© HTS3 2015 | Page 1
Building Leaders – Transforming Hospitals – Improving Care
Building Skills for a Lean Culture in
Healthcare – Part 1
© HTS3 2015 | Page 2
Faith M Jones, MSN, RN, NEA-BC
Director of Care Coordination and Lean Consulting
Faith Jones began her healthcare career in the US Navy over 30 years ago. She has worked in a variety of roles in clinical practice, education, management, administration, consulting, and healthcare compliance. Her knowledge and experience spans various settings including ambulance, clinics, hospitals, home care,
and long term care. In her leadership roles she has been responsible for operational leadership for all clinical functions including multiple nursing specialties, pharmacy, laboratory, imaging, nutrition, therapies, as well as administrative functions related to quality management, case management, medical staff credentialing, staff education, and corporate compliance.
Sara Stanton Vice President, Business Development
Sara Stanton is responsible for marketing and business growth for both new and existing clients. She is a business development leader with over 15 years of experience in healthcare strategy, consulting, data analytics, and patient communications. Sara has worked with large provider organizations, community hospitals, regional health systems, national ASCs and specialty providers, and the largest IDN’s in the nation. This experience and exposure has given her a broad understanding of the American healthcare market and the initiatives, challenges, and mandates that hospital executives are facing. Stanton earned a BA in
Communication Studies from Baylor University.
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45 Years of Delivering Superior Results
Strategy – Solutions – Support
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• Turnaround
Strategy
• Financial
• Operations
• Corporate
Compliance
• Board
Development
•Regulatory Compliance and Accreditation Preparation
• Lean Process Improvement
•CHNA
• Gaffey Revenue Cycle Management
• CrossTX Population Health Platform
• Optimum Productivity
• Execuitve Recruiting
• Interim Executive Placements
• Mid-level and Specialty Placements
Formerly known as Brim
Healthcare we have a
45 year track record of
delivering superior
clinical & operating
results for our clients.
We believe that the combination of People, Process & Technology transforms healthcare & provides the required
results
Our Company
Our Executive Team
has experience in
managing hospitals
from multi-billion $
healthcare systems to
community hospitals
Our Team Our Mission
Management Placement Consulting Technology
Strategy – Solutions – Support
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Opex Categories
%
Revenue Cumulative
Salaries and Wages 41%
Fringe Benefits 10%
Contract Labor 2%
Total Labor Expense 53% 53%
Supply Expense 14% 67%
Purchased Services 9% 76%
Physicians Fees 4% 80%
* Data from HealthTechS3 Comparative Financial Benchmark Database
80% of Hospital Operating Expenses Fall into 4 Categories
Executive Search
Productivity
Management
Software
Benchmarking
Lean Projects
GPO Services
Cost Benchmarking
Lean SC Consulting
GPO Services
PPM Consulting
Physician Comp
Consulting
Increasing Efficiency/Reducing Waste Our Mission
Management Placement Consulting Technology
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HealthTechS3 is a trusted partner our hospitals. We are fair, honest, professional, and provide ongoing support. Integrity
HealthTechS3 has been around for 45 years and successfully navigated many hospitals through an ever changing healthcare market. Longevity
HealthTechS3 knows how to work with community hospitals and health systems to best leverage their assets and resources to serve their market and maintain independence.
Market
HealthTechS3 is flexible and affordable relative to many large national consulting firms who focus on strategic work and ideas rather than implementation and impact.
Value
HealthTechS3 is an award winning healthcare services company. We are a renowned management company with award winning hospitals, health systems and physician practices with CEOs of long tenure.
Performance
HealthTechS3 only has consultants with deep experience; Consultants are
former hospital leaders and executives, clinical resources are best in the industry.
Expertise
Who we are and what drives us?
