A 3-Point Approach to Achieving Sustainable Business Operations Hosted by HCDI SAN Presented by BeyondtheExamRoom.com® This presentation is provided free-of-charge and is supported by Grant Number 1L1CMS-331480-01-00 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. The contents provided in this webinar are solely the responsibility of the presenters and do not necessarily represent the official views of HHS or any of its agencies.

Bonnie Simpson Mason, MD CEO, BeyondtheExamRoom.com® Adj. Assoc. Prof., GME University of Louisville

Perspective Intended to serve as the core text book, an online reference curriculum for the entire healthcare team throughout the practice transformation process

TCPI Change Package: Transforming Clinical Practice Primary Drivers Circle #3 is the HOW

Circle 3.2 & 3.4

Today’s Objectives (3.2) Identify and recommend personal and professional priorities and assists in framing the career, practice and financial decision parameters throughout each stage of a clinician’s career via one’s Professional Life Cycle. (3.4) Identify the revenue centers within a medical practice, with the goal of examining: points of vulnerability maximizing efficiency eliminating waste

Physician to Physician Transition Utilize resources available via the PTN supported by the SANs Meet the goals of the change packet with roadmap of the PAT Knowing our endpoints – analyze our current status, translate the necessary changes to our IHT, Assess current business operations, create future strategies

Quality Costs Future Drivers Transition Utilize resources available via the PTN supported by the SANs Meet the goals of the change packet with roadmap of the PAT Knowing our endpoints – analyze our current status, translate the necessary changes to our IHT, Assess current business operations, create future strategies

Physician to Physician: Strategy to most effectively and efficiently transition from Volume Value Transition Utilize resources available via the PTN supported by the SANs Meet the goals of the change packet with roadmap of the PAT Knowing our endpoints – analyze our current status, translate the necessary changes to our IHT, Assess current business operations, create future strategies

Starts with those on the front line Culture of our Practice/Department Translation of Change

Perspective Regarding our practice’s Sustainable Business Operations, review of our Current Processes Future Strategies Is warranted

Circle 3.2.1, 3.4.1, 3.4.2

3.2.1 – Encourage Professional Development Identify and recommend personal and professional priorities and assists in framing the career and financial decision parameters throughout each stage of a clinician’s career via one’s Professional Life Cycle.

People 1st – Integrated Healthcare Team 3.2.1 – Encourage Professional Development Building a Culture of Quality and Value People 1st – Integrated Healthcare Team Continuing Education Expectations Communication Change Management

3.2.1 – Encourage Professional Development Road map and example Goal for physician, clinician – stability for self translates to patients and their own families 57% of physicians change practices within their first two years of practice

3.2.1 – Encourage Professional Development

3.2.1 – Encourage Professional Development RECOMMENDATIONS Staff meetings – add meaningful discussions around Forum for discussion based on a uniform platform of content Ongoing professional development – education Empower team members individually, Qtrly, alternating responsibilities – team building, service leadership and conflict and communication

3.2.1 – Encourage Professional Development RECOMMENDATIONS Ongoing professional development Education & Innovation Staff meetings add meaningful discussions based on a uniform platform of content Quarterly, alternating responsibilities Team-building, Service Leadership Conflict Resolution and Communication Empower team members individually

Objective #2 (3.4) Identify the revenue centers within a medical practice, with the goal of examining: maximizing efficiency eliminating waste points of vulnerability

Perspective Sustainable Business Operations Current Processes Future Strategies

3.4.1 Streamline Work Performance based on a clear understanding of the impact of inefficiency and lack of process improvement Define then measure Efficiency Clearly state the return on efficiency Engage the team in developing efficiencies

3.4.1 Streamline Work Define then measure Efficiency Outline the benefits of Efficiency

Draw the connections Front office - Practice/Patient care arm coordination of care- Back office – Business operations

For example, Failure of physicians to complete their charting in a timely manner results in delay in timely filing of claims resulting in delay or denial of payment. Eliminating

3.4.1 Streamline Work RECOMMENDATIONS Define then measure Efficiency Increase knowledge base/understanding Care Coordination Outline the benefits of efficiency Engage the team in developing efficiencies Gamification, i.e. team challenges Incentives

3.4.2 Eliminate Waste Performance based on a clear understanding of the impact of inefficiency and lack of process improvement Define waste Outline the benefits of waste elimination

3.2.1 – Encourage Professional Development

Eliminate Waste

3.4.2 Eliminate Waste RECOMMENDATIONS Eliminate Redundancy Care Coordination Duplicate diagnostics Integration of EHR Solutions Direct Messaging between practices CCDA – Summary of Care

Points of Vulnerability

Points of Vulnerability RECOMMENDATIONS Cross – train staff Irregularly rotate positions Checks and balances at every level

Physician to Physician Transition Utilize resources available via the PTN supported by the SANs Meet the goals of the change packet with roadmap of the PAT Knowing our endpoints – analyze our current status, translate the necessary changes to our IHT, Assess current business operations, create future strategies

TCPI Change Package: Transforming Clinical Practice Primary Drivers

Circle 3.2 & 3.4

Today’s Objectives Identify and recommend personal and professional priorities and assists in framing the career and financial decision parameters throughout each stage of a clinician’s career via one’s Professional Life Cycle. Identify the revenue centers within a medical practice, with the goal of examining: maximizing efficiency eliminating waste points of vulnerability

A 3-Point Approach to Achieving Sustainable Business Operations Drivers PAT Correlations 3.2.1 Encourage Professional Development 3.4.2 Eliminate Waste 3.4.1 Streamline Work 6, 14, 18, 24 6, 7, 21, 23, 25, 27 2, 3, 14, 20, 21, 25

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