Operational Excellence / en Fri, 25 Apr 2025 22:50:18 -0500 Tue, 22 Apr 25 06:15:00 -0500 Jim Hinton, CEO of Baylor Scott & White Health, on a concerted approach to affordability /news/videos/2018-01-05-jim-hinton-ceo-baylor-scott-white-health-concerted-approach-affordability <div class="hs-responsive-embed-youtube"></div> <div class="hs-responsive-embed-youtube"> </div> Fri, 05 Jan 2018 05:49:58 -0600 Operational Excellence How to Unleash the Power of Health-Related Social Needs Data /aha-center-health-innovation-market-scan/2025-04-22-how-unleash-power-health-related-social-needs-data <div class="container"><div class="row"><div class="col-md-8"><img src="/sites/default/files/inline-images/How-to-Unleash-the-Power-of-Health-Related-Social-Needs-Data_0.png" data-entity-uuid="721ea50f-f258-434c-98ff-41f6690b032f" data-entity-type="file" alt="How to Unleash the Power of Health-Related Social Needs Data. Trailblazers report. Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs. Download the report." width="100%" height="100%"><p>Capturing health-related social needs (HRSN) data effectively and efficiently helps provider organizations leverage these data to meet the Quadruple Aim objectives: enhancing the patient experience, improving population health, reducing costs and improving the work life of health care providers.</p><p>Connecting patients with the resources they need to experience better health outcomes is a vital part of the HRSN screening process. With the right technology and resources, hospitals and health systems can identify inefficiencies and close gaps that could challenge the successful conclusion of that journey.</p><p>A new AHA Market Scan Trailblazers report, <a href="/aha-center-health-innovation-market-scan/2025-04-21-driving-drivers">“Driving the Drivers,”</a> explores how providers can leverage technology and workflow optimization to improve HRSN screening and connect patients with resources to address their health-related social needs.</p><h2>Personalize Care Connections</h2><p>Deploying enterprise technology that scales across the entire health system can connect patients with the right social network programs and resources and aid in tracking low-risk, rising-risk and high-risk populations. Key benefits of this approach include:</p><ul><li><strong>Send and track closed-loop referrals from start to finish to see whether patients obtained services.</strong></li><li><strong>Share personalized resource lists with patients, giving them easy access to the support they need.</strong></li><li><strong>Find and share tailored resources that meet each patient’s unique care needs.</strong></li></ul><p>By integrating HRSN data into electronic health records (EHRs), providers can identify patterns and trends at scale across communities that may not be immediately evident when considering individual medical data alone.</p><p>Overall, EHR and HRSN data integration support a holistic approach to health care. This empowers organizations across the care continuum to address population health challenges at a systemic level. By recognizing and responding to HRSN efficiently, proactively and at scale, providers can reduce health care costs and better manage population health outcomes.</p><h2>Standardize HRSN Data Management</h2><p>New Mexico-based Presbyterian Healthcare Services (PHS) has standardized its approach to automating HRSN screening, reaping multifold benefits in the process.</p><p>Toni Grinstead, health equity consultant and senior program manager for community health, oversees Presbyterian’s initiatives to address social drivers of health, including an automated health-related social needs screening workflow. Leigh Caswell, vice president for community and health equity, oversees the network’s community health worker team and its social needs screening and referral work.</p><p>Before automating the HRSN screening process, Grinstead and Caswell describe the health system’s approach as “scattershot.”</p><p>Some of PHS’ clinic sites still used paper, rather than their EHR tool, to screen patients. That created a twofold data entry problem. Clinicians or support staff sometimes would enter data inaccurately into the EHR system or not at all if paper screens went missing. Other challenges included the lack of standardized workflows to screen all patients across all settings and the lack of integrated screening results into the EHR system and each patient’s EHR.</p><h2>Harness the Power of HRSN Data</h2><p>With PHS conducting more than 1.5 million HRSN screenings annually across nine hospitals, 40 primary or specialty clinics and five urgent care centers, effectively managing these data became critically important.</p><p>In early 2024, PHS migrated to an automated approach to managing HRSN screening data. Three systems — HRSN screening, EHR and portal — now work in concert to power the HRSN screening process as part of routine health care. This approach eliminated paper screenings, standardized screening workflows across care sites and integrated patients’ HRSN screening data into their EHRs and patient portals.</p><p>“Having technology support our [HRSN] efforts is really powerful. We know a lot more about what our communities need. We know a lot more about what resources exist in our communities. Now we can use those data to influence policy and investment at the state level and at the local level,” Caswell says.</p><p>Patients now can answer HRSN screening questions through the patient portal before scheduled visits, eliminating that responsibility from busy clinicians and clinical support staff. Screening workflows now are standard across all sites of care.</p><p>PHS asks 12 questions in eight HRSN domains: housing, food, transportation, utilities, interpersonal violence, alcohol use, substance use and tobacco use. Screening results now appear directly in patients’ records, enabling the care team to determine if patients are experiencing a social need. If so, the system automatically generates a list of recommended resources in patients’ after-visit summaries directly within the EHR.</p><p>“Because everything is interoperable, the technology allows us to screen patients every six months, and every person who interacts with that patient has access to those data,” Grinstead says. “Patients [and caregivers] don’t have to answer the same questions over and over again during an episode of care. That improves the patient experience and the caregiver experience.”</p><p><a href="/aha-center-health-innovation-market-scan/2025-04-21-driving-drivers"><strong>Download the full Trailblazers report</strong></a> to learn more about the power of automating the HRSN screening and data management process and explore how Yale New Haven Health has improved its workflow efficiency.</p></div><div class="col-md-4"><p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" alt="AHA Center for Health Innovation logo" width="721" height="130" data-entity- type="file" class="align-center"></a></p><p><a href="/center/form/innovation-subscription"><img src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png" data-entity-uuid data-entity-type alt width="360" height="300"></a></p></div></div></div>.field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } h2 { color: #9d2235; } Tue, 22 Apr 2025 06:15:00 -0500 Operational Excellence Driving the Drivers /aha-center-health-innovation-market-scan/2025-04-21-driving-drivers <div class="raw-html-embed"> </div><div> /* Banner_Title_Overlay_Bar */ .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 25px auto; } .Banner_Title_Overlay_Bar h1 { position: absolute; bottom: 40px; color: #003087; background-color: rgba(255, 255, 255, .8); width: 100%; padding: 20px 40px; font-size: 3em; box-shadow: 0 3px 8px -5px rgba(0, 0, 0, .6); } @media (max-width:991px) { .Banner_Title_Overlay_Bar h1 { bottom: 0px; margin: 0px; font-size: 2.5em; } } @media (max-width:767px) { .Banner_Title_Overlay_Bar h1 { font-size: 2em; text-align: center; text-indent: 0px; padding: 10px 20px; } } @media (max-width:530px) { .Banner_Title_Overlay_Bar h1 { position: relative; background-color: #63666A22; } } /* Banner_Title_Overlay_Bar // */ <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2024-01/Trailblazers_Amazon_banner_1170x250.png" alt="Cover of Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs" width="1168" height="250"><div><h1>Driving the Drivers</h1></div></header></div> h2{ margin-top: 0px; } p.center_Intro { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 25px 0; font-weight: 700; font-size: 2em; } p.center_Lead { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 21px; } <div class="row"><div class="col-sm-8"><h2>How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs.</h2><p>Addressing a patient’s social care needs can be a challenging journey for hospitals and health systems. It begins with screening a patient for health-related social needs (HRSN) and, ideally, ends with the patient being connected to the resources they need to experience better health outcomes.</p><p>How can hospitals and health systems reduce those gaps in the HRSN journey for themselves, their clinicians, their staff and, most importantly, their patients and communities? Technology-driven automation is the answer.</p><p>Screening patients for HRSN needs and using those data hit the four targets in the Quadruple Aim. It’s the people who use technology-driven automation to improve SDOH screening processes and measure the results. These results enhance patient experience, improve population health, reduce costs and improve the work life of health care providers.