manager Health Care Services Arnett Carbis Toothman LLP 345 340B Program: Overview Provides discounts on outpatient
More information