Transcript Document

e
COMPANY OVERVIEW
e
eTBA’s Philosophy To
Solutions
eTBA brings several areas of expertise together,
delivering the missing link in healthcare executive
information. Our firm integrates clinical operations
expertise, diverse software proficiency, and external
database sources to produce cost-effective executive
information solutions. Our turnkey solutions, which bring
about immediate and verifiable results, leverage the
sizable investment made in existing systems. eTBA
solutions have been tested and proven in major
healthcare systems across the country.
HEALTHCARE
SYSTEM
EXECUTIVE
INFORMATION
TOOLS
CLINICALLY
EXPERIENCED
OPERATIONS
CONSULTANTS
TBA
EXECUTIVE
SOLUTIONS
EXTERNAL DATA
FROM COMPARABLE
HOSPITALS
Representative
Listing of Clients
e
Hospital
Location
General Health, Inc.
St. Thomas Hospital
St. Mary's Medical Center
La Porte Hospital
Freeman Hospital
Children's National Medical Center
Providence Hospital
Welborn Baptist Hospital
Chestnut Hill Hospital
Santa Rosa Health Care Corporation
Baptist Hospital
Western Pennsylvania Hospital
Baton Rouge General Medical Center
Riverside Medical Center
Duncan Regional Hospital
Bishop Clarkson Memorial Hospital
All Children's Hospital
Orlando Regional Medical Center
Vermilion Hospital
St. Vincent's Hospital
Rapides Regional Medical Center
Providence Hospital
Northeast Georgia Medical Center
St. Joseph's Hospital
Medical Center East
Maury Regional Hospital
Mercy Hospital
Holmes Regional Medical Center
Cape Coral Hospital
Baptist Hospital
West Virginia University Hospital
Hermann Hospital
Middle Tennessee Medical Center
Boca Raton Community Hospital
North Broward Hospital District
University Medical Center
South Florida Baptist Hospital
Wuesthoff Memorial Hospital
South Miami Hospital
Lakeland Regional Medical Center
Bethesda Memorial Hospital
Memorial Medical Center
Naples Community Hospital
North Shore Medical Center
St. Anthony's Hospital
St. Francis Hospital
Cedars Medical Center
Good Samaritan Hospital
Baton Rouge, LA
Nashville, TN
Evansville, IN
La Porte, IN
Joplin, MO
Washington, DC
Mobile, AL
Evansville, IL
Philadelphia, PA
San Antonio, TX
Nashville, TN
Pittsburg, PA
Baton Rouge, LA
Kankakee, IL
Duncan, OK
Omaha, NE
St. Petersburg, FL
Orlando, FL
Lafayette, LA
Birmingham, AL
Alexandria, LA
Southfield, MI
Gainsville, GA
Atlanta, GA
Birmingham, AL
Columbia, TN
Miami, FL
Melbourne, FL
Cape Coral, FL
Miami, FL
Morgantown, WV
Houston, TX
Murfreesboro, TN
Boca Raton, FL
Ft. Lauderdale, FL
Jacksonville, FL
Plant City, FL
Rockledge, FL
Miami, FL
Lakeland, FL
Boynton Beach, FL
Jacksonville, FL
Naples, FL
Miami, FL
St. Petersburg, FL
Miami, FL
Miami, FL
West Palm Beach, FL
# of beds
450
570
552
227
175
279
349
407
210
780
759
542
450
348
152
325
168
1019
56
340
399
462
338
336
283
275
530
528
174
513
376
908
288
394
1400
517
147
303
178
897
362
363
420
357
434
273
585
343
e
Product Overview
Diverse Systems Integration embodies the current trends in
Healthcare Decision Support and Executive Information for
applications and structural standardization. Applications are
standardized by capturing data from diverse network
platforms in a customized EIS data repository completely
compliant with Microsoft and IBM database standards so
that end users may analyze data in a Windows environment
with a near zero learning curve. Structures such as charge
masters, management cost allocation matrixes, fixedvariable costing models, and labor segments are
standardized to provide proven cost and utilization
management solutions.
