Healthcare Financial Management Association January 1920 2017 Objectives Tools to address the administrative burden which leads to provider and staff burnout and stress Perspectives on healthcare and revenue cycle changes ID: 744895
Download Presentation The PPT/PDF document "“Do Your Job!” Strive to Make Your R..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
“Do Your Job!”Strive to Make Your Revenue Cycle Thrive
Healthcare Financial Management AssociationJanuary 19-20, 2017Slide2
Objectives:
Tools to address the administrative burden which leads to provider and staff burnout and stress;Perspectives on healthcare and revenue cycle changes
to expect from the new administration;
Ways to identify and overcome new
IT security threats to the revenue cycle and organization;Knowledge on the current state and opportunities in ACO evolution, Quality Payment Programs, revenue forecasting, drug pricing, and patient funding sourcesSlide3
Presentations:
TeleMedicine &
TeleHealth
– CVS
MinuteClinicSlide4
CVS MinuteClinic Overview
Largest retail clinic provider: 1,135+ full-time clinics in 33 states
>2,800 providers (NPs/PAs) nationwide
50% of visits occur weekends & evenings
Up to 80% savings over higher cost settings94% patient satisfaction60+ major health system affiliations>50% of US population is within 10 miles of a MinuteClinicSlide5
CVS MinuteClinic
Increased Connectivity Improves Patient CareSlide6
MinuteClinic – What is TeleHealth?
California & Texas- 48 sites are allowing patients to see NPs elsewhere in the state through high-quality, live video and audioSlide7
CVS MinuteClinic – Why use
TeleHealth?Healthcare costs are rising
20% US adults are living with two or more chronic health conditions
48% of large employers are offering consumer-directed/high deductive health plans
5.6% projected US healthcare spend rate U.S. Health system is falling short on providing care20% of patients are living in areas with insufficient primary care doctors19.5 days average wait time for appointment with family practice90,000 expected shortage of physicians by 2025Consumer expectations for convenience are rising as technology scales
98% of US population can access mobile LTE service
30% of US consumers have used same day delivery for retail purchases (ex. Amazon)
40% of American adults have used on-demand service (ex. Uber)Slide8
CVS MinuteClinic Video of TeleHealth
https://www.youtube.com/watch?v=f0bSHEXqjPM&feature=youtu.be&app=desktopSlide9
Presentations:
TeleMedicine & TeleHealth – CVS MinuteClinic
What Is Your Patient Thinking?
Patient Financial Obligations in the Revenue CycleSlide10
What Is Your Patient Thinking?Slide11
What Is Your Patient Thinking?
New types of plans can make it harder to identify patients who may need financial assistance.Patients with high-deductible health plans (HDHP) now account for
more than a quarter of the commercially insured
, up from less than 5% a decade ago
.Slide12
Patient is Becoming a Major Payer
Financial
Leadership Council Benchmarking Research, 2016.
Moody’s
Investor ServicesSlide13
Patients Are Asking:
How Will Care Affect My Wallet?
Source: ABC Research Brief: “Primary Care Consumer Choice Survey: What do consumers want from primary care?”. Becker’s Hospital Review, “Survey: 89% of Patients Want to Know Medical Costs in Advance”, Bob Herman, May 06, 2013 Slide14
The Importance of POS CollectionsPoint-of-service
collection is a strong indicator of whether or not patients will pay their full obligations.Patients who made a payment at point-of service were on average
twice as likely to eventually pay their total obligation
compared to patients who made no
point of service payment whatsoever. In addition, the research showed that when patients does not make a point of service payment, the chance that they will cover their full obligation is less than 45%, and with obligations larger than $4,000 the likelihood decreases to almost 0%. Slide15
Thank You!Slide16
Professional Development
Linda NevilleProgram ManagerAcademic Primary Care Fellowship (GIM, FM, Ped)Preventive Medicine Residency
Addiction Medicine FellowshipSlide17
6 days of intensive course work from 8-5 then 2 hours of homework Slide18
WHAT……….Slide19
How we work…….Slide20
The reality of our work is a hub with a series of networksSlide21
And the hub and networks sit within a larger system or webSlide22
Really, what does this have to do with me?Changing your perspective can help you understand your role in the larger system Slide23
What does this have to do with me part 2?Changing your perspective can help you understand your role in the larger system Slide24
What does this have to do with me part 2?Changing your perspective can help you understand your role in the larger system Slide25
What does this have to do with me part 2?Changing your perspective can help you understand your role in the larger system Slide26
I don’t use these concepts………..or do I?
System thinking is used everyday in business
44life.wordpress.com
Pic2fly.com
Lean
QI
PDSA
Process Mapping
Six SigmaSlide27
Ok, so now what? This course was about evaluating healthcare education not on designing systems
Administration
Faculty
Curriculum
StudentSlide28
This was a 6 day intensive course that also require each participant to submit a proposal to work on during the week.
I manage the Academic Primary Care Fellowship which includes Family Medicine, General Internal Medicine and General Pediatric fellows as well as the Preventive Medicine fellowship and the Addiction Medicine Fellowship.
The project I presented to my working group was:
1) Are we assessing what we should be to get effective actionable feedback for program improvement,
2) How to evaluate the overall curriculum to ensure we are delivering the skills/knowledge needed for success Slide29
ACTION PLAN
1
st
Concept of principles of the course
Logic Model for overview of the evaluation & assessment process
Relate principles to important issues
Taking an upper level 30k
ft
look at a program and its goals to understand where you can/should assess.
Action Plan- Apply principles to future work
-Create Logic Model for the fellowship
-Delineate Competencies (core/shared) that we want all fellows to have
How will you measure success?
More directed questions on the biannual surveys should lead to give the leadership team actionable items for continuous program improvement.
2
nd
Concept of principles of the course
System Design & Visualization
Relate principles to important issues
A clearly defined and described program is the key to success
Action Plan- Apply principles to future work
- Create a Faculty Expectation document that includes the program goals/mission/vision so that everyone is starting with the same shared understanding
-Revise handbook to include:
Competencies
Assessment plan (confidential, not always anonymous)
-Create a Program Dashboard
How will you measure success?
An increase in the satisfaction ratings around curriculum on the biannual surveys.
Strive to get all items on the dashboard are “in the green”
3
rd
Concept of principles of the course
Reinforce the culture of Assessment
Relate principles to important issues
Assessment is a fundamental process in ongoing program improvement efforts.
Action Plan- Apply principles to future work
-Incorporate a yearly strengths/weakness session with the fellows; ask them what do they value
-Update graduate surveys to include questions on what they found most valuable from the program; what did they wish they had learned during the fellowship.
How will you measure success?
An increase in the satisfaction ratings around curriculum on the biannual surveys.
Robust feedback from fellows from S/W analysis and outside PD review.
Slide30
Logic ModelSlide31
Support from:
DOM Administrative Grant HRSA Faculty Development Grant D55HP29243 Fellowship Leadership Team