</p><div class="row"><div class="col-sm-12"><p><strong>Sponsored by:</strong><a href="https://uniteus.com/" target="_blank" title="UniteUs"><strong><img src="/sites/default/files/2020-05/Logo_UniteUs_834x313.jpg" alt="UniteUs logo" width="834" height="313"></strong></a></p></div></div></div><div class="col-sm-4"><img src="/sites/default/files/2024-01/Trailblazers_logo-924x265.png" alt="TrailBlazers" width="100%" height="100%"><p><br><a href="#DownloadNow" title="Download, Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs"><img src="/sites/default/files/2025-04/Traiblazers_UniteUs_cover_777x600.png" alt="Cover, Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs" width="100%" height="100%"> </a><br><a class="btn btn-primary" href="#DownloadNow" title="Download, Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs">Download</a></p></div></div> .y-hr3 div:nth-child(2) { border-top: solid 15px #67c1c3; margin: 50px 0px; height: 0px; <div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div><div class="row"><div class="col-sm-4"><img src="/sites/default/files/2025-04/Trailblazers_UniteUs_FirstSection_700x1064.png" alt="Illustration of various types of people walking around" width="100%" height="100%"></div><div class="col-sm-8"><h2>Capitalizing on Opportunities</h2><p>Technology-driven automation can help provider organizations capitalize on these opportunities in the following ways:</p><ul><li><strong>Enhanced Patient Experience:</strong> <br>Screening allows health care providers to understand the patient’s full context and tailor care accordingly, leading to a more patient-centered approach.</li><li><strong>Improved Patient Outcomes:</strong> <br>By identifying and addressing social needs, health care providers can help patients overcome barriers to accessing care and improving their health.</li><li><strong>Reduced Health Care Costs:</strong> <br>Addressing social needs can prevent unnecessary hospitalizations and emergency department visits, ultimately reducing health care costs.</li><li><strong>Strengthened Community Partnerships:</strong> <br>Screening initiatives can help hospitals build relationships with community organizations, creating a network of resources to support patients’ needs.</li></ul><p><a href="#DownloadNow" title="Download, Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs"><strong>READ MORE.</strong></a></p></div></div><div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div><div class="row"><div class="col-sm-4"><img src="/sites/default/files/2025-04/Trailblazers_UniteUs_Presbyterian_700x532.png" alt="Exterior of Presbyterian Healthcare Services" width="700" height="532"></div><div class="col-sm-8"><h2>Case Study: Presbyterian Healthcare Services</h2><h3>From ‘Scattershot’ to Standardized</h3><p>In 2018, PHS adopted the screening system and used it for the accountable health communities project before scaling up to systemwide screening and integrating it into the EHR in 2021. In early 2024, PHS migrated to Unite Us. The three systems — HRSN screening, EHR and portal — now work in concert to power the HRSN screening process as part of routine health care. This approach eliminated paper screenings, standardized screening workflows across care sites, and integrated patients’ HRSN screening data into their EHRs and patient portals.</p><p><a href="#DownloadNow" title="Download, Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs"><strong>READ MORE.</strong></a></p></div></div><div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div><div class="row"><div class="col-sm-4"><img src="/sites/default/files/2025-04/Trailblazers_UniteUs_Yale_NewHaven_700x532.png" alt="Exterior of Yale New Haven Health" width="700" height="532"></div><div class="col-sm-8"><h2>Case Study: Yale New Haven Health</h2><h3>Willingness Replaces Hesitancy</h3><p>In 2020, YNHH implemented the automated social referral platform from Unite Us, a New York-based technology company. This was paired with improved workflows within the EHR. The move turned hesitancy into willingness for each of the system’s challenges. Patients now can complete their HRSN screening questions in their homes through the patient portals. They can do it on their smartphones, tablets, laptops, in kiosks at check-in, and by clinicians and support staff in any inpatient or outpatient setting before, during or after a visit.</p><p><a href="#DownloadNow" title="Download, Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs"><strong>READ MORE.</strong></a></p></div></div><div> .SponsorMarketoForm { background-color: ; padding:5px 25px; border: solid 2px #307FE2; margin:50px 15px 0px !important; display:inline-block; width:100%; } .SponsorMarketoForm h3{ margin:10x 0 0 0 ; color:#eaaa00; font-size:.7em; text-transform:uppercase; font-weight:400; letter-spacing:3px; max-width:200px; /* Custom for the copy length */ background-color:#fff; padding: 5px 15px; position:relative; top:-35px; height: 0px; } .SponsorMarketoForm h2{ color: #002855; } .SponsorMarketoForm .SponsorMarketoFormHolder{ background-color: ; padding:15px; display: inline-block; margin-bottom:25px; } .SponsorMarketoFormHolder form{ margin: auto; } @media (max-width:640px){ .SponsorMarketoForm { padding:5px 0px; } .SponsorMarketoForm .SponsorMarketoFormHolder{ padding:15px 0px; } } /* Marketo Over-ride */ .mktoForm .mktoFormRow:nth-child(3){ float: left; } /*Center the last row .mktoForm .mktoFormRow:nth-child(4){ margin-left:15%; } */ .mktoForm label{ font-size: 0px; width: 0px !important; } .mktoForm input{ height: 30px } .mktoForm .mktoButtonRow{ float: left; } .mktoForm .mktoButtonWrap { margin-left:20px !important; } .mktoForm .mktoButton { background-color: #307FE2 !important; border: 1px solid #307FE2 !important; color: #fff !important; padding: 0.4em 1em; font-size: 1em; background-image: none !important; min-width: 190px; margin: 0 15px; border-radius: 4px; padding: 10px 20px; transition: all .25s ease-in-out; text-shadow: none; white-space: normal; height: 30px; font-weight: 700 } .mktoForm .mktoButton:hover{ background-color: #002855 !important; border: 1px solid #002855 !important; color: #fff !important; } .mktoForm .mktoClear { clear: none; } <div class="row spacer" id="DownloadNow"><div><div class="col-md-1"> </div><div class="col-md-10"><div class="cta--image-container full_width SponsorMarketoForm"><h3>Download Now</h3><div class="col-md-9"><h2>Driving the Drivers</h2><div class="SponsorMarketoFormHolder">   MktoForms2.loadForm("//sponsors.aha.org", "710-ZLL-651", 3641); MktoForms2.whenReady(function(form) { if (form.getId() == 3641) { form.onSuccess(function(values, followUpUrl) { form.getFormElem().hide(); document.getElementById("successAndErrorMessages").innerHTML = "<div><p>Thank you for downloading the latest AHA Trailblazers.<\/p><a class='btn btn-wide btn-primary' data-view-context='top-level-view' href='https:\/\/www.aha.org\/system\/files\/media\/file\/2025\/04\/Trailblazers_UniteUs.pdf' target='_blank' rel='noopener noreferrer nofollow'>Download the Report<\/a><\/center><\/div>"; return false; }); }; }); <div id="successAndErrorMessages"> </div></div></div><div class="col-md-3"><img src="/sites/default/files/2025-04/Traiblazers_UniteUs_cover_777x600.png" alt="Cover of Driving the Drivers: How hospitals and health systems can leverage technology and workflow optimization to address health-related social needs" width="600" height="777"></div></div></div><div class="col-md-1"> </div></div></div></div> Fri, 11 Apr 2025 09:57:37 -0500 Operational Excellence Generative AI Market in Health Care Gains Momentum /aha-center-health-innovation-market-scan/2025-03-25-generative-ai-market-health-care-gains-momentum <div class="container"><div class="row"><div class="col-md-8"><img src="/sites/default/files/inline-images/Generative-AI-Market-in-Health-Care-Gains-Momentum.png" data-entity-uuid="38d72b46-1ff8-419e-86c3-250e5045902b" data-entity-type="file" alt="Generative AI Market in Health Care Gains Momentum. A flowchart made of white tiles leading to Generative AI." width="1200" height="677"><p>Staffing shortages, rising costs, efforts to reduce administrative burden on clinicians and other factors are leading many health care providers to generative artificial intelligence (AI) solutions.</p><p>These solutions address providers’ concerns by boosting the speed and accuracy of key workflows, improving the efficiency of high-volume tasks while reducing the workload for overburdened staff, notes a recent <a href="https://www.cbinsights.com/research/generative-ai-healthcare-life-sciences-market-map/" target="_blank" title="CB Insights: The generative AI in healthcare and life sciences market map">CB Insights report</a>.</p><p>The health care field is responding positively to this potential. A recent Gradient Flow survey covering generative AI in health care revealed that 65% of respondents are actively considering or implementing generative AI solutions.</p><p>To identify market opportunities, CB Insights analyzed the landscape and mapped 87 health care and life sciences companies with generative AI products across 20 markets.</p><h2>3 Key Insights from the Report</h2><h3><span>1</span> <span>|</span> Investors and health systems are betting on generative AI to solve costly provider workflow inefficiencies.</h3><p>Clinical documentation startups secured four of health care’s five largest generative AI deals last year while simultaneously gaining significant commercial traction. For example, <a href="https://www.abridge.com/" target="_blank" title="Abridge homepage">Abridge</a> partnered with more than 12 health systems, including Mayo Clinic and Kaiser Permanente, while Ambience Healthcare worked with Alpine Physician Partners to reduce daily charting time by 74%, the report states.