APPLICATION STANDARDIZATION
& DIVERSE SYSTEM INTEGRATION
Standard Clinical and Cost
Management Systems
Healthcare Information Network
Industry
Standard
Benchmarks
Standardized
Costing
System
Product
Cost
Management
Labor
Segmentation
Standard GL-Codes, Service Codes,
Fixed/Variable, and Cost Allocation
Matrixes
Fixed Variable
Cost Matrix
Strategic Cost Modeling
Cost Management
Microsoft & IBM
Standard
Architecture
Clinical
Systems
Integrator
Industry
Standard Open
Architecture
Executive
Reporting
Matrix
Compliant
with
ODBC & SQL
Industry
Standards
Health System EIS
Data Repository
Workstation
Clinical Systems
Repository
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Database Overview
PROCEDURE REVENUE AND USAGE DATA
CHARGE
MASTER
CODER
PROCEDURE
COSTING &
UTILIZATION
DATABASE
100%
PROCEDURE LEVEL
MATCH
PROCEDURE
PRICING
DATABASE
REVENUE MANAGEMENT
COST
MANAGEMENT
UTILIZATION MANAGEMENT
Database Overview
(Input/Output)
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INPUT



Data only accepted where common eTBA systems, methodologies, and
definitions are in place
Data integrity assured because common systems have been proven
over several years and many clients
Data is real world versus hypothetical should be
CHARGE
MASTER
CODER
PROCEDURE
COSTING &
UTILIZATION
DATABASE
100%
PROCEDURE LEVEL
MATCH
PROCEDURE
PRICING
DATABASE
OUTPUT



Ability to extract data by hospital groups such as region, hospital type,
and/or organization
Ability to produce homogeneous data samples by department, DRG,
product line, procedure, etc.
Ability to identify areas where performance is sub-par in relation to other
comparable hospitals and then address internally. In cooperative hospital
groups, identification may present the opportunity to investigate top
performing hospitals to learn of operational differences.
Charge Master
Standardization
Benefits
e
Quality
Assurance
Revenue
Management
Support
Services
Executive
Information
Management
Utilization
Management
Healthcare
Network
Cost Management
RESULT: Efficient and Profitable Provision of
Quality Healthcare Services to Large, More
Sophisticated Purchasers
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Charge Master
Standardization
Unit and
Product Cost
Pricing
Strategies
Hospital
Comparative
Analysis
Accounting and
Financial Reporting
Charge Master
Clinical Coding
and Reimbursement
Structural
Optimization
RESULT: Efficient Net Income Preservation
Through Cost and Revenue Management
Product Cost
Management
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General
Ledger
PCM
Executive
Reporting Module
Standardized
Charge Master
Other Remote
Systems
PRODUCT COST
MANAGEMENT
______________
1. General Ledger DBMS
2. Charge Master DBMS
Clinical Decision
Support System
Object Linking
and Embedding
Clinical Systems
Integrator
e
Patient
Accounting
Product Cost
Management
A/R and Bad
Debt Masters
CLINICAL
SYSTEMS
INTEGRATOR
______________
Clinical
Systems
Clinical Decision
Support Data
1. CSI DBMS
2. Charge Master DBMS
Oracle-Based
Coder
Object Linking
and Embedding
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Clinical Systems Integration
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What is Clinical
Systems Integration?
The ultimate goal of Clinical Systems Integration is to effectively analyze
the cost/profitability of product lines, managed care contracts, departments,
physicians, etc. The analysis of this information is dependent upon a
system that contains not only clinical information, but also accurate
financial (revenue and expense) data. The lack of accurate and audited
financial data within a clinical system is the most common reason for its
limited use or non-use.
Clinical System
Patient Accounting
eTBA's Clinical Systems Integrator (CSI) executes a consistent,
automated flow of appropriate patient accounting and clinical data from
diverse feeder systems that exist within the Healthcare Information
Network (HIN) into CSI's unique Relational Database Management
Engine. CSI's data standardization protocol then delivers output data to
Decision Support nodes throughout the HIN.
e
PCM ERM:
Executive Reporting
Module
If you already are a current PCM user, eTBA offers the PCM Executive
Reporting Module. ERM will make sure your current version of PCM is
running optimally, will allow you to diagnose your data sources if
financial variances are out of the norm, and will provide you and your
decision making executives with a monthly set of Executive Information
Reports. ERM is a fully relational Database Management System
(DBMS), which provides Object Linking and Embedding (OLE)
capabilities. Thus, the executive user can analyze ERM data in other
spreadsheet and/or database management systems.
