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| ISH Services |
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| Perioperative Management |
| Perioperative
Services is a healthcare organization’s prime
revenue generator, contributing as much as 60% of
a hospital’s revenue. This percentage can
be impacted by how effectively the organization
generates and optimizes revenue. Delayed billing,
human error, outdated billing rules, poor workflows,
inaccurate or obsolete data and late charges are
all contributors to decreased revenue and missed
opportunities.
Inefficient processes in the pre-op, OR and post-op
areas can lead to lost revenue as well as impacting
the level of patient and physician satisfaction.
Quality of patient care needs to be carefully
monitored, and compliance with Federal, state
and agency regulations adhered to. Decisions must
be made quickly and accurately.
While the primary focus of all healthcare facilities
is patient care, the enablers are revenue enhancement
and cost containment. One of the primary ways
to recognize these is through process improvement
initiatives.
The ISH team of Perioperative Management professionals
works with healthcare executives to build and
organization that will focus on driving the excess
costs out of Perioperative Services, thus freeing
up those dollars for the improvement of patient
care. Utilizing best of breed software, process
improvement strategies and our proprietary Value-Add
programs, your organization can realize true return
on your IT investment.
We have hands on implementation experience with
the leading software vendors such as Cerner,
EPIC, GE, McKesson,
Meditech, Per-Se (now McKesson)
, Picis and SIS.
Our clients have made
us a trusted advisor because we have strong operational
change management experience to complement our
detailed implementation experience with each of
these vendors. Many organizations have utilized
our insight to assist them in their selection
process because we understand the capabilities
of the software, the service programs they are
presenting, and the cost your organization should
be paying for them. Most importantly, it doesn’t
matter to us which vendor our clients select.
We have experience implementing them all, and
are invested in helping you select the right applications
for your organization. The real question we begin
with is not what the vendors can do, but what
clients wish to accomplish. Specifically, does
your organization wish to have a technical replacement,
or an enterprise-wide Perioperative Services Improvement
Program. The difference is that technical projects
are measured by “going live”, whereas
improvement programs are measured by specific
financial and operational improvement metrics.
(Our Approach) |
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Critical
Success Factors Within Perioperative Services
Include: |
| Project
Leadership |
We
define Project Leadership as navigating the system,
business and cultural roadblocks to ensure the
expected benefits are realized and the project
is delivered on time and on budget. The ISH Team
of experienced Perioperative Services Change Management
and Systems Implementation Specialists will provide
“hands-on” leadership, guidance and
support to ensure the success of the project and
the quality of the outcome.
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| Business
Process Redesign |
| Does
your Perioperative Services department have efficient
and effective processes to maximize business and
IT performance? The ISH Team of Perioperative Specialists
will aid you in eliminating inefficient, ineffective
and redundant processes. Our blueprinting process
coupled with our deep operational knowledge in Perioperative
Services and leadership abilities will align people,
process and tools across the enterprise. We will
focus on standardization and prevent the re-engineering
of your software back to your old way of doing business.
Our experts include areas not typically associated
with a traditional “OR” initiative such
as Anesthesia, Sterile Processing, Materials Management,
Patient Accounting, Decision Support, Surgeon Practices,
etc. |
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| Systems
Implementation |
| Are you
realizing true return on investment and utilizing
full functionality from the systems you have implemented?