</p><p>Abridge completed the largest deal — a $150 million Series C round — and followed this with a $250 million Series D deal just last month. Abridge also established business relationships with more than a dozen health systems in 2024 alone, and it has continued to expand its network this year, working with Duke Health, UNC Health and Inova Health Systems so far.</p><h3><span>2</span> <span>|</span> Specialized AI models, powered by advanced clinical reasoning and domain-specific knowledge, demonstrate higher accuracy in health care workflows.</h3><p>Health care technology companies are taking an interest in this specialized approach to extract more accurate insights across their datasets and develop new features to help providers elevate their operational efficiency. For example, in February 2024, <a href="https://veradigm.com/" target="_blank" title="Veradigm homepage">Veradigm</a> announced that it would acquire health care LLM developer <a href="https://www.science.io/" target="_blank" title="ScienceIO homepage">ScienceIO</a> to gain intelligence from its own provider and patient data and, as a result, enhance AI features for its customers.</p><h3><span>3</span> <span>|</span> Drug development is poised to accelerate as generative AI discovery platforms secure major deals.</h3><p>Four of the top five generative AI deals in life sciences last year went to drug discovery startups, two of which are generative chemistry platforms (<a href="https://www.terraytx.com/" target="_blank" title="Terray Therapeutics homepage">Terray Therapeutics</a> and <a href="https://superluminalrx.com/" target="_blank" title="Superluminal Medicines homepage">Superluminal Medicines</a>). These platforms leverage generative AI to rapidly design new compounds and plan efficient synthetic routes, significantly speeding up the identification of viable drug candidates. This positions them as technological front-runners in the race to revolutionize drug discovery, the report notes.</p></div><div class="col-md-4"><p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" alt="AHA Center for Health Innovation logo" width="721" height="130" data-entity- type="file" class="align-center"></a></p><p><a href="/center/form/innovation-subscription"><img src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png" data-entity-uuid data-entity-type alt width="360" height="300"></a></p></div></div></div>.field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } h2 { color: #9d2235; } Tue, 25 Mar 2025 06:00:00 -0500 Operational Excellence The Resilient Health System Operating Model /member-knowledge-exchange/2024-12-11/resilient-health-system-operating-model <div> </div>header.jumbotron {display:none} <div> /* center_body */ .center_body { /*margin-top:50px;*/ /* margin-bottom: 50px;*/ } .center_body h3 {} .center_body p { font-size: 16px } p.center_Intro { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 25px 0; font-weight: 700; font-size: 2em; } @media (max-width:768px) { p.center_Intro { line-height: 1.2em; font-size: 23px; font-size: 1.45em; } } .center_body .center_Lead { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 21px; } /* center_body // */ /* Banner_Title_Overlay_Bar */ .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 25px auto; } .Banner_Title_Overlay_Bar h1 { position: absolute; bottom: 40px; color: #003087; background-color: rgba(255, 255, 255, .8); width: 100%; padding: 20px 40px; font-size: 3em; box-shadow: 0 3px 8px -5px rgba(0, 0, 0, .6); } @media (max-width:991px) { .Banner_Title_Overlay_Bar h1 { bottom: 0px; margin: 0px; font-size: 2.5em; } } @media (max-width:767px) { .Banner_Title_Overlay_Bar h1 { font-size: 2em; text-align: center; text-indent: 0px; padding: 10px 20px; } } @media (max-width:530px) { .Banner_Title_Overlay_Bar h1 { position: relative; background-color: #63666A22; } } /* Banner_Title_Overlay_Bar // */ <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2024-12/VED_Accenture_Governance_banner_1170x250.png" alt="Banner Image" width="1170" height="250"><div><h1>The Resilient Health System Operating Model</h1></div></header>/* CntMenuSub */ .CntMenuSub{ margin:20px 0px; padding-bottom: 5px; color: #afb1b1; letter-spacing: 1.5px; font-weight: 400; font-size: .7em; } .CntMenuSub .CntMenuBar{ border-bottom: 1px solid lightblue; } .CntMenuSub .CntMenuBar a:after{ content: "|"; padding: 0 3px 0 6px; color: #555; } .CntMenuSub .CntMenuBar a:last-child:after{ content: ""; } .CntMenuSub .CntMenuSubHome, .CntMenuSub .CntMenuSubParent{ text-transform: uppercase; color: #555; opacity: .9; } .CntMenuSub .CntMenuSubParent{ } .CntMenuSub .CntMenuSubChild{ } .CntMenuSub .CntMenuSubCurrent{ opacity: .7; } .CntMenuSub .CntMenuSubHome:hover, .CntMenuSub .CntMenuSubParent:hover{ text-transform: uppercase; color: #d50032; } /* CntMenuSub // */ <div class="container CntMenuSub"><div class="col-md-1"> </div><div class="col-md-10 row CntMenuBar"><a class="CntMenuSubHome" href="/education-events/aha-virtual-executive-dialogues">AHA Knowledge Exchange</a> <span class="CntMenuSubChild" id="CntMenuSubChild">The Resilient Health System Operating Model</span></div><div class="col-md-1"> </div></div><div class="row spacer"><div class="col-sm-3"><div><a href="/system/files/media/file/2024/12/ke-accenture-resilient-health-system-operating-model.pdf" target="_blank"><img src="/sites/default/files/2024-12/VED_Accenture_Governance_cover_910x1220.jpg" alt="AHA Knowledge Exchange | The Resilient Health System Operating Model" width="100%" height="100%"></a></div></div><div class="col-sm-9 center_body">.sponsortype { color: #9d2235; font-size: 1.5em; margin: 0px; font-weight: 700; } <p class="sponsortype">AHA Knowledge Exchange</p> Intro.............. </p> --> xxxxxx </p> --><h2>Organizational strategies and new avenues for value creation in health care</h2><p>Health care systems are facing the leadership challenge of navigating between the benefits of scale and the added operational complexities that can come with size. The pandemic fundamentally altered consumer behavior and expectations while reshaping traditional health care service delivery models. Large systems can experience delays in decision-making amid layers of review and internal deliberations. Add to this the entry of nontraditional provider competitors and technology disruptions and it becomes an imperative for health systems to continuously examine and improve operational and governance models. This Knowledge Exchange e-book examines how health system leaders are changing governance, decision-making and their operating models for the future.</p><div class="row">@media (min-width:768px){ .EDsponsorFloat{ float:right; } } @media (max-width:767px){ .EDLinkFloat{ position:relative; left:27%; } .EDsponsorFloat { text-align:center } } <div class="col-sm-6"><a class="btn btn-wide btn-primary EDLinkFloat" href="/system/files/media/file/2024/12/ke-accenture-resilient-health-system-operating-model.pdf" title="AHA Knowledge Exchange | The Resilient Health System Operating Model" data-view-context="top-level-view">Download the Report</a></div><div class="col-sm-6"><div class="EDsponsorFloat">Sponsored by: <a href="https://www.accenture.com/" target="_blank" rel="noopener nofollow"><img src="/sites/default/files/2023-10/Accenture_FutureReadyWorkforce_transparent_logo_834x313.png" alt="Accenture Logo" width="100%" height="100%"></a></div></div></div></div></div>.sp_CTA5_holder { margin-top:0px; border-bottom: solid 1px #555; padding-bottom: 50px; } .sp_CTA5_holder_last { border-bottom: solid 0px #555; } .sp_CTA5_holder >div{ overflow: auto; } .sp_CTA5_holder ul { list-style: none; /* Remove default bullets */ padding-left: 0px; /*width: calc(100% - 15%);*/ /*margin: 50px auto 0;*/ margin:auto 50px; } .sp_CTA5_holder ul li{ margin-bottom:7px; line-height: 1.5em; font-size:16px; } .sp_CTA5_holder ul li::before { content: " "; font-size: 1em; margin-right: 10px; display: inline-block; height: 12px; background-color: #9d2235; width: 12px; position: relative; top: 0px; -webkit-transform: rotate(45deg); -moz-transform: rotate(45deg); -o-transform: rotate(45deg); } .sp_CTA5_holder ul li{ padding-left:23px; text-indent:-23px; } .body ol>li, .body ul>li{ font-size:16px: } .sp_CTA5_holder h2 { color: #002855; /*! line-height: 2em; */ font-size: 2.15em; margin: 0 0 15px 0; /*! font-size: 30px; */ } .sp_CTA5_holder h3 { /*color: #002855;*/ line-height: 1em; /*font-size: 1.5em;*/ margin-bottom: 25px; margin-top:5px; font-size: 28px; } .sp_CTA5_section{ margin-top: 25px } .sp_CTA5_ImgShadow { /*background-color:green;*/ /* just a visual */ text-align: center } .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; } .sp_CTA5_ImgShadow img{ width: calc(100% - 35px - 15px); -webkit-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); -moz-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); position: relative; top: 75px; max-width: 490px; } @media (max-width:990px){ .sp_CTA5_ImgShadow img{ max-width: 350px;} } @media (max-width:990px){ .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; margin-right: 40px } } <div class="row spacer sp_CTA5_holder sp_CTA5_holder_last"><div class="col-md-12"><h3>10 ways health system executives are building a robust governance and operating model</h3><div class="sp_CTA5_section"><ul><li>Design your governance structure for where you want to be in the future and for growth.</li><li>Activate your operating model to align the organization to execute your playbook.</li><li>Create system committees and set clear approval authorities to move to one corporate culture.</li><li>Develop matrix-defining key accountabilities and decision rights across the organization.