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Leo Langga, MBA, RRT-NPS Dan Villareal, MBA, RRT

Our Outside Consultant Experience Presented to the CHA Respiratory Therapy Directors Forum November 15, 2013. Leo Langga, MBA, RRT-NPS Dan Villareal, MBA, RRT. Objectives. Introduction Laying the foundation with the executive leadership and finance teams for productivity standards and goals

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Leo Langga, MBA, RRT-NPS Dan Villareal, MBA, RRT

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  1. Our Outside Consultant ExperiencePresented to the CHA Respiratory Therapy Directors ForumNovember 15, 2013 Leo Langga, MBA, RRT-NPS Dan Villareal, MBA, RRT

  2. Objectives • Introduction • Laying the foundation with the executive leadership and finance teams for productivity standards and goals • How to prepare information for the consultant • The meeting • Following up is critical • Data review, validation, benchmarking • Initial & Final Recommendations • Lessons Learned • Today • Questions

  3. Introduction • Laying the foundation for productivity standards and goals • Build relationships and understanding of the Respiratory Care operation at the beginning with COO, DSS, CNO, Patient Care Director • Labor Hours/UOS vs Labor Hours/Patient day • Understand where all the labor and revenue flows to • Clinical Lab, Pharmacy, Sleep Lab, Transport Team, ECMO • Understand sources for variances • Use the PACT data to provide operational understanding and perspective to COO, DSS, CNO, Patient Care Director

  4. Determining What Data to Present • Assessing the consultant’s background • Our consultant had a RT (Radiation Therapy) background, however, had overseen a Respiratory Care operation • How do I help the consultant understand my operation? • Provide high level perspective • Operational documents for review • Scope of service • Staffing regulations- • California Children’s Services • Title 22 • Staffing worksheets • Key Service Trends • Labor goals for the year and financial performance data

  5. Respiratory Care Division OverviewPrepared for Consulting Group TABLE OF CONTENTS:

  6. Engaging the Consultant • Presenting the data • Formal Presentation Packet • Discussions/Questions • Describing the department operations • Fact gathering • Limited time to describe/analyze department operations

  7. The waiting…follow-up is CRITICAL… • Timing is critical • Before Executive Leadership Team Presentation • Or, After Executive Leadership Team Presentation • Data review • What was the process in which the data was collected? • Validation • Is it accurate? • Benchmarking • What are they basing their recommendations on? • Is there data to support recommendations?

  8. Initial Consultant Recommendations • Labor • FTE reduction of 6.1-8.5 FTE Opportunity ($555K-$777K) • Operational

  9. Rebuttal to Recommendations • Timely response is essential • Involving your Chief Patient Care Officer & Patient Care Director • Backing from Decision Support

  10. Final Outcome • COO & DSS Key to Final Decision • Ideally, decisions and recommendations are based on good data • Education of COO/DSS to Respiratory Care operations is critical, particularly with limited information

  11. Lessons Learned • The initial objective of the consultation was to review patient flow, throughput processes….be wary • Assume that everything is open for review • Be prepared and have key operational data ready • Validate the information consultants are reviewing because their understanding of basic processes may not be completely accurate

  12. Today, how are we working with our outside consultants… • LEAN Projects • Non- labor initiatives • Patient Flow/throughput • Documentation • MAPS • CLAIRVIA • Productivity tools, scheduling, staffing

  13. Questions

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