With recent challenges, many mid-size hospitals are facing unexpected headwinds. This recent case study outlines an $18 million improvement after a rapid 6-month engagement following a $32 million in annualized improvements projection. Impact: - Identified $32 million in annualized improvements within 30 days of projections - Rapidly moved from assessment to implementation to generate ROI and cash flow within the first month of engagement - Realized $18.4 million in savings across workforce, revenue cycle, supply chain, clinical effectiveness, pharmacy, and physician enterprise workstreams within six months of project kick off - Achieved Rural Health Clinic status and Medicaid rate increases in just six months, immediately optimizing revenue #guidehouse #revenuecycle #revenuecyclemanagement
Justin Roepe, MHA’s Post
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Helping Healthcare Professionals build, maintain and save their private practice- Medical, Dental, Behavioral Health. RCM Auditor and Collector!
The struggle to prioritize consumer-centric care in hospitals is a poignant reminder of the ongoing shift needed in our healthcare system. It's evident that while progress has been made, there's still much ground to cover in truly putting patients at the center of care. This hits close to home for us at Medmax Technologies, LLC. We believe that every decision and action should revolve around meeting the needs and preferences of the individuals we serve. It's not just about tracking traditional metrics but understanding the intricacies of patient relationships and the reasons guiding their choices. From start to finish, we believe in putting patients front and center, every step of the way. https://lnkd.in/d2SfkH_j
Hospitals struggle to embrace consumer-centric care
medicaleconomics.com
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Marketing & Sales Expert, Pharma and Diagnostics | Open Innovation Leader | AI in Healthcare Specialist |
The Role of a CXO - Chief (or Clinicians) Experience Officer - The role of a Chief Experience Officer (CXO) in healthcare is becoming increasingly crucial, both in public and private sectors. As Keisha Mullings-Smith, CXO and Vice President at University of Chicago Medicine, aptly puts it: “We can build the best patient experience strategy, but if I haven’t touched on the caregiver side of things then that strategy will fall flat, even with the best intentions.” A CXO is responsible for the overall experiences of patients, families, and caregivers. This includes not only clinical care but also nonclinical factors of the healthcare environment such as cleanliness, noise level, and whether the environment promotes healing. The role of the CXO is about identifying and elevating the heterogeneous group of individuals we serve and appreciating them in a more intimate and personalized way with regard to their service needs. The CXO role is really about helping the organization understand the end-to-end journey for patients. It starts in advance of the first visit — how they know about us, why they’re attracted to our organization, and how we can make it easier for them to know about, understand and access our services — but it’s also about what happens after. In conclusion, the CXO plays a pivotal role in shaping the patient experience, ensuring that the voice of the patient is heard and acted upon. They are the bridge between the healthcare organization and the patients, ensuring that the care provided is not only top-notch but also resonates with the needs.
What Is a CXO, and How Has the Role Evolved in Healthcare?
healthtechmagazine.net
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🏥 Excited to share insights on enhancing hospital discharge velocity and reducing ED boarding! 🚀 In today's dynamic healthcare landscape, optimizing patient flow is paramount. Thrilled to delve into strategies for streamlining hospital discharge processes and mitigating ED boarding challenges. 🌐💡 Key Points: 1️⃣ **Collaboration is Key:** Foster seamless communication between departments to enhance coordination and ensure a smooth transition from discharge planning to execution. 2️⃣ **Leveraging Technology:** Embrace innovative solutions to automate and expedite discharge workflows. Technology can enhance efficiency, reduce errors, and provide real-time insights for better decision-making. 3️⃣ **Resource Allocation:** Strategically allocate resources, ensuring the right personnel are available to facilitate discharges promptly. This includes dedicated discharge coordinators and streamlined communication channels. 4️⃣ **Patient-Centered Approach:** Prioritize a patient-centric approach by involving patients and their families in the discharge planning process. Educate them on post-discharge care to minimize readmissions. 5️⃣ **ED Boarding Solutions:** Address ED boarding challenges by implementing targeted strategies such as optimizing bed utilization, enhancing triage processes, and fostering collaboration between ED and inpatient teams. Let's engage in a conversation! 🗣️ What strategies have you found effective in improving hospital discharge velocity and reducing ED boarding? Share your thoughts and experiences below! Together, we can drive positive change in healthcare delivery. 🌟💙 #HealthcareInnovation #PatientFlow #HospitalOperations #EmergencyMedicine #HealthcareLeadership #DischargeVelocity
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Creator of 'Health at Work & People' | Advisor in Design, GTM Strategies, & Metrics | Global & US Health, Employee Benefits, Insurance and Wellbeing | Harvard GHLP, MBA, Certified Brazilian Actuary (MIBA)
