Jim Schwamb, BayCare Health System

minorbigarmΑσφάλεια

30 Νοε 2013 (πριν από 3 χρόνια και 8 μήνες)

153 εμφανίσεις

Jim Schwamb, BayCare Health System

Thomas Yoesle, Orlando Health

Jose Rivera, Orlando Health



Formed 2004 with support of PwC



Dynamic survey of industry KPIs



Membership Requirements


One billion in net revenue


Operating CBO


Able to identify and report representative KPIs



Purpose:


Share valid KPIs on annual basis


Share responses to challenges


Share best practice approaches


No benchmarking tool that was valid


Ability to collect and share data annually


Ability to discuss/agree on KPI definitions


Ability to revise KPI definitions as our industry shifts



No tool that was specific to large CBOs



Need to network


Without distractions



Need to improve performance


Share successes and “non
-
successes”




Twenty
-
four CBOs



In Florida


BayCare


Lee Memorial


Orlando Health


Shands



Other states represented (NE, MN, KY, MO, VA,
PA, CO, OK, LA, TN, IA, NC, GA, IL, TX, and Al).







Review of annual KPI Survey


Time to discuss KPI definition/interpretation changes


5010 & ICD
-
10 readiness


Patient Access quality issues


Policy & Procedure discussion


Regulatory requirements & how we have addressed them


Biometrics for patient ID


Time of service estimates & solutions


W
ho has implemented what vendor? How was the
implementation?


Vendor discussion


Who are you using?


For what?


How is the performance?


What KPI’s define success for the vendor?





Predictive analytics for charity and form 990H


What BI systems are being used for predictive analytics?


Employee turnover & retention strategies


What training programs are being used/outsourced?


What incentive program structures are effective?


Accountable Care preparedness


What I.T. infrastructure can handle an ACO model?


Productivity enhancers


Carrot vs. Stick? Automation is key!


Selling Bad Debt


What does the market look like across the country?


Round table discussion






Each System Reports The Following:



Services billed (i.e. hospital, physician, homecare)


Systems Software Used


Cost to Collect (Total, CBO, PAS, HIM)


First Bill Pass Yield


Net A/R Days


DNFB & Hold Days


Collection % by Payer


Bad Debt & Charity Write
-
offs


Uninsured and Prompt Pay Discounts


Denials


Upfront Cash Collection to gross revenue (ER & other)


FTEs per 1000 claims (by function)


Salary Survey







Things are not going to get any easier


Medicare and Medicaid spending cuts


Technology changing rapidly


Larger Health Systems


Standardization more difficult


Our patients are changing


New healthcare models




CBOs with the most outsourcing have the
higher cost to collect (FTEs aren’t bad)


Training and managing quality of registrars is
key


Assertive upfront cash collection translates to
lower A/R days


The annual meeting has had many wins


Learning new approaches


Networking


Seeing different shops


“best two day meeting I have ever attended”