</li><li>Amplify physician and nurse leaders in the organization to have decision rights regarding the vision, strategy and priorities as well as the pipelines of the C-suite.</li><li>Empower decision-making bodies to be agile and move strategy forward.</li><li>Set a timeline, process and an approval process for all major initiatives.</li><li>Bring new voices and diversity onto the board — a mix of out-of-market people while keeping a balance of market people and skill sets.</li><li>Implement innovative care models, invest in automation to streamline work and move to a global workforce model.</li><li>Evaluate governance and operating structure yearly against strategy (what you are trying to achieve) and top organizational risks.</li></ul></div></div></div><h2>Participants</h2>/* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px; max-width:200px; /* for Transformation Talks */ display:block; /* for Transformation Talks */ margin:auto; /* for Transformation Talks */ } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; text-align:center /* this is for the "Executive Dialogue" page */ } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; line-height:1.2em; margin-top:10px } .ci_profile_title { font-style: italic; line-height: 1.3em } .ci_profile_company { font-size: 1em; } p.ci_profile_award { font-size: .8em; text-align:center; color:#55555599; font-weight: 700 } .ci_profile_social { width: auto; } .ci_profile_social i { padding-right: 25px; 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} } p.ci_profile_name { font-size: 1.5em; line-height:1.2em; margin-top:10px } .people .ci_profile_combined{ font-size:14px; line-height: 18px; } .people .ci_profile_combined span{ font-style: italic; } .people .ci_profile_combined:before{ content:""; border-bottom: solid 1px #55555522; display: block; clear: both; width: 85%; margin: 5PX auto 10px; } <div class="people"><div class="row rowEqual_768"><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Boulenger_Bo_300x300.jpg" alt="Bo Boulenger" width="300" height="300"><p class="ci_profile_name">Bo Boulenger</p><p class="ci_profile_title">President and CEO</p><p class="ci_profile_company">Baptist Health South Florida</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Dover_James_300x300.jpg" alt="James F. Dover" width="300" height="300"><p class="ci_profile_name">James F. Dover, FACHE</p><p class="ci_profile_title">President and CEO</p><p class="ci_profile_company">Avera Health</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Gonsor_Lynn_300x300.jpg" alt="Lynn Gonsor" width="300" height="300"><p class="ci_profile_name">Lynn Gonsor</p><p class="ci_profile_title">Managing Director, Strategy and Consulting</p><p class="ci_profile_company">Accenture</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Gronewold_Russ_300x300%20%282%29.jpg" alt="Russ Gronewold" width="300" height="300"><p class="ci_profile_name">Russ Gronewold</p><p class="ci_profile_title">President and CEO</p><p class="ci_profile_company">Bryan Health</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Heywood_Matt_300x300.jpg" alt="Matt Heywood" width="300" height="300"><p class="ci_profile_name">Matt Heywood</p><p class="ci_profile_title">President and CEO</p><p class="ci_profile_company">Aspirus Health</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Levi_Marion_300x300.jpg" alt="Marlon Levy" width="300" height="300"><p class="ci_profile_name">Marlon Levy, M.D., MBA</p><p class="ci_profile_title">CEO</p><p class="ci_profile_company">VCU Health System</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Pinson_CWright_300x300.jpg" alt="C. Wright Pinson" width="300" height="300"><p class="ci_profile_name">C. Wright Pinson, M.D., MBA</p><p class="ci_profile_title">Deputy CEO and Chief Health System Officer</p><p class="ci_profile_company">Vanderbilt University Medical Center</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Roth_Chris_300x300.jpg" alt="Chris Roth" width="300" height="300"><p class="ci_profile_name">Chris Roth</p><p class="ci_profile_title">President and CEO</p><p class="ci_profile_company">St. Luke’s Health System</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Shannon_Lisa_300x300.jpg" alt="Lisa Shannon" width="300" height="300"><p class="ci_profile_name">Lisa Shannon</p><p class="ci_profile_title">President and CEO</p><p class="ci_profile_company">Allina Health</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Slubowski_Michael_300x300%20%281%29.jpg" alt="Michael Slubowski" width="300" height="300"><p class="ci_profile_name">Michael Slubowski</p><p class="ci_profile_title">President and CEO</p><p class="ci_profile_company">Trinity Health</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-12/Hood_Michelle_300x300%20%283%29.jpg" alt="Michelle Hood" width="300" height="300"><p class="ci_profile_name">Moderator:</p><p class="ci_profile_name">Michelle Hood</p><p class="ci_profile_title">Executive Vice President and Chief Operating Officer</p><p class="ci_profile_company"> Association</p></div></div></div>@media (min-width:768px){ .rowEqual_768 { display: -webkit-box; display: -webkit-flex; display: -ms-flexbox; display: flex; flex-wrap: wrap; } .rowEqual_768>[class*='col-'] { -ms-flex: 1; /* IE 10 */ flex: auto; width: calc(33.3% - 2px) /*Safari Fix*/; } } .center_callout_3invert { background-color: #f6f6f6; text-align: center; /*margin-bottom:25px;*/ margin-top:30px; } .center_callout_3invert h4 { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 30px 0; } .center_callout_3invert h3 { margin: 25px 0 0 0; color: #555; font-size: .7em; text-transform: uppercase; font-weight: 400; letter-spacing: 3px; } .center_callout_3invert p{ font-size:16px; } <div class="row center_callout_3invert"><div class="col-md-1"> </div><div class="col-md-10"><h2>AHA Knowledge Exchange</h2><p>Gain insights from the C-suite and health care leaders on the most pressing issues and transformational strategies.</p><p><a class="btn btn-wide btn-primary" href="/education-events/aha-virtual-executive-dialogues" data-view-context="top-level-view">Explore the Series</a> /* y-hr3 */ .y-hr3{ clear: both; } .y-hr3 div:nth-child(2) { border-top: solid 2px lightgrey; margin: 50px 0px; height: 0px } /* y-hr3 // */ </p><div class="row y-hr3"><div class="col-md-3"> </div><div 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src="/sites/default/files/styles/small_200x200/public/2024-12/VED_Accenture_Governance_620x381.jpg?itok=viVBuq-l" width="200" height="123" alt="VED_Accenture_Governance_620x381-image" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-10T16:11:13-06:00">Dec 10, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/member-knowledge-exchange/2024-12-11/resilient-health-system-operating-model" hreflang="en">The Resilient Health System Operating Model</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Health system leaders are building a robust governance and resilient operating model to transform health care delivery models for the future.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/member-knowledge-exchange/2024-12-06/optimize-your-hospitals-revenue-cycle-efficient-patient-centered-operations" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-12/KnowEx_RI_RevenueCycle_620x381_rev1.jpg?itok=42C41VMq" width="200" height="123" alt="KnowEx_RI_RevenueCycle_620x381_rev1" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-05T14:26:53-06:00">Dec 5, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/member-knowledge-exchange/2024-12-06/optimize-your-hospitals-revenue-cycle-efficient-patient-centered-operations" hreflang="en">Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Optimizing hospital’s revenue cycle for efficient, patient-centered operations and enhancing critical KPIs using AI and robotic process automation.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-11-14/empowering-patient-engagement-and-behavior-change-improve-health-and-reduce-disparities" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-11/VED_PatientPoint_Engagement_620x381.jpg?itok=dHKIfRK6" width="200" height="123" alt="PatientPoint_Engagement_620x381" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-11-13T15:51:45-06:00">Nov 13, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-11-14/empowering-patient-engagement-and-behavior-change-improve-health-and-reduce-disparities" hreflang="en">Empowering Patient Engagement and Behavior Change to Improve Health and Reduce Disparities</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Empowering patient engagement and leveraging customized communication and education via digital technologies to improve health and reduce disparities.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-10-30/aligning-payers-and-partners-value-based-care" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-10/KnowEx_CorroHealthh_Medicaid_620x381.jpg?itok=HS9Y48c8" width="200" height="123" alt="KnowEx_CorroHealth_Medicaid" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-10-29T15:17:14-05:00">Oct 29, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-10-30/aligning-payers-and-partners-value-based-care" hreflang="en">Aligning Payers and Partners for Value-based Care</a></span> </div><div class="views-field views-field-body"> <div class="field-content">As value-based care models grow, hospitals, providers and payers need to align goals and incentives to improve patient outcomes and reduce costs.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-09-26/transforming-behavioral-health-journey" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-09/Iris-Telehealth-banner-620x381.jpg?itok=QQ9C-7Mp" width="200" height="123" alt="Iris-Telehealth-banner-620x381" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-09-25T14:49:38-05:00">Sep 25, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-09-26/transforming-behavioral-health-journey" hreflang="en">Transforming the Behavioral Health Journey</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Transforming the behavioral health journey with strategic initiatives to build a sustainable and coordinated behavioral health services continuum.