Each report pack compares the hospital's financials to both G/L Based
and Clinical Decision Support Data in order to verify the integrity of your
cost. It also provides detailed cost/profit information by department, as
well as detailed fixed variable cost composition.
e
PCM:
A Part of the Engine
The Product Cost Management system supports any approach
for the allocation of cost into departments and procedures,
including RCCs, RVUs, standards and global statistics. Client
hospitals with PCM will rest assured that an efficient process will
continue to provide accurate product costing information.
Diverse Systems Integration
Industry
Standard RVU
Database
Product
Cost
Management
Standard
Charge Master
Structure
Procedure
Costing
Database
Labor
Segmentation
Fixed Variable
Analysis
Strategic Cost Modeling
Cost Management
Charge Master
Standardization
Procedure
Clinical
Utilization
Database
Quality, Utilization
Analysis
Procedure
Pricing
Database
Comparative
Database
Review
HCFA
Medicare
Claims
Database
Strategic
Price Modeling
Revenue Enhancement,
Competitive Pricing
Revenue
Monitoring
Systems
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Cost Management
Products
Along with PCM, a suite of other cost management products are
available from eTBA. Each product was developed as an
independent module offering immediate and multiple benefits to
client hospitals. Additionally, each module can be integrated
through a common Charge Master Standardization engine to
provide intra-hospital comparative and benchmarking capabilities
unmatched in the healthcare industry today. OSI takes the guess
work out of cost management.
Product
Cost
Management
Labor
Segmentation
Fixed/
Variable
Cost
Analysis
Strategic
Cost
Modeling
Healthcare
System's
Executive
Information
Tools
RVU
Development
Department
Cost
Management
e
Hospital
Location
General Health, Inc.
St. Thomas Hospital
St. Mary's Medical Center
La Porte Hospital
Freeman Hospital
Children's National Medical Center
Providence Hospital
Welborn Baptist Hospital
Chestnut Hill Hospital
Santa Rosa Health Care Corporation
Baptist Hospital
Western Pennsylvania Hospital
Baton Rouge General Medical Center
Riverside Medical Center
Duncan Regional Hospital
Bishop Clarkson Memorial Hospital
All Children's Hospital
Orlando Regional Medical Center
Vermilion Hospital
St. Vincent's Hospital
Rapides Regional Medical Center
Providence Hospital
Northeast Georgia Medical Center
St. Joseph's Hospital
Medical Center East
Maury Regional Hospital
Mercy Hospital
Holmes Regional Medical Center
Cape Coral Hospital
Baptist Hospital
West Virginia University Hospital
Hermann Hospital
Middle Tennessee Medical Center
Boca Raton Community Hospital
North Broward Hospital District
University Medical Center
South Florida Baptist Hospital
Wuesthoff Memorial Hospital
South Miami Hospital
Lakeland Regional Medical Center
Bethesda Memorial Hospital
Memorial Medical Center
Naples Community Hospital
North Shore Medical Center
St. Anthony's Hospital
St. Francis Hospital
Cedars Medical Center
Good Samaritan Hospital
Baton Rouge, LA
Nashville, TN
Evansville, IN
La Porte, IN
Joplin, MO
Washington, DC
Mobile, AL
Evansville, IL
Philadelphia, PA
San Antonio, TX
Nashville, TN
Pittsburg, PA
Baton Rouge, LA
Kankakee, IL
Duncan, OK
Omaha, NE
St. Petersburg, FL
Orlando, FL
Lafayette, LA
Birmingham, AL
Alexandria, LA
Southfield, MI
Gainsville, GA
Atlanta, GA
Birmingham, AL
Columbia, TN
Miami, FL
Melbourne, FL
Cape Coral, FL
Miami, FL
Morgantown, WV
Houston, TX
Murfreesboro, TN
Boca Raton, FL
Ft. Lauderdale, FL
Jacksonville, FL
Plant City, FL
Rockledge, FL
Miami, FL
Lakeland, FL
Boynton Beach, FL
Jacksonville, FL
Naples, FL
Miami, FL
St. Petersburg, FL
Miami, FL
Miami, FL
West Palm Beach, FL
# of Beds
450
570
552
227
175
279
349
407
210
780
759
542
450
348
152
325
168
1019
56
340
399
462
338
336
283
275
530
528
174
513
376
908
288
394
1400
517
147
303
178
897
362
363
420
357
434
273
585
343