Are you contemplating replacing the applications
you are now using? The ISH Team of Perioperative
Specialists can help your organization with whatever
stage you are in. Starting with a thorough analysis
of current state, we can help you achieve your desired
future state whether it be system selection through
implementation and post-go live, or developing strategies
for achieving optimal functionality from your existing
systems. Our approach facilitates the Administrative
decision making process by presenting the business
benefits, realization requirements, cultural readiness,
IT portfolio fit, and Total Cost of Ownership in
clear and concise terms. |
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Perioperative Revenue Analysis |
Our Perioperative
Revenue Analysis Program is the information gathering
and decision making step towards decreasing lost
charges, increasing the charges for performed cases,
and decreasing AR days. The first step in this process
is to decide whether the opportunity truly exists
to improve these areas. Our two week program analyzes
performance in the areas of:
- Lost Charges – 5% of lost supply charges
is acceptable unless the lost charges are for
high cost implants,
- Procedure to Charge Time – 99% of charges
has to be reviewed, collected and billed between
48 – 72 hours,
- Accuracy of Charge Description Master for
Supplies – We have experienced a 15 –
50% charge increase for supplies by cleansing
the CDM and aligning current price with supply
cost,
- Time Charges – Movement to an acuity
based time charge can increase room time charges
in excess of 20%,
- AR Days - Increasing the accuracy and cleanliness
of data, we can decrease AR Days to the 30 –
45 day range.
We will provide the information in cost / benefit
format that includes the action steps and tools
required to realize the benefits. This information
will be used to facilitate an informed decision
on the whether to proceed to the realization phase. |
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| Scheduling
Process |
| Does
your department have accuracy in case time predictions?
How efficient is your block scheduling? Your delay
control? Do you have a method of avoiding duplicate
tests and duplicate procedures? We can work with
you to improve the accuracy and efficiency of the
scheduling process, resulting in greater efficiency
and patient satisfaction |
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| Improved
Patient Flow and Throughput |
| Patient
satisfaction is a key indicator in Perioperative
Service’s success. One of the most common
surgeon complaints is concerning room turnover time.
How can you move your patients through with efficiency,
accuracy and safety? We have developed strategies
to streamline this process. |
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| Preference
List Effectiveness |
| The success
of Clinical Documentation, Supply Chain Model and
Revenue Cycle Management is dependent upon the accuracy
of your preference list. Using our automated tool
kit, the ISH Team of Perioperative Specialists will
improve the efficiency and effectiveness of preference
list cleansing, while reducing the overall cost
of their build. |
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| OR
Supply Chain Management |
| The OR
Supply Chain is an area where great cost management
and risk management can occur. By automating the
Perioperative Supply Chain and implementing new
OR supply chain processes that include integration
with the materials management system, significant
efficiency and cost savings can occur. Focusing
on supply expense and inventory, case picking efficiency,
and location and condition of instruments, our team
can aid your organization in the realization of
better business processes. |
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| Resource
Utilization |
| Do you
have the right resource in the right place at the
right time? Are you faced with costly agency charges
and overtime costs? The ISH Team of Perioperative
Specialists has strategies that have been successful
in hundreds of healthcare organizations to improve
Human Capital Management Strategies for Periop. |
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| Report
Writing |
| Does
your organization have the ability to easily track
outcome data? Do you have the information you need
to be in compliance with Federal, State and organizational
regulations? Are you able to access the advanced
functionality of your applications to provide this?
If not, let our experts aid your organization in
building and customizing reports to increase efficiency. |
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| Data
Services |
| Business
intelligence, revenue enhancement, preference list
effectiveness and customer service all rely on the
integrity of your databases. Data integrity within
your item master, instrument sets, preference lists,
CDM, etc. can make or break your initiative. ISH
data cleansing capabilities will improve the quality
of the data and your project’s overall success.
Our Data Service Reports guarantee a ten-to-one
return on investment. |
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| Effective
Assessment and CQI |
| Having
difficulty developing appropriate metrics to assess
the efficiency of Perioperative Services? The ISH
Perioperative Team of Specialists can help you in
developing benchmarks for current operational, financial
and ORIS performance in Patient Throughput, Supply
Chain Management, Revenue Maximization, Resource
Utilization and Patient Experience against industry
and ISH best practice metrics. Additionally, we
can educate Perioperative Leadership and Administration
on the enterprise value of these performance metrics. |
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| Interim
Management |
| ISH Perioperative
Specialists have deep operational experience, and
can step in to fill Management positions while your
organization conducts a search for the appropriate
resource. While placed in these positions, they
can work with your organization to improve operational
and financial efficiency, and to mentor your new
hire during the knowledge transfer phase. (Interim
Management Services) |
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