Is the pursuit of profit compromising patient care? A recent study by published at JAMA - 'Hospital Adverse Events and Patient Outcomes Associated With Private Equity (PE) Acquisition', brings this critical question to the forefront. While the general trends in PE acquisitions emphasize strategic growth and operational improvements, the specific findings of this study in the healthcare sector highlight potential risks and negative outcomes related to patient care. The study's findings urge us to rethink our approach in healthcare management. 1️⃣ The study reveals a concerning 25% increase in adverse events, such as surgical infections and bedsores, in hospitals acquired by private equity firms compared to those not acquired. 2️⃣ Alarmingly, there has been a surge in serious infections and patient falls in these hospitals, signaling a possible decline in hospital culture and the overall quality of care provided. 3️⃣ While the study notes a minor decrease in in-hospital mortality rates, this metric alone doesn't fully represent the sustainability of healthcare practices. It's important to consider broader aspects like the overall well-being of patients, the quality of ongoing care, and post-discharge health outcomes. 🔆Reflection Points 🔆 While private equity firms have transitioned from their earlier image as "asset strippers" towards focusing on strategic and operational improvements for enhancing value, the healthcare sector, particularly #hospitals acquired by private equity, displays a complex landscape with lots of opportunities for improvement. These hospitals often face challenges in balancing financial objectives with patient-centered care. The integration of advanced technologies like AI tools, electronic medical records, and coordinated care strategies, infused with a compassionate, patient-focused approach, is crucial. This approach advocates for a balanced focus on efficiency and quality of care in healthcare, emphasizing the need for a supportive environment for professionals, while urging private equity to align their strategies with the unique demands of patient care and safety. ⁉️ After reviewing the study results, I believe that it's important for healthcare consumers (you and I), and payers to reflect and to ask: When selecting healthcare providers or vendors, how do we evaluate if their ownership by private equity firms impacts the quality of patient care, and what strategies do these providers prioritize — cost-cutting efficiency or innovation, talent appreciation, and value-based care? 🔆 #health #healthcare #healthcarejobs #leadership #privateequity #hospitals #valuebasedcare
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When growing your provider practice, it is important to practice smart growth! As ambulatory care expands, it is pertinent to have the right provider, take care of the right patients, providing high-quality patient care. This is why APP leadership is imperative to assist in budgeting APP positions and understanding their scope of practice to optimize practice performance. We also will see shifts in our primary care and providers need the support and training to offer care in different modalities.
Vizient announces trends for providers to strategize in 2024
newsroom.vizientinc.com
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🗒 TLDR: we're big supporters of the new APCM structure from the '25 Physician Fee Schedule draft, here's our take on it. 👉 A few weeks ago, the CY 2025 PFS draft was released with some relatively notable changes in our virtual care and remote care markets. Lotta folks have hit the big themes already, but we’re extremely bullish on the new addition of Advanced Primary Care Management (APCM). At a macro level, our current initiatives at PatchRx are designed to: 1) increase efficiency in clinical work by integrating more and getting rid of so many disjointed point solutions and 2) push to develop workflows (and incentives) that assist patients not based on the time clinicians allocate but by the quality of care or the quality of data used to evaluate patients. If you’re constantly trying to meet time-based requirements, it doesn’t necessarily always serve the patient. Aside from the reimbursement for these codes, which I believe seriously underestimates the resources required to adopt many elements of the service, frankly, we see APCM as the best-designed care management model to date. Here’s what we like: ⭐ APCM maintains the effective components of CCM, like the centralized digital care plan, which dramatically improves data capture and quality for patients. ⭐ It moves away from time-based coding, which is massive – empowering care teams to build better workflows, draw insights, and recommend data-backed interventions with actual efficiency. ⭐ It centralizes an element of care management that’s been long underutilized in traditional FFS programs: population health and risk stratification, generally. Too often, great healthcare payment mechanisms like APCM are rendered untenable because advocates can’t supply a robust, data-driven justification for reimbursement during the comment period. We expect/hope that to be different here. 📣 If you are contemplating APCM and want to make the case to CMS in this comment period, we’d love to partner with you on the best way to do that. All credit here in this evaluation to our clinical strategy expert, Trajan McClintock. #CMS #healthcareinnovation