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• HealthTechS3 – currently provides hospital management,
consulting, turnaround, supply chain management, and
professional and physician recruitment services to:
– More than 50 hospitals and health systems
nationwide
– Community hospitals, Critical Access hospitals,
district hospitals, non-profit hospitals
– Most operate physician clinics
– Net Revenue between $20M and $400M
– Business Partner Illinois Critical Access Hospital
Network (ICAHN)
– Preferred vendor with California Critical Access
Hospital Network and Texas Organization of
Rural and Community Hospitals
A Nationwide Client Base Management
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January 2015 Becker’s 50 Rural CEOs to Know • Nicole Clapp, Grant Regional Health Center
• John Gallagher, Sunnyside Community Hospital
• Chandler Ralph, Adirondack Health
• Phil Stuart, Tomah Memorial Hospital
April 2015 HealthStrong Top 100 Hospitals (iVantage Health Analytics)
• Barrett Hospital & Healthcare
• Carlinville Area Hospital
• Grant Regional Health Center
• Hammond-Henry Hospital
• Hillsboro Area Hospital
• Tomah Memorial Hospital
May 2015 Becker’s Top Hospitals for Physician Communication (scored 92% or higher) • Spooner Health System – score 94%
• Tri Valley Health System – score 93%
• Grant Regional Health Center - score 92%
June 2015 Becker’s 100 Great Community Hospitals • Adirondack Health
• Grant Regional Health Center
• Hammond-Henry Hospital
June 2015 Top 100 Critical Access Hospitals (iVantage Health Analytics)
• Barrett Hospital & Healthcare
• Hillsboro Area Hospital
• Tomah Memorial Hospital
July 2015 Most Wired Hospitals – Small & Rural (published H&HN magazine)
• Hammond-Henry Hospital
• Sunnyside Community Hospital
September 2015 Becker’s 50 CAH CEOs to Know • Nicole Clapp, Grant Regional Health Center
• Florence Spyrow, Hammond-Henry Hospital
• Ken Westman, Barrett Memorial Hospital
Client Recognition and Awards Management
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Strategy
Growth Strategy Market Positioning
Network Collaboration and Development
Physician Relations and Integration
Turnaround Strategy Financial and Operational
Restructuring
Risk Advisory
Creditor Consultancy
Transaction Advisory Merger Integration
Deal Structuring
Contract Analysis and Negotiations
ACO Transition Analysis
Payment Strategy Transitions
Financial Modeling
Capital Sourcing
Operations
Financial Budgeting/Financial
Planning
Capital Programs
Supply Chain
Labor Productivity
Managed Care Negotiations
Risk Advisory
Revenue Cycle
Business Office Consolidation
Clinical Documentation and Coding Reviews
Operations Lean Workflow Analysis and
Redesign
Patient Access, Throughput, Level of Care
Corporate Compliance
Clinical & Quality
Quality Improvement Quality Program Development
Clinical Process Redesign
Care and case Management Process
Benchmarking and Reporting
Regulatory Compliance and Accreditation Preparation
Survey Readiness
Plans of Correction
Public Reporting of Quality and safety Indicators
Evidence Bases care
Population Health Management
Care Coordination
Transitional Care Management
Governance &
Leadership
Board Advisory Education
Retreats
Hospital Governance Management
Licensing Advisory Services
Regulatory Strategy Development
Annual Report Preparation
Expert Led Solutions Consulting
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Developing a Lean Culture
“I can't overstate the value [lean] is providing. It not only benefits our staff
that has developed professionally, but also community members…the class
is focused on improving the Triple Aim for our patients.”
LEAN INSTRUCTOR NETWORK: 1
HOSPITAL FACILITIES: 13
ON-SITE INSTRUCTORS: 25 LEAN COURSES: 28
PARTICIPANTS/PROJECTS: 291
In 20 Months…
Projected Annualized Lean
Project Savings:
$7.6 MILLION
Reduced Process Variation
& Non Value Added Tasks =
Happier workers
Happier patients
Increased capacity for work
Lower operating costs
Consulting
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Finding The Right Leader
Peter Goodspeed leads our Executive Placement Services group.
With over 30 years experience Peter understands the unique
challenges of today’s hospitals. Whether finding a candidate for a
rural hospital or searching for a multi-hospital system, we focus on
your desired qualifications and specific needs. Services include:
Interim
Permanent
Executive Search Process
45 Years of Excellence
• HTS3 has been recruiting Senior
Executives for over 45 Years
• Our extensive understanding of
hospitals & healthcare helps us
find the right candidates for you.
Placement
Management Placement Consulting Technology
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33% Productivity Improvement
Proprietary billing & collections management platform
Total AR Mgmt. & Transparency
Complete Business
Intelligence and AR Management
Proven & Trusted Technology ■ 200+ Hospitals & Health Systems
■ 37 States
■ $ 14 Billion in Revenue Collected
■ 26 Years of Innovation
Industry Expertise ■ Leadership - RCM experts
■ Run our own CBO
■ We use all of our technology
■ Continually innovating
Predictable ROI
■ 1-4% Increase in NPR
■ 33% better productivity
■ 85%+ clean clams rate
■ 20% cost reduction
Unmatched Service ■ Active monitoring efficiency
■ Reduces cost of ownership
■ Improves your productivity
■ Creates Innovation Loop
Best
Technology
=
Best Results
Revenue Cycle - GAFFEY
www.GAFFEYHealth.com
Technology
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Technology Solutions that Target Key Areas of Pain
Revenue Attrition / Automation & Efficiency / Closed Loop Learning
Increase in Clean &
Complete Claims
Claims Management
Lack of Collection
Automation
AutoStatus
Poor Workflow &
Task Efficiency
AlphaCollector
Under Payment &
Revenue Integrity
Contract Calculator
Correct Patient
Information
Integrated Eligibility
Integrated Reporting
&
Process Insight
AlphaAnalytics
Revenue Cycle - GAFFEY Technology
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The Complete Solution.