</div> </div></div> </div> </div> <div class="more-link"><a href="/aha-knowledge-exchange-archive">View All: AHA Knowledge Exchange</a></div> </section> </div> </div></div> Tue, 10 Dec 2024 16:11:13 -0600 Operational Excellence Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations /member-knowledge-exchange/2024-12-06/optimize-your-hospitals-revenue-cycle-efficient-patient-centered-operations <div> </div>header.jumbotron {display:none} <div> /* center_body */ .center_body { /*margin-top:50px;*/ /* margin-bottom: 50px;*/ } .center_body h3 {} .center_body p { font-size: 16px } p.center_Intro { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 25px 0; 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Banner_Title_Overlay_Bar // */ <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2024-12/VED_RI_RevenueCycle_banner_1170x250.png" alt="Banner Image" width="1170" height="250"><div><h1>Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations</h1></div></header>/* CntMenuSub */ .CntMenuSub{ margin:20px 0px; padding-bottom: 5px; color: #afb1b1; letter-spacing: 1.5px; font-weight: 400; font-size: .7em; } .CntMenuSub .CntMenuBar{ border-bottom: 1px solid lightblue; } .CntMenuSub .CntMenuBar a:after{ content: "|"; padding: 0 3px 0 6px; color: #555; } .CntMenuSub .CntMenuBar a:last-child:after{ content: ""; } .CntMenuSub .CntMenuSubHome, .CntMenuSub .CntMenuSubParent{ text-transform: uppercase; color: #555; opacity: .9; } .CntMenuSub .CntMenuSubParent{ } .CntMenuSub .CntMenuSubChild{ } .CntMenuSub .CntMenuSubCurrent{ opacity: .7; } .CntMenuSub .CntMenuSubHome:hover, .CntMenuSub .CntMenuSubParent:hover{ text-transform: uppercase; color: #d50032; } /* CntMenuSub // */ <div class="container CntMenuSub"><div class="col-md-1"> </div><div class="col-md-10 row CntMenuBar"><a class="CntMenuSubHome" href="/education-events/aha-virtual-executive-dialogues">AHA Knowledge Exchange</a> <span class="CntMenuSubChild" id="CntMenuSubChild">Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations</span></div><div class="col-md-1"> </div></div><div class="row spacer"><div class="col-sm-3"><div><a href="#DownloadFile" target="_blank"><img src="/sites/default/files/2024-12/KnowEx_RI_RevenueCycle_cover_910x1220_rev1.jpg" alt="AHA Knowledge Exchange | Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations" width="100%" height="100%"></a></div></div><div class="col-sm-9 center_body">.sponsortype { color: #9d2235; font-size: 1.5em; margin: 0px; font-weight: 700; } <p class="sponsortype">AHA Knowledge Exchange</p> xxxxxx </p> --> Intro.............. </p> --><h2>Enhance critical KPIs via intelligent innovations using AI and automation</h2><p>As hospitals and health systems prepare for 2025, reinforcing financial stability and cash flow in the face of rising costs, declining reimbursements and workforce challenges is top of mind. Health care leaders need full visibility into key performance indicators (KPIs) and the drivers of performance in revenue cycle management (RCM) outcomes to make informed decisions.</p><p>By reducing redundant tasks, artificial intelligence (AI) streamlines documentation and processes, which in turn can help lower denial rates and boost patient satisfaction. This Knowledge Exchange e-book examines KPIs vital for revenue-cycle outcomes and focuses on how AI and other advanced technologies may drive RCM improvements and the delivery of high-quality patient care.</p><div class="row">@media (min-width:768px){ .EDsponsorFloat{ float:right; } } @media (max-width:767px){ .EDLinkFloat{ position:relative; left:27%; } .EDsponsorFloat { text-align:center } } <div class="col-sm-6"><a class="btn btn-wide btn-primary EDLinkFloat" href="#DownloadFile" title="AHA Knowledge Exchange | Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations" data-view-context="top-level-view">Download the Report</a></div><div class="col-sm-6"><div class="EDsponsorFloat">Sponsored by: <a href="https://www.r1rcm.com/" target="_blank" rel="noopener nofollow"><img src="/sites/default/files/2024-03/Logo_R1_834x313.jpg" alt="R1 Logo" width="100%" height="100%"></a></div></div></div></div></div>.sp_CTA5_holder { margin-top:0px; border-bottom: solid 1px #555; padding-bottom: 50px; } .sp_CTA5_holder_last { border-bottom: solid 0px #555; } .sp_CTA5_holder >div{ overflow: auto; } .sp_CTA5_holder ul { list-style: none; /* Remove default bullets */ padding-left: 0px; /*width: calc(100% - 15%);*/ /*margin: 50px auto 0;*/ margin:auto 50px; } .sp_CTA5_holder ul li{ margin-bottom:7px; line-height: 1.5em; font-size:16px; } .sp_CTA5_holder ul li::before { content: " "; font-size: 1em; margin-right: 10px; display: inline-block; height: 12px; background-color: #9d2235; width: 12px; position: relative; top: 0px; -webkit-transform: rotate(45deg); -moz-transform: rotate(45deg); -o-transform: rotate(45deg); } .sp_CTA5_holder ul li{ padding-left:23px; text-indent:-23px; } .body ol>li, .body ul>li{ font-size:16px: } .sp_CTA5_holder h2 { color: #002855; /*! line-height: 2em; */ font-size: 2.15em; margin: 0 0 15px 0; /*! font-size: 30px; */ } .sp_CTA5_holder h3 { /*color: #002855;*/ line-height: 1em; /*font-size: 1.5em;*/ margin-bottom: 25px; margin-top:5px; font-size: 28px; } .sp_CTA5_section{ margin-top: 25px } .sp_CTA5_ImgShadow { /*background-color:green;*/ /* just a visual */ text-align: center } .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; } .sp_CTA5_ImgShadow img{ width: calc(100% - 35px - 15px); -webkit-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); -moz-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); position: relative; top: 75px; max-width: 490px; } @media (max-width:990px){ .sp_CTA5_ImgShadow img{ max-width: 350px;} } @media (max-width:990px){ .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; margin-right: 40px } } <div class="row spacer sp_CTA5_holder sp_CTA5_holder_last"><div class="col-md-12"><h3>9 ways health leaders are leveraging automation and AI to improve financial performance and service quality</h3><div class="sp_CTA5_section"><ul><li><strong>Establish a team to analyze denial patterns</strong>. Consider utilizing robotic process automation (RPA) to keep up with changing payer and plan policies that may result in denials.</li><li><strong>Reduce days in accounts receivable by using predictive modeling</strong> based on historical data from payer denials and scoring of accounts to assign work to teams.</li><li><strong>Reduce denials by using automation in the electronic health record (EHR)</strong> to identify appropriate coding for particular services, which can be shared with specialist providers.</li><li><strong>Use RPA to automate eligibility verification and registration processes</strong> in order to optimize workflows and operations.</li><li><strong>Consider AI functionality to efficiently create clinical documentation improvement alerts</strong>, which will help staff identify accounts and claims in need of additional clinical information.</li><li><strong>Implement computer-assisted coding to drive down “Discharged Not Final Billed” accounts</strong> and consider autonomous where feasible to alleviate coding staff shortages and allow coders to focus on more complex cases.</li><li><strong>Utilize AI and RPA to assist with drafting appeal letters</strong> in order to streamline steps and reduce administrative burden on staff and clinicians.</li><li><strong>Employ a payer scorecard</strong> with denial analytics and predictive modeling to assist in Joint Operating Committee (JOC) meetings with payers.</li><li><strong>Craft a patient-centric financial experience</strong> using AI to create a transparent and flexible billing experience.</li></ul></div></div></div><h2>Participants</h2>/* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px; max-width:200px; /* for Transformation Talks */ display:block; /* for Transformation Talks */ margin:auto; /* for Transformation Talks */ } .people img:nth-child(1):hover { opacity: .7 } @media 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class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-11/Cook_Jessica_300x300.png" alt="Jessica Cook" width="300" height="300"><p class="ci_profile_name">Jessica Cook</p><p class="ci_profile_title">Patient Access Supervisor</p><p class="ci_profile_company">Children’s Healthcare of Atlanta</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-11/Hauser_Ruth_300x300.png" alt="Jackie Rouse" width="300" height="300"><p class="ci_profile_name">Ruth Hauser, RHIA, CDIP, CHPC</p><p class="ci_profile_title">Director, Health Information Management and Clinical Documentation Improvement</p><p class="ci_profile_company">Children’s Hospital Los Angeles</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-11/Johnston_Valerie_300x300.png" alt="Valarie Johnston" width="300" height="300"><p class="ci_profile_name">Valarie Johnston, BSHA, CPC, CRCR</p><p class="ci_profile_title">Director, Patient Financial Services</p><p class="ci_profile_company">Bryan Medical Center</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-11/Kirkland_Kathie_300x300.png" alt="Kathie Kirkland" width="300" height="300"><p class="ci_profile_name">Kathie Kirkland, MBA</p><p class="ci_profile_title">Director, Patient Financial Services</p><p class="ci_profile_company">Henry Mayo Newhall Hospital</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-11/Marqueira_Lisa_300x300.png" alt="Lisa Maqueira" width="300" height="300"><p class="ci_profile_name">Lisa Maqueira</p><p class="ci_profile_title">Vice President of Finance and Chief Revenue Cycle Officer</p><p class="ci_profile_company">Cedars-Sinai</p><div class="ci_profile_social"> </div></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-04/Hoppszallern_Suzanna_300x300%20%281%29.png" alt="Suzanna Hoppszallern" width="300" height="300"><p class="ci_profile_name">Moderator:</p><p class="ci_profile_name">Suzanna Hoppszallern</p><p class="ci_profile_title">Senior Editor, Center for Health Innovation</p><p class="ci_profile_company"> Association</p></div></div></div><div class="raw-html-embed"> .SponsorMarketoForm { background-color: ; padding: 5px 25px; border: solid 2px #307FE2; margin: 50px 15px 0px !important; display: inline-block; width: -webkit-fill-available; margin-bottom: 25px; } .SponsorMarketoForm h3 { margin: 10x 0 0 0; color: #eaaa00; font-size: .7em; text-transform: uppercase; font-weight: 400; letter-spacing: 3px; max-width: 200px; /* Custom for the copy length */ background-color: #fff; 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.center_callout_3invert p{ font-size:16px; } <div class="row center_callout_3invert"><div class="col-md-1"> </div><div class="col-md-10"><h2>AHA Knowledge Exchange</h2><p>Gain insights from the C-suite and health care leaders on the most pressing issues and transformational strategies.