Download
1 / 21
210 likes | 436 Views
System Sustainability Action Plan. Leadership symposium – april 16, 2013. Utilization Increased Revenue Standard Operating Costs Clinical Labor Standardization Non-Clinical & Administrative Employee Benefits. System Sustainability Action Plan – Leadership Symposium.
E N D
System SustainabilityAction Plan Leadership symposium – april 16, 2013 Utilization Increased Revenue Standard Operating Costs Clinical Labor Standardization Non-Clinical & Administrative Employee Benefits
System Sustainability Action Plan – Leadership Symposium Storm Clouds for Health Care Transition to Bundled Payments Reimbursement Rates Decline Healthcare as % of GDP Aging Population Decreasing Inpatient Volumes Affordable Care Act Lower Financial Performance
System Sustainability Action Plan – Leadership Symposium How will this work? • Sustainability Sub-Committees • Utilization • Increased Revenue • Standard Operating Costs • Non-Clinical & Administrative • Employee Benefits • Clinical Labor Standardization
System Sustainability Action Plan – Leadership Symposium Utilization $10M Goal 2013 (Dr. Frownfelter, Dan Carpenter) MS-DRG Base Approach (“Top 5” ) Gather data for current performance Identify UnityPoint Health Top Quartile performance Review data and Top Quartile with Affinity Group Update Care Plans, Care Pathways and Order Sets to support “Best Practices” Create go to market bundled pricing for high volume MS-DRG’s Service Line Management Expand efforts from Top 5 MS-DRG to service lines Care Process Approach (Utilization of Blood Products) Build Dashboard of current performance Implement evidence based “Best Practice” Monitor & Coach to the “Best Practice”
System Sustainability Action Plan – Leadership Symposium Increased Revenue $20M Goal in 2013 (Michelle Niermann, Keith Seashore) What is Keeping Care in the System? As many services as can be delivered to patients are delivered via the health system More effective when coordinating care that is delivered within the system than outside it Shared electronic health information will improve continuity of care amongst affiliated providers Deliver the right care at the right time in the right setting
System Sustainability Action Plan – Leadership Symposium Increased Revenue $20M Goal in 2013 (cont.) (Michelle Niermann, Keith Seashore) Initiatives Clinical Referral Management Program Work with surgeons to have procedures done in UnityPoint Health facilities when UnityPoint Health patients are referred Direct communication with providers to remove access or other barriers Marketing campaigns to encourage staying within the system Use Wellmark and Medicare data for business development opportunities
System Sustainability Action Plan – Leadership Symposium Standard Operating Costs $25M Goal 2013 (Mark Johnson, Troy Martens) Reduce Supply Chain Costs Consolidate purchasing volume and contracts Streamline Pharmacy outlays Reduce costs for purchased services 340B Program Completed appropriate applications/contracts Implementing and evaluating Contract Pharmacy opportunities Bio-Med/Bio-Tech Program Coordinator in place Efforts underway around combined purchasing and maintenance contracts
System Sustainability Action Plan – Leadership Symposium Clinical Labor Standardization $12M Goal 2013 (Jean Doerge, Mike Dewerff) Leverage “Best Practice” from UnityPoint Health – Quad Cities and UnityPoint Health – Des Moines Match patient volumes to nursing skill sets Create schedules based on seasonality Build predictive model for hiring Generate patient placement rules Build complete care teams for units Expand beyond Nursing
System Sustainability – Leadership Symposium UnityPoint Health – Quad Cities SDM20/20™ Strategy Implementation of Nash hospital analytics
System Sustainability Action Plan – Leadership Symposium Why this is a sustainable approach
System Sustainability Action Plan – Leadership Symposium Nash Objectives
System Sustainability Action Plan – Leadership Symposium The SDM20/20™ strategy Monitor compliance with patient care models to guarantee availability of staff and validity of ratios to eliminate unforeseen financial results Develop placement rules that economically size units and make target censuses and patient ratios happen Build schedules at the top quartile of the aggregated census distribution to provide excellent staffing coverage and minimize the risk of premium pay Unit allocation for optimal patient aggregation and placement
System Sustainability Action Plan – Leadership Symposium Staffing plans drivenby clinical goals
System Sustainability Action Plan – Leadership Symposium Rock IslandTarget Staffing Compliance
System Sustainability Action Plan – Leadership Symposium Clinical Labor Standardization Summary Initial financial results show implementation produced savings in sync with expectations. Measures are linked to performance management system.Next steps are to ensure continuous improvement and initiate work on non- inpatient areas.
System Sustainability Action Plan – Leadership Symposium Non-Clinical & Administrative $25M Goal 2013 (Laura Smith, John Sheehan, Rob Quin) IT Sustainability Lower service maintenance costs Device mix and useful life Leverage technology Maximize Benefits for New Affiliates Create roadmap for transitions Execute UnityPoint Health – Peoria transition
System Sustainability Action Plan – Leadership Symposium Non-Clinical & Administrative $25M Goal 2013 (cont.) (Laura Smith, John Sheehan, Rob Quin) Legal/Compliance/Risk Consolidate Legal Services for immigration Build and deploy Enterprise Risk Management Plan Revenue Cycle Reduce costs/exposure to RAC Identify and leverage “Best Practices” for DNFB
System Sustainability Action Plan – Leadership Symposium Employee Benefits $10M Goal 2013 (Joyce McDanel, Greg Pagliuzza) Population Management of Health Plan Leverage ACO practices for Health Plan of UnityPoint Health Understand where/why Associates go for services outside of UnityPoint Health Build Regional Plan to keep costs within UnityPoint Health Streamline Benefits Across UnityPoint Health Identify differences Build and leverage “Best Practices”