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Embrace the Power of Recommitment This May with 2Morrow Health Plus As we step into the spirit of National Recommitment Month this May, it's the perfect time to reflect on the goals and aspirations that drive us. For physicians, office managers, and practice administrators, recommitting to your practice and patients can pave the way for unprecedented growth and enhanced patient care. 2Morrow Health Plus is here to reignite that commitment, making it easier than ever to start or continue a Medicare program for Chronic Care Management (CCM) or Remote Patient Monitoring (RPM). We understand that the journey to integrating or reviving CCM or RPM services can seem daunting. That's precisely why 2Morrow Health Plus offers turnkey solutions designed to alleviate the burden, allowing you to focus on what you do best—caring for patients. Our services not only simplify the process but also unlock new avenues for practice revenue and elevate patient care to new heights. This National Recommitment Month, let's take a bold step together towards transforming patient care and boosting your practice's revenue. Discover how our comprehensive suite of services can make a difference for you and your Medicare patients. Visit us now at 2MHPlus.com and experience the seamless integration of CCM and RPM into your practice. Let's recommit to excellence, together. Join us in redefining healthcare—because at 2Morrow Health Plus, we believe in making your tomorrow healthier and more prosperous. #NationalRecommitmentMonth #PhysicianGrowth #PatientCare #CCM #RPM #2MorrowHealth #HealthcareInnovation #PracticeRevenueBoost
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Linking KPIs results to the Frontliners. In the dynamic environment of a hospital, where every decision can have profound impacts on patient care, the significance of utilizing available Key Performance Indicator data by frontline staff cannot be overstated. KPIs serve as a compass, guiding the hospital's navigation through the complex healthcare landscape. When frontline staff, the heartbeat of healthcare delivery, harness this data effectively, they ensure not only the optimization of hospital operations but also the enhancement of patient outcomes. A unified understanding of KPI results across the hospital fosters a culture of transparency, accountability, and continuous improvement. It aligns the efforts of diverse departments towards common goals, ensuring that from the emergency room to the recovery ward, every action is informed by data-driven insights. This coherence in understanding and application of KPIs transforms individual efforts into a concerted symphony, elevating the standard of care and driving the hospital towards its zenith of operational excellence and patient satisfaction. The engagement of frontline staff with KPI data is not just beneficial; it is imperative for the sustenance and growth of a hospital in today’s ever-evolving healthcare ecosystem.
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President at CareAllies – a Cigna company | Focused on connecting care between patients, providers, and payers through value-based care solutions
The three pitfalls noted in this column are absolutely valid. I would add two more – the first being not consulting with those who already have successful value-based programs in place. It is important to remember that many practices have already successfully made the transition to #valuebasedcare and are seeing results when fully and properly embraced – among them more efficient business operations and most importantly, improved patient health outcomes. Secondly, many practices try to take on too much themselves during the transition to value-based care. As with so many complex endeavors, it often saves time and resources to turn to experts who are well-versed in standing up value-based operations. Find a trusted partner to support you so your practice can focus more on patient care and your physicians can regain the joy of practicing medicine. HIT Consultant Media https://bit.ly/4ca9DVu
3 Pitfalls Hindering Your Success in Value-Based Care–and How To Avoid Them
hitconsultant.net
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Favorite insight from this Business of Primary Care episode: > For most physicians, their 'currency' (their motivation and happiness) comes from the respect and gratitude they receive from their patients. < see more👇 >> EXPERIENCE IS THE MULTIPLIER IN THE VALUE EQUATION AND INTEGRAL TO VALUE CREATION << Quality (patient outcomes) / Cost (total cost of care) X Experience >> EXPERIENCE OF ALL STAKEHOLDERS (providers, staff, patients) IS THE CATALYST TO ACCESS, ENGAGEMENT AND ADHERENCE << If they don’t have a good experience in what is happening in healthcare then, access will suffer, engagement will suffer, adherence to standards of care and treatment regimens will suffer >> RELATIONSHIP, GRATITUDE, RESPECT IS WHAT DRIVES PHYSICIANS, NOT CASH << How are we enabling a clinical environment that taps into the true motivators for physicians? >> ENABLING A DOCTOR TO BE THE DOCTOR THEY ALWAYS WANTED TO BE WILL IN TURN DRIVE BETTER VALUE BASED RESULTS << It will enable meaningful patient provider interactions, solves burnout, and brings joy back to medicine >> ENSURING PROVIDERS CAN WORK AT THE TOP OF THEIR LICENSE AND BUILD RELATIONSHIPS WITH PATIENTS IS THE KEY SUCCESS DRIVER FOR BOTH PROVIDER ENJOYMENT AND PATIENT EXCELLENCE << Value based care can provide the revenue stream, but change management and building the right framework is key to this to work as designed. Focus on processes and workflows aligned with relationships. >> IT IS SO CRUCIAL TO MAKE THE MOST OF THE TIME WITH THE PATIENT AT THE POINT OF CARE << Patients spend 99.9% of time outside the doctors office. Thus, it is so crucial to Make the most of the time while they are in front of you. Want to learn more about how Navina is enabling better workflows for physicians in value based care to accomplish everything above? READ latest AAFP study here: https://shorturl.at/luxBJ https://lnkd.in/eGAvtnEc #valuebasedcare #primarycare #physicianexperience #patientexperience
Infrastructure And Experience — Business of Primary Care
thebusinessofprimarycare.com
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8moWould love to know more !! Is easy to say that you identified $18m in saving Amazing you identified and realized $18 m Strong work