Transcript Document

eTBA’s Philosophy To
e
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 hospitals across the country.
HEALTHCARE
SYSTEM
EXECUTIVE
INFORMATION
TOOLS
CLINICALLY
EXPERIENCED
OPERATIONS
CONSULTANTS
eTBA
EXECUTIVE
SOLUTIONS
EXTERNAL DATA
FROM COMPARABLE
HEALTHCARE SYSTEMS
Applications Standardization &
Diverse System Integration
e
Standard Clinical and Cost
Management Systems
Healthcare Information Network
Industry
Standard
Benchmarks
Product
Cost
Management
Standardized
Costing
System
Standard GL-Codes, Service Codes,
Fixed/Variable, and Cost Allocation
Matrixes
Labor
Fixed Variable
Segmentation Cost Matrix
Strategic Cost Modeling
Cost Management
Clinical Systems
Integrator
Microsoft & IBM
Standard
Architecture
Executive
Reporting
Matrix
Compliant
with
ODBC & SQL
Industry
Standards
Health System EIS
Data Repository
Industry
Standard Open
Architecture
Workstation
Clinical
Systems
Repository
Clinical Systems
Integrator
e
Patient
Accounting
Product Cost
Management
STANDARD
QUERY
LANGUAGE
A/R and Bad
Debt Masters
CLINICAL
SYSTEMS
INTEGRATOR
Microsoft Windows Open
Services Architecture
(WOSA), ODBC, & SQL
Industry Standards
Clinical
Systems
Clinical Decision
Support Data
OPEN
DATABASE
CONNECTIVITY
Product Cost
Management
e
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
e
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
e
Database Overview
CHARGE
MASTER
CODER
PROCEDURE
COSTING &
UTILIZATION
DATABASE
PROCEDURE
100%
PROCEDURE LEVEL
MATCH
PRICING
DATABASE
REVENUE MANAGEMENT
COST
MANAGEMENT
• Standard Cost Flow
Engines
• Comprehensive
Report Audits
• Design of
Homogeneous Labor
Segments
• Quantitative
Fixed/Variable Cost
Analysis
• Standardization of
Cost Management
Engines
• Analysis of Cost
Segments within
Procedure Costing
Database
• Comparison of
Hospital RVUs to
Industry Standard
RVUs
UTILIZATION MANAGEMENT
• Standardization of
Clinical Product
Lines
• Treatment Profile
Development
through Multi
Hospital Analysis
• Customized Drilldown in Procedure
Comparative
Database
• RESULT:
Statistically Valid
Clinical Treatment
Profiles
• Standard Procedure
Comparative
Database
• Comparative
Database Review
• Charge Master
Redesign
• Net Revenue
Realization and
Revenue Monitoring
• RESULT: Optimal
Charge Master
Structure and
Income Realization
Database Overview
(Input/Output)
e
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.
Cost Management
Products
e
Product
Cost
Management
Labor
Segmentation
Fixed/
Variable
Cost
Analysis
Strategic
Cost
Modeling
Trendstar
Decision
Support
Software
RVU
Development
Department
Cost
Management
e
Cost Management
Products
Sophisticated
Audit Report
Production and
Interpretation
Reconciliation of
Financial Statements
to Product Costing
System
Unique Cost
Flow Process
Complete
Departmental Revenue
Reconciliation
Product
Cost
Management
RESULT: Efficient Cost /
Revenue Flow and Audit
Production of
Executive Report Package
to Increase System
Credibility
Cost Management
Products
e
Use of Operationally
Correct Labor Equations
Ensures Model
Credibility
Foundation:
Homogeneous
Labor Segments
Utilization of Actual
Data as Baseline
Labor Segmentation
And
Fixed/Variable
Cost
Analysis
RESULT: Quantitative
Fixed/Variable Percentages
Automated Link
to PCM Engine
Cost Management
Products
e
PAYROLL SYSTEM
F
LABOR SEGMENTATION
RESULT:
Advanced Data Bases
Which Allow for Immediate
Isolation and Quantification
of Macro-Level Labor
Segments for Cost
Reduction
IXED/VARIABLE COST
ANALYSIS
RESULT:
Sophisticated
Fixed/Variable Percentages
Support both Short and
Long Range Variable Cost
Modeling Based on
Relevant Ranges of
Volume
Labor
Cost Management
e
LABOR POOL
LABOR SEGMENTATION
CORE
NON-CORE
OVERTIME
POLICY DRIVEN
VARIABLE
MINIMUM OR
TARGET
CORE
Conversion of fixed hours to variable hours
Increased productivity over time
Conversion of core to minimum core
Conversion of premium pay FTE's to standard
pay
VARIABLE
LABOR
POOL
RESULT: Greater Labor
Variability
e
Strategic
Planning
Targeted
Utilization
Management
Contract
Negotiation
Labor
Segment
Analysis
Strategic
Cost
Modeling
RESULT: Profit
Maximization
Cost
Reduction
Measurement