cbo consortium evolution of best practice sharing
Download
Skip this Video
Download Presentation
CBO Consortium-Evolution of Best Practice Sharing

Loading in 2 Seconds...

play fullscreen
1 / 9

CBO Consortium-Evolution of Best Practice Sharing - PowerPoint PPT Presentation


  • 104 Views
  • Uploaded on

CBO Consortium-Evolution of Best Practice Sharing. Jim Schwamb, BayCare Health Systems Thomas Yoesle, Orlando Health . Large Health System CBO Consortium. Formed 2004 with support of PwC Dynamic survey of industry KPIs Membership Requirements One billion in net revenue Operating CBO

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' CBO Consortium-Evolution of Best Practice Sharing' - said


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
cbo consortium evolution of best practice sharing

CBO Consortium-Evolution of Best Practice Sharing

Jim Schwamb, BayCare Health Systems

Thomas Yoesle, Orlando Health

large health system cbo consortium
Large Health System CBO Consortium
  • 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
slide3
Why?
  • 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”
membership
Membership
  • 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).
typical meeting agenda
Typical Meeting Agenda
  • 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
    • Who 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?

typical meeting agenda cont
Typical Meeting Agenda (cont.)
  • 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
kpi benchmarks
KPI Benchmarks
  • 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
new challenges
New Challenges
  • 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
lessons learned
Lessons Learned
  • 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”
ad