</p><p><a class="btn btn-wide btn-primary" href="/education-events/aha-virtual-executive-dialogues" data-view-context="top-level-view">Explore the Series</a> /* y-hr3 */ .y-hr3{ clear: both; } .y-hr3 div:nth-child(2) { border-top: solid 2px lightgrey; margin: 50px 0px; height: 0px } /* y-hr3 // */ </p><div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div></div><div class="col-md-1"> </div></div><div class="row"><h2>Latest Knowledge Exchange</h2><div class="feedEmbedImg">.feedEmbedImg .views-element-container { background-color: #f6f6f6;; padding: 20px } .feedEmbedImg .views-element-container h2{ margin-top:0px; color: } .feedEmbedImg 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class="more-link"><a href="/aha-knowledge-exchange-archive">View All: AHA Knowledge Exchange</a></div> </section> </div> </div></div> Thu, 05 Dec 2024 14:26:53 -0600 Operational Excellence Fellowship in Action | Next Generation Leaders Fellowship | Center /center/next-generation-leaders-fellowship/fellowship-action Thu, 21 Nov 2024 10:00:00 -0600 Operational Excellence Mobilizing Data for Operational Efficiency in Health Care: A Path Forward /aha-center-health-innovation-market-scan/2024-11-19-mobilizing-data-operational-efficiency-health-care-path-forward <div class="container"><div class="row"><div class="col-md-8"><p><img src="/sites/default/files/inline-images/Mobilizing-Data-for-Operational-Efficiency-in-Health-Care-A-Path-Forward.png" data-entity-uuid="3abc47d8-455f-4794-9a0e-da95207d61b5" data-entity-type="file" alt="Mobilizing Data for Operational Efficiency in Health Care: A Path Forward. The cover of the AHA Market Scan Trailblazers report Mobilizing Data to Improve Operational Efficiency. Download now." width="100%" height="100%"></p><p>In October 2021, McKinsey & Company released a <a href="https://www.mckinsey.com/industries/healthcare/our-insights/administrative-simplification-how-to-save-a-quarter-trillion-dollars-in-us-healthcare" target="_blank" title="McKinsey & Company: Administrative simplification: How to save a quarter-trillion dollars in US healthcare">landmark report</a> highlighting a critical issue in the U.S. health care system: administrative inefficiency. According to the report, approximately 25% of total U.S. health care expenditures — about $1 trillion — go toward administrative tasks. Even more striking, nearly 30% of these expenditures stem from inefficiencies. Fast forward to September 2024, and the latest <a href="https://www.commonwealthfund.org/publications/fund-reports/2024/sep/mirror-mirror-2024" target="_blank" title="The Commonwealth Fund: Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System">Commonwealth Fund report</a> confirms these concerns, ranking the U.S. ninth out of 10 high-income countries in administrative efficiency, only ahead of Switzerland.</p><p>This growing issue leaves health systems across the nation grappling with an essential question: How can hospitals and health systems improve efficiency to alleviate these costs?</p><p>The newly published AHA Market Scan Trailblazers report, <a href="/aha-center-health-innovation-market-scan/2024-11-15-mobilizing-data-improve-operational-efficiency" target="_blank" title="Mobilizing Data to Improve Operational Efficiency">“Mobilizing Data to Improve Operational Efficiency,”</a> offers a compelling solution. It explores how health systems are leveraging emerging technologies to unlock and mobilize core data sets, thus driving substantial operational improvements and better care outcomes.</p><h2>The Path to Efficiency: Data Mobilization in Health Systems</h2><p>In a recent <a href="https://guidehouse.com/insights/healthcare/2023/2024-health-system-digital-and-it-investments" target="_blank" title="Guidehouse: 2024 Health System Digital & IT Investments">survey by Guidehouse</a>, health care executives emphasized digital and IT investments as the leading strategies for operational efficiency. Digital innovation, they believe, has the potential to orchestrate patient care in the most streamlined way possible.</p><p>At the forefront of this effort is real-time location system (RTLS) technology. By capturing data at every point in a patient’s care journey, RTLS technology empowers health systems to gather valuable insights on patient movements and care processes. With data-driven decision-making now a reality, the global health care market for RTLS technology is set to grow significantly — projected to quadruple by 2032.</p><h2>How RTLS Technology Transforms Hospital Operations</h2><p>RTLS offers health systems a bird’s-eye view of patient care processes, enabling them to track who did what, when and where across their facilities. However, to realize the full potential of the data, hospitals must integrate it with existing health information technology systems, according to Rom Eizenberg, chief revenue officer at <a href="https://kontakt.io/solutions/healthcare-variation/" target="_blank" title="Kontakt.io: Healtcare">Kontakt.io</a>, a New York-based tech firm.</p><p>By creating a unified data ecosystem, hospitals can merge RTLS data with the electronic health record and administrative, clinical and financial systems. Artificial intelligence (AI) then analyzes the consolidated data, transforming unstructured information, like clinical notes, into actionable insights. This interoperable system also leverages internet-connected technology, allowing devices to communicate autonomously without manual input.</p><p>Hospitals and health systems that implement such data ecosystems gain real-time insights into:</p><ul class="red"><li class="red"><span><strong>Patient locations:</strong></span> Physical and medical location within the care process.</li><li class="red"><span><strong>Care team availability:</strong></span> Which staff members are available and where they are.</li><li class="red"><span><strong>Medical resources:</strong></span> The status and availability of equipment, spaces and other assets.</li></ul><p>Previously, these insights were siloed across various systems, limiting their impact. An AI-driven RTLS platform unites these data points in a single, centralized location, empowering anyone who needs access to view the comprehensive care picture.</p><h2>Case Study: Northeast Georgia Health System’s Data-Driven Safety Initiative</h2><p>Northeast Georgia Health System (NGHS), a five-hospital system with 950 beds, collaborated with Kontakt.io to develop an RTLS solution to enhance both patient and staff safety. Together, they deployed Bluetooth low-energy smart badges equipped with a duress button, allowing staff to communicate their identity and location to security instantly if needed.</p><p>The results have been transformative: More than 10,000 NGHS staff members now are equipped with these badges, providing real-time location data to help prevent and mitigate dangerous situations. The impact has been profound — not only enhancing safety for both staff and patients, but also improving patient outcomes by streamlining response times and coordination.</p><h2>Key Benefits of Data Ecosystems for Health Care Efficiency</h2><p>By building an integrated, AI-driven data ecosystem, hospitals can convert data into powerful efficiencies, benefiting administrative, clinical, financial, operational and workforce functions. Here’s how each area is transformed:</p><h3>Administrative</h3><p>Staff members spend less time searching for patients, staff and equipment. Data-driven automation reduces time spent on paperwork and manual tracking, allowing personnel to focus on higher-value tasks.</p><h3>Clinical</h3><p>Patients experience reduced wait times for procedures, diagnostics and discharge, leading to better outcomes and higher satisfaction scores.</p><h3>Financial</h3><p>With accurate, real-time data capture, billing and coding processes become more efficient. This leads to improved charge capture, better claims management and enhanced revenue-cycle performance.</p><h3>Operational</h3><p>Hospital staff spend significantly less time coordinating logistics and searching for resources, as real-time data reveal the location of patients, staff, equipment and space. Efficiency in these areas translates to cost savings.