Hayes' Healthcare Blog

Implementing A New Compensation Plan: 5 Ways to Get Physician Buy-In

Posted by Don Michaels, Ph.D. on April 26, 2017 at 9:00 AM

By Dr. T. Christopher Windham, MD, FACS, Chief of Oncology, Cone Health Cancer Care and Don Michaels, Ph. D, Hayes Management Consulting

The move from fee-for-service to value-based care in the healthcare industry has been gaining momentum and its ultimate adoption is now a foregone conclusion. The question is no longer if the switch will be made, but when it will finally be a reality. The implementation of MACRA is a huge step down the value-based road and organizations are scrambling to meet the requirements of the new law.

Hospitals and physician practices are making major strategic and tactical changes to ensure they can survive in the new environment and increasingly that means determining physician compensation by means other than strict productivity. Healthcare IT vendors are trying to adapt their systems to meet the data collection and reporting needs of the new compensation plans. For both vendors and organizations, meeting these needs remains a challenge.

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Topics: physician compensation, value-based care

From Boardrooms to Exam Rooms: 4 Strategies to Enhance Frontline Engagement in Continuous Improvement

Posted by Henry Bernstein on April 19, 2017 at 9:00 AM

By Henry (Hank) Bernstein, DO, MHCM, FAAP, Professor of Pediatrics, Hofstra Northwell School of Medicine and Shannon Cleary, BA, Research Assistant, Cohen Children’s Medical Center of NY

It is well known that a key objective in the evolving healthcare landscape is improving outcomes. To meet that goal, many organizations are embracing the tenets of the Institute for Healthcare Improvement (IHI) Triple Aim – improving the health of populations, enhancing the patient experience, and reducing the cost of care.

Achieving success in these tenets requires implementing practice improvement. Traditionally, individual members of clinical teams haven’t been eager to participate in practice improvement programs, largely due to heavy clinical and administrative workloads. However, to accomplish meaningful, productive change, providers on the frontline must be involved in the development and implementation of any practice improvement initiative.

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Topics: physician training, improve patient satisfaction, Hayes Thought Leadership Blog Series

5 Reasons You Should Use an Independent Healthcare Expert for Clinical Optimization

Posted by Rena Hrivnak on April 12, 2017 at 9:00 AM

EHR technology has reached near universal adoption as organizations continue to invest in their IT environment. The clinical and business side of most healthcare organizations have adapted to the use of EHR’s and as resistance has melted away, there is a clamor to get even more utility from their systems. The general upheaval in the industry has also continued to shrink revenue and squeeze margins, leading organizations to launch cost savings initiatives across the board. Many look to their clinical systems to help them improve productivity, efficiency, and patient satisfaction to help drive revenue increases and trim costs.

Attaining those goals often leads to a clinical optimization program. Though worthwhile, these initiatives can often fall by the wayside or fail to get enough mind share because existing staff is tied up with day-to-day tasks that consume their time. Some organizations look to their EHR vendor to help but this can lead to a narrow, single solution view of potential improvements.

Often the best solution is bringing in an independent expert consultant who can help drive the optimization program and achieve tangible results. Here are five reasons you should consider an independent healthcare expert to help with your clinical optimization program.

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Topics: IT staff management, clinical optimization

Looking to Optimize Your Epic Revenue Cycle? Concentrate on These 4 Things

Posted by Karen Lilly Castle on April 5, 2017 at 9:00 AM

The healthcare industry continues to be in flux. The defeat of the Republican’s plan to repeal and replace the Affordable Care Act ensures that the status quo will continue. However, that status quo means a continuation of revenue reduction and pressure on margins. Meanwhile, the implementation of MACRA, the march to value-based care and a shift to alternative payment methods goes on.

All these factors ensure that revenue cycle optimization is more important than ever and organizations will continue to focus on plugging leaks, streamlining processes and implementing automations. Some of the biggest challenges include billing and collections errors, lack of claims process monitoring and insufficient staff training.

Epic’s end-to-end solution continues to attract new clients and is one of the fastest growing EHR applications in the industry. The comprehensive nature of the Epic solution makes it an attractive option, but the breadth of the platform makes it more critical that you ensure it is integrated properly in your organization. There are dozens of modules in the Epic offering, and they can sometimes be isolated in separate siloes. Without an effective integration plan, you may not see the results you need.

Focusing on these four key areas will help ensure you get the full benefits of your Epic solution.

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Topics: revenue cycle management, epic

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