A Standardized Master Surgical Procedure File – Patient-Centric Care & Revenue Management

The healthcare environment is frenetic with activity around the use of information systems and the ability to generate “big data” for purposes of discrete analysis of performance and cost. More and more health systems are converting to integrated EHR’s that cover the care continuum from the physician’s office to ambulatory or inpatient care facilities to include a portal for patient access to their own health records. Along the continuum is the need to effectively manage the surgical revenue cycle, analyze evidence-based care outcomes, and to publish the cost of delivering that care in an effort to compare results within or across health systems. At the perioperative level is the need to analyze cost and margin at the service line, surgeon and procedure level while contributing to the financial bottom line. How does a standardized master surgical procedure file relate to patient-centric care and management of the perioperative revenue cycle? Read more…

What to Expect When You are Expecting to Convert Your EHR

In the current world of population health management and value-based reimbursement models, many health systems are embarking on the conversion of their EHR as a major goal in reaching full integration and the ability to analyze clinical and financial performance. An EHR conversion has 2 simultaneous tracks (1. Legacy system support 2. Converting and implementing the new EHR) each requiring significant resources. In spite of the best project planning, the preparatory work needed for the overall success of each track is often overlooked, especially in high cost/high revenue departments such as Surgical Services. These highly visible and costly projects must be managed in a way that reflects the focused scrutiny that perioperative and other critical patient care areas should receive. Read more…

Part 2 – Communication vs. Collaboration: Creating a Patient Centric Perioperative Supply Chain Culture

The ability to successfully transition to the value-based reimbursement world depends on departmental strategic business plans that reflect the overall goals of the organization and consolidate the known strengths of your departmental contributions.

In a volume based environment, Supply Chain and Perioperative Services focus on their own goals and utilize linear communication to manage the intersections between the two cultures – Supply Chain concentrates on the organizational mandate to reduce cost and Perioperative Services on providing efficient quality patient care. Although these perspectives are generally aligned globally, the focus on departmental success tends to prioritize short term individual accomplishments instead of long range sustainable financial growth. Read more…

Communication vs. Collaboration: Implementing a Patient Centric Supply Chain

In today’s healthcare environment, communication and collaboration are not interchangeable. The differences between the two need to be understood to successfully transition to a Value Based Purchasing (VBP) environment.

Effective communication between Supply Chain & Perioperative Services professionals has been, and will continue to be, the cornerstone of initiatives to reduce surgical supply costs. Unfortunately, effective linear communication alone will not guarantee success in the future. Read more…

Complete Traceability Documentation of Flexible Endoscopes

In the past few years, there have been a significant number of patients affected with infections as a result of having gastrointestinal endoscopy procedures using unclean flexible endoscopes. In particular, duodenoscopes used in endoscopic retrograde cholangiopancreatography have set off a rash of sometimes deadly infections.

These tragic patient safety occurrences have resulted in a critical focus by regulatory agencies on the processes used to clean and sterilize flexible endoscopes at hospitals and outpatient clinics. It is now recommended that hospitals and health systems completely trace the use of each individual scope to each procedure, patient, provider and the related processes which were used to clean and sterilize each endoscope. Read more…