</p><h3>Workforce</h3><p>By reducing job stress and burnout, hospitals can boost staff satisfaction and retention rates. Personnel, especially clinical staff, can focus on practicing at the top of their licenses, leading to improved care delivery.</p><p>As more hospitals and health systems recognize the advantages of integrating RTLS with their existing systems, the promise of streamlined, efficient and responsive health care becomes more tangible. By making targeted investments in digital and IT infrastructure, health care leaders can unlock vast potential for operational efficiency, improved patient care and staff well-being across the sector.</p><p><a href="/aha-center-health-innovation-market-scan/2024-11-15-mobilizing-data-improve-operational-efficiency" target="_blank" title="Mobilizing Data to Improve Operational Efficiency"><strong>DOWNLOAD</strong></a><strong> the full Trailblazers report now!</strong></p></div><div class="col-md-4"><p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" alt="AHA Center for Health Innovation logo" width="721" height="130" data-entity- type="file" class="align-center"></a></p><p><a href="/center/form/innovation-subscription"><img src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png" data-entity-uuid data-entity-type alt width="360" height="300"></a></p></div></div></div>.field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } h2 { color: #9d2235; } ul.red { list-style: none; } ul.red li.red::before { content: "\2022"; color: #9d2235; font-weight: bold; display: inline-block; width: 1em; margin-left: -1em; } Tue, 19 Nov 2024 06:30:00 -0600 Operational Excellence Mobilizing Data to Improve Operational Efficiency /aha-center-health-innovation-market-scan/2024-11-15-mobilizing-data-improve-operational-efficiency <div class="raw-html-embed"> </div><div> /* Banner_Title_Overlay_Bar */ .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 25px auto; } .Banner_Title_Overlay_Bar h1 { position: absolute; bottom: 40px; color: #003087; background-color: rgba(255, 255, 255, .8); width: 100%; padding: 20px 40px; font-size: 3em; box-shadow: 0 3px 8px -5px rgba(0, 0, 0, .6); } @media (max-width:991px) { .Banner_Title_Overlay_Bar h1 { bottom: 0px; margin: 0px; font-size: 2.5em; } } @media (max-width:767px) { .Banner_Title_Overlay_Bar h1 { font-size: 2em; text-align: center; text-indent: 0px; padding: 10px 20px; } } @media (max-width:530px) { .Banner_Title_Overlay_Bar h1 { position: relative; background-color: #63666A22; } } /* Banner_Title_Overlay_Bar // */ <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2024-01/Trailblazers_Amazon_banner_1170x250.png" alt="Cover of Mobilizing Data to Improve Operational Efficiency " width="1168" height="250"><div><h1>Mobilizing Data to Improve Operational Efficiency</h1></div></header></div> h2{ margin-top: 0px; } p.center_Intro { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 25px 0; font-weight: 700; font-size: 2em; } p.center_Lead { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 21px; } <div class="row"><div class="col-sm-8"><h2>Orchestrating care delivery through technology can improve clinical, financial, administrative and workplace performance</h2><p>Hospitals and health systems that build integrated, efficiency-producing data ecosystems by investing in cloud-managed, AI-driven RTLS, IoT and AI technology can convert their new superpower — automated capacity management — into virtually limitless operational, clinical, financial, administrative and workforce benefits.</p><p>Hospitals and health systems that build such an integrated, efficiency-producing data ecosystem acquire new capabilities. In real time, at any point in the patient journey, the hospitals and health systems now know:</p><ul><li>Where a patient is physically at any point in real time.</li><li>Where a patient is medically, in terms of treatment plan.</li><li>Where a patient is medically, in terms of medical condition or health status.</li><li>What clinical staff are available to care for a patient.</li><li>What medical equipment or other clinical assets are available to care for a patient.</li><li>What clinical space is available to care for a patient.</li></ul><div class="row"><div class="col-sm-12"><p><strong>Sponsored by:</strong><a href="https://kontakt.io/solutions/healthcare/" target="_blank" title="kontakt.io | Creating Responsive Health Systems"><strong><img src="/sites/default/files/2024-11/Logo_Kontakt_transparent_834x313.png" alt="kontakt.io logo" width="834" height="313"></strong></a></p></div></div></div><div class="col-sm-4"><a href="https://kontakt.io/solutions/healthcare/" target="_blank" title="kontakt.io | Creating Responsive Health Systems"><img src="/sites/default/files/2024-01/Trailblazers_logo-924x265.png" alt="TrailBlazers logo" width="100%" height="100%"></a><p><br><a href="#DownloadNow" title="Mobilizing Data to Improve Operational Efficiency | Orchestrating care delivery through technology can improve clinical, financial, administrative and workplace performance"><img src="/sites/default/files/2024-11/Traiblazers_Kontakt_cover_777x600.png" alt="Cover, Mobilizing Data to Improve Operational Efficiency | Orchestrating care delivery through technology can improve clinical, financial, administrative and workplace performance" width="100%" height="100%"> </a><br><a class="btn btn-primary" href="#DownloadNow" title="Download, Mobilizing Data to Improve Operational Efficiency | Orchestrating care delivery through technology can improve clinical, financial, administrative and workplace performance">Download</a></p></div></div> .y-hr3 div:nth-child(2) { border-top: solid 15px #67c1c3; margin: 50px 0px; height: 0px; <div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div><div class="row"> <img src="/sites/default/files/2024-11/Trailblazers_Kontakt_HCA_700x532.png" alt="xxxxxxxxxxxx"> </div>--><div class="col-sm-5 col-md-6"><img src="/sites/default/files/2024-11/Trailblazers_Kontakt_Section1-infographic.png" alt="An integrated, efficiently-produced data ecosystem model | * Existing Administrative, Clinical and Financial IT System: EHR, Patient Accounting, Other administrative systems, Other clinical systems, other financial systems * AI-Powered Cloud-managed Platform: Inform, Predict, Recommend, Orchestrate * New RTLS Data: Patients, Clinical staff, Medical equipment and other assists, Clinical spaces" width="1500" height="1021"></div><div class="col-sm-7 col-md-6"> /* Just for this one */ @media (min-width:1200px){ h2.HeaderMobileShift{ margin-top: 50px; } } <h2 class="HeaderMobileShift">Using Data to Become More Efficient</h2><p>Improving clinical operational efficiency and using new technologies to mitigate administrative burdens among staff rank high on health care leaders’ priority list. Digital technologies and other HIT systems can help organizations become more efficient by:</p><ul><li>Capturing new data.</li><li>Consolidating and contextualizing data to predict inefficiencies in workflows.</li><li>Point to solutions to mitigate these inefficiencies now and in the future.</li></ul><p><a href="#DownloadNow" title="Download, Mobilizing Data to Improve Operational Efficiency | Orchestrating care delivery through technology can improve clinical, financial, administrative and workplace performance"><strong>READ MORE.</strong></a></p></div></div><div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div><div class="row"><div class="col-sm-4"><img src="/sites/default/files/2024-11/Trailblazers_Kontakt_NE_Georgia_HealthSystem_700x532.png" alt="Medical staff" width="700" height="532"></div><div class="col-sm-8"><h2>Case Study: Northeast Georgia Health System</h2><h3>Improving Workplace Safety</h3><p>To ensure the safety and well-being of staff and patients as well as to show the larger community that it is committed to providing a safe and secure work environment, NGHS leadership has implemented a safety solution at a scale that protects both staff and patients in all EDs, inpatient units, ICUs, procedural areas, and more.</p><p><a href="#DownloadNow" title="Download, Mobilizing Data to Improve Operational Efficiency | Orchestrating care delivery through technology can improve clinical, financial, administrative and workplace performance"><strong>READ MORE.</strong></a></p></div></div><div> .SponsorMarketoForm { background-color: ; padding:5px 25px; border: solid 2px #307FE2; margin:50px 15px 0px !important; display:inline-block; } .SponsorMarketoForm h3{ margin:10x 0 0 0 ; color:#eaaa00; font-size:.7em; text-transform:uppercase; font-weight:400; letter-spacing:3px; max-width:200px; /* Custom for the copy length */ background-color:#fff; padding: 5px 15px; position:relative; top:-35px; height: 0px; } .SponsorMarketoForm h2{ color: #002855; } .SponsorMarketoForm .SponsorMarketoFormHolder{ background-color: ; padding:15px; display: inline-block; margin-bottom:25px; } .SponsorMarketoFormHolder form{ margin: auto; } @media (max-width:640px){ .SponsorMarketoForm { padding:5px 0px; } .SponsorMarketoForm .SponsorMarketoFormHolder{ padding:15px 0px; } } /* Marketo Over-ride */ .mktoForm .mktoFormRow:nth-child(3){ float: left; } /*Center the last row .mktoForm .mktoFormRow:nth-child(4){ margin-left:15%; } */ .mktoForm label{ font-size: 0px; width: 0px !important; } .mktoForm input{ height: 30px } .mktoForm .mktoButtonRow{ float: left; } .mktoForm .mktoButtonWrap { margin-left:20px !important; } .mktoForm .mktoButton { background-color: #307FE2 !important; border: 1px solid #307FE2 !important; color: #fff !important; padding: 0.4em 1em; font-size: 1em; background-image: none !important; min-width: 190px; margin: 0 15px; border-radius: 4px; padding: 10px 20px; transition: all .25s ease-in-out; text-shadow: none; white-space: normal; height: 30px; font-weight: 700 } .mktoForm .mktoButton:hover{ background-color: #002855 !important; border: 1px solid #002855 !important; color: #fff !important; } .mktoForm .mktoClear { clear: none; } <div class="row spacer" id="DownloadNow"><div><div class="col-md-1"> </div><div class="col-md-10"><div class="cta--image-container full_width SponsorMarketoForm"><h3>Download Now</h3><div class="col-sm-9"><h2>Mobilizing Data to Improve Operational Efficiency</h2><div class="SponsorMarketoFormHolder">   MktoForms2.loadForm("//sponsors.aha.org", "710-ZLL-651", 3641); MktoForms2.whenReady(function(form) { if (form.getId() == 3641) { form.onSuccess(function(values, followUpUrl) { form.getFormElem().hide(); document.getElementById("successAndErrorMessages").innerHTML = "<div><p>Thank you for downloading the latest AHA Trailblazers.