“Surviving Go-Live: System Financial Impact of EHR Conversion”

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Presentation transcript:

“Surviving Go-Live: System Financial Impact of EHR Conversion” Facilitator: Brett W. Norell, FACHE

Background – Holy Family Memorial Laboratory for integration, improvement & innovation Physicians: 90 provider employed multispecialty group Hospital: Orthopedics, OB, Interventional Heart Center, Cancer 1200 employees Community grounded & focused, Faith-based organization

Background Overview of EHR Conversion Metrics needing improvement: HFM converted from legacy EHR system (20+ years) to Cerner Opportunity to improve patient care, documentation, coding, billing processes Manual processes needing automation Inefficiency related to manual processes, legacy process workflows, previous work