Operational Planning - Hospital Operations Effectiveness Services
In today’s healthcare environment, an institution’s commitment to provide safe, high-quality patient care must be matched with a corresponding commitment to develop, implement, measure, and achieve best business practices. Insufficient federal and state reimbursement levels, aggressive managed care contracting, increased patient responsibility for payment, increased capital needs and rising staff and operating costs make it more critical than ever that healthcare institutions exercise excellent stewardship of their resources.
The Sibery Group provides extensive support to management teams focused on achieving breakthrough results in financial, operational and clinical quality performance. We employ a unique approach that combines a traditional financial and operational efficiency improvement focus with an equally strong emphasis on improving clinical quality. By looking at all we do through a “clinical lens,” The Sibery Group successfully helps clients avoid many of the difficulties that often accompany traditional operations improvement work. Our approach features measurements, processes and systems that assure improvements are maintained and sustained. Our comprehensive database of improvement tools can be customized to meet clients’ needs.
The Sibery Group offers the following Operations Effectiveness Services:
- Comprehensive assessments
- Educational services
- Interim management
- Management of medical staff challenges
- Outsourcing solutions for key services
- Comprehensive “sustainable redirection” management services.
The following lists examples of areas where The Sibery Group has worked with clients to improve performance:
Clinical Quality/Service Delivery
- Unit Specific Assessments (Micro-systems)
- “Bottleneck” Area Patient Flow
- Assessments: ED, ICU, Surgery, Ancillary Services
- Clinical Guidelines/Order Set Compliance
- Clinical Outcome Benchmarking
- Level of Care/Site of Care Analysis
- Length of Stay/Utilization Review Analysis
- Clinical Competence and Appropriateness Review
- Turn Around Time in Key Areas
- Service and Satisfaction Indicators
- Quality and Performance Improvement Culture Review
- Medical Staff Services: Credentialing, Peer Review,
and Privileging - Risk Management
Operational Efficiency and Effectiveness
- Nurse to Patient Ratios by Unit
- Hours Worked Per Patient Day Analysis
- FTE’s Per Adjusted Discharge Review
- Administrative and Clinical Salary Benchmarking
- Nurse Agency and Overtime
- Utilization and Root Causes
- Outsourced Contract Review (ER Physicians, Pharmacy, Environmental Services, Nutrition Services, Detox, Psych, Other Clinical Programs, Information Technology and Security)
- Revenue and Expense Benchmarking
- Market Share Performance and Trends
- Management Operations Accountability Performance
Revenue Cycle Management
- Charge Capture Process and Effectiveness
- Time of Service Collection Policy and Compliance
- Billing Policies and Procedures
- Contractual Adjustments and Bad Debt Write-offs
- Managed Care Contracting Portfolio Analysis
- Days Revenue in Accounts Receivable
Financial Performance and Reporting
- Debt Capacity Calculation and Analysis
- Debt Covenants Review
- Cash Flow Schedule Review
- Vendor Relationship Review
- Departmental Monthly Variance Reporting and Follow-Up
- Executive Dashboard Reporting
- Employed Physician Value Proposition Review
- Financial Ratio Benchmarking
- Financial Education for Management Review
- Review of Long Term Operations, Information Technology and Capital Plans
- Grant and Fundraising Review and Evaluation
Institutional Leadership
- Governance Composition and Succession Planning
- Governance Evaluation Program Review
- Governance Education Programs
- Board Meeting Agenda Review and Evaluation
- Executive Team Roles and Accountability Review and Evaluation
- Medical Staff Composition, Criteria for Membership and Performance Review and Evaluation
- Nurse Leadership Evaluation