<\/p><a class='btn btn-wide btn-primary' data-view-context='top-level-view' href='https:\/\/www.aha.org\/system\/files\/media\/file\/2024\/11\/Trailblazers_Kontakt.pdf' target='_blank' rel='noopener noreferrer nofollow'>Download the Report<\/a><\/center><\/div>"; return false; }); }; }); <div id="successAndErrorMessages"> </div></div></div><div class="col-sm-3"><img src="/sites/default/files/2024-11/Traiblazers_Kontakt_cover_777x600.png" alt="Thriving in the New Health Care Economy | How Hospitals and Health Systems Can Pivot Their Operating Models for Sustainability" width="600" height="777"></div></div></div><div class="col-md-1"> </div></div></div></div> Fri, 15 Nov 2024 14:00:00 -0600 Operational Excellence Is Your Hospital's Operating Model Built for the Future? /aha-center-health-innovation-market-scan/2024-10-29-your-hospitals-operating-model-built-future <div class="container"><div class="row"><div class="col-md-8"><img src="/sites/default/files/inline-images/Is-Your-Hospitals-Operating-Model-Built-for-the-Future.png" data-entity-uuid="a473b4e8-9d1f-4b77-8b94-8cd5b7732892" data-entity-type="file" alt="Is Your Hospital's Operating Model Built for the Future? The cover of the AHA Market Scan Trailblazers report, “Thriving in the New Health Care Economy — How Hospitals and Health Systems Can Pivot Their Operating Models for Sustainability” overlayed on graphs showing upward growth. Download now." width="100%" height="100%"><p>Hospital and health system executives acknowledge that nearly every aspect of the new health care economy has changed. However, many organizations still struggle to achieve clinical, financial and operational efficiency with legacy models.</p><p>What’s needed is a new operating model — one designed to align with and address the significant changes reshaping health care markets.</p><p>A recent AHA Market Scan Trailblazers report, <a href="/aha-center-health-innovation-market-scan/2024-10-15-thriving-new-health-care-economy" target="_blank" title="AHA: Thriving in the New Health Care Economy: How Hospitals and Health Systems Can Pivot Their Operating Models for Sustainability">“Thriving in the New Health Care Economy — How Hospitals and Health Systems Can Pivot Their Operating Models for Sustainability,”</a> explores the essential principles and features of this new operating model. It highlights how two health systems are successfully leveraging it to respond sustainably to the evolving market forces transforming their health care economies. Here are some key findings:</p><h2><span>The Need For A New Operating Model</span></h2><p>A survey by Sage Growth Partners found that C-suite executives in hospitals and health systems identify two primary challenges for 2024 and 2025: reducing the total cost of care and achieving financial sustainability. These priorities are reflected in how organizations are directing their digital and information technology investments. According to a <a href="https://guidehouse.com/insights/healthcare/2023/2024-health-system-digital-and-it-investments" target="_blank" title="Guidehouse: 2024 Health System Digital & IT Investments">Guidehouse survey</a>, hospital executives ranked enhanced operational efficiency and improved patient experience as the top expected benefits from these investments in 2024.</p><p>To tackle evolving challenges — such as health care consumerism, price transparency, virtual care, digital health technologies, hospital-at-home models, diverse care sites, and new medical technologies — many organizations are adopting new operating models.</p><p>As outlined in the Trailblazer report, a successful operating model bridges two essential pillars: strategy and operations:</p><ul><li><strong>Strategy:</strong> Why are we doing this? Establish clear objectives and strategic decisions that guide daily operations.</li><li><strong>Operations:</strong> What are we doing, and how are we doing it? The new operating model translates strategy into structure, determining where and how critical work is performed throughout the system. It ensures that the organization functions cohesively, not as a collection of independent parts.</li></ul><h2><span>New Operating Models in Action</span></h2><p>Main Line Health, for example, has transformed its operating model. Main Line, which operates five hospitals near Philadelphia, is dealing with the impact of other hospitals in its market having closed or reduced services. This market dynamic is creating overwhelming capacity challenges in Main Line’s hospitals and emergency departments.</p><p>To deal with this, Main Line pivoted the system’s operating model to focus on solutions to Main Line’s capacity challenges, including material market changes like staffing shortages and an aging patient population. The new operating model has resulted in:</p><ul><li><strong>A Virtual Care Operations Center:</strong> Opening in 2021, this virtual care center oversees staffing, bed availability and patient transfers at all hospitals. It also centralizes the scheduling of surgical and diagnostic procedures at all sites.</li><li><strong>A virtual buddy program:</strong> This program allows one staff member to monitor remotely as many as 12 patients at a time and talk to them via microphone to answer questions or address needs.</li><li><strong>A hospital-to-home program:</strong> This initiative reduces unnecessary days in the hospital and frees up bed capacity by identifying patients who can be discharged safely to their homes.</li><li><strong>Virtual nursing, physician and advanced provider programs (APPS):</strong> These programs enable nurses to monitor patients remotely and allows physicians and APPs to screen ED patients remotely and decide whether the patients should be sent home or admitted to the hospital.</li></ul><p>SSM, which operates 23 hospitals and hundreds of other care sites in four states, is facing the challenge of serving a broad mix of urban, suburban and rural markets, all with issues unique to their communities. To combat this challenge, SSM implemented a new operating model that allows it to act as a system rather than a collection of disparate providers and positions the organization to more quickly adapt and respond to internal and external pressures.</p><p>“We chose to face these issues head on by becoming more innovative and agile,” said Laura Kaiser, SSM Health’s president and CEO. “Operating as a unified system on efforts that can best be tackled with size, scale, talent and expertise is helping us to respond to the increasing challenges across our industry.”</p><p>The system implemented a new operating model that produces sustainable, material and permanent responses at a faster clip. SSM Health’s customized model is based loosely on Lean management principles for continuous quality improvement.</p><p>One operational change focuses on hands-on leadership. The SSM system’s regional and local leaders routinely visit with staff to learn about their progress toward meeting the strategic objectives. SSM Health used this approach to dramatically reduce the rates of catheter-associated urinary tract infections as well as central line-associated blood stream infections, to the point of erasing them from the active list of objectives. A new objective is effectively managing patients’ blood sugar levels to help improve their clinical outcomes.</p><h2><span>Key Takeaway</span></h2><p>Traditional tactics employed by many hospitals and health systems are proving ineffective against disruptions in their markets. These disruptions persist because they are not temporary; they are permanent and significantly reshaping those markets.</p><p>To adapt, hospitals and health systems require innovative models and strategies that are equally lasting and impactful. They need a more efficient approach to develop and implement these solutions faster, better and at a lower cost. The key lies in adopting a new operating model that translates strategy into structure, driving improved outcomes.</p><p><a href="/aha-center-health-innovation-market-scan/2024-10-15-thriving-new-health-care-economy" target="_blank" title="AHA: Thriving in the New Health Care Economy: How Hospitals and Health Systems Can Pivot Their Operating Models for Sustainability"><span><strong>Download</strong></span><strong> the Trailblazers report now!</strong></a></p></div><div class="col-md-4"><p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" alt="AHA Center for Health Innovation logo" width="721" height="130" data-entity- type="file" class="align-center"></a></p><p><a href="/center/form/innovation-subscription"><img src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png" data-entity-uuid data-entity-type alt width="360" height="300"></a></p></div></div></div>.field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 29 Oct 2024 06:15:00 -0500 Operational Excellence