The Optimum Productivity Enhancer program
provides you with the tools and support
services necessary to ensure your success in
addressing today’s productivity challenges.
For over 40 years, our experienced
Consulting Staff have been assisting hospitals
in developing sustainable financial
improvement solutions.
Optimize Productivity
Performance.
HealthTechS3 provides your managers,
supervisors and C-suite the
confirmation needed to accurately
calculate workload staffing and
appropriately adjust staffing on a
timely basis.
Productivity– Optimum Technology
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HealthTechS3 is a partner with CrossTX to bring a cloud based Care
Coordination Platform, Community Connect, to both independent and
affiliated physician groups.
This platform equips providers and care coordinators to plan, coordinate, track,
and document all care giver relationships and episodes of care according to
the CMS reimbursement requirements.
Community Connect Platform
Population Health : CrossTX Technology
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The estimated average approximate reimbursement is $42.60* per patient per month, which amounts to over $500 per year that your primary care providers are eligible to be
paid. With an average patient panel size of 3,2791 this can add substantial revenue to
your organization’s bottom line.
Patient Panel Size1 3,279
% of Panel on Medicare1 21.85%
Medicare Patients 716
% of Medicare patients CCM Eligible2 68.6%
Number of CCM Eligible Patients 491
Annual Billing for CCM Patient $511.20
Annual CCM Revenue Potential $250,999
Population Health : CrossTX Technology
Community Connect Platform
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Building Leaders – Transforming Hospitals – Improving Care
Building Skills for a Lean Culture in
Healthcare – Part 1
© HTS3 2015 | Page 18
The Right Tools for the Job
• Welcome
• 3 part series on building skills for a Lean Culture in Healthcare – Culture and Engagement - Today
– Power of Observation – February 9th
– The Patient Perspective – March 8th
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The BHIS (Better Health Improvement Specialist)
Background of a Lean Culture
http://www.healthtechs3.com/category/past-webinars/
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Agenda
• Definition of Culture
• Describing a Culture
• Culture Change
• Self Assessments
• Engagement
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Culture
What is it?
According to Merriam-Webster
Dictionary (2015), culture is defined as
“a way of thinking, behaving, or
working that exists in a place or
organization”
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Deeply understanding how work
currently happens is essential
before trying to fix it!
A Basic Tenet of Lean
22
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Lean: Simple Formula
Liberate the people who do the work to use
a proven method to look at what they do
with “new eyes” to identify elements of the
work that permit:
• Errors and delay in care/service
• Waste of resources
• Frustration in the workplace
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Instinct or Genius?
Quality Improvement is Everyone’s Job
• Assumption or Expectation?
• Communicated Clearly?
• Quality Improvement Education is Provided?
• Identified Process, Common Language, Tool?
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Describing Culture
• Culture is about people
• Values, Ideas, Ideals
• Behaviors
– Leadership
– Staff
• Impressions
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Describing Culture
• Do you have value statement?
• Behavioral expectation?
– Leadership
– Staff
• Impressions
– Yours?
– Others?
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Validation of the Culture
• Allows and expects every worker to
participate in improvement, in the
normal course of work
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Validation of the Culture
• Insures truth in understanding
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Validation of the Culture
• Captures potential flaws in
improvement
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Validation of the Culture
• Aligns culture and strategy
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Validation of the Culture
• Breeds mutual respect
• Make every effort to understand each other,
take responsibility and do the best to build
mutual trust
• Stimulate personal and professional growth, share development opportunities, and maximize individual and team performance
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Validation of the Culture
• Builds relationships
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Validation of the Culture
• Checks safety
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The BHIS (Better Health Improvement Specialist)
Culture Change
http://www.reply-mc.com/people/peter-drucker/
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The BHIS (Better Health Improvement Specialist)
Assessment
Disagree Somewhat Disagree
Somewhat Agree
Agree
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The BHIS (Better Health Improvement Specialist)
Engagement
Disagree Somewhat Disagree
Somewhat Agree
Agree
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Does Your Culture:
• Allow every worker to participate in the
improvement, in the course of normal
work
• Insure truth in understanding
• Capture potential flaws in improvement
• Align culture and strategy
• Breed mutual respect
• Build relationships
• Check for safety
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Understanding Your Culture
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Moving Forward
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Faith M Jones, MSN, RN, NEA-BC Director of Care Coordination & Lean Consulting Contact info:
cell-307.272.2207
Next Steps
1.Questions
2.Recording of Presentation may be
accessed and shared with your team
3.Join me next month when we discuss The Power of Observation
4.Contact me if you would like assistance
on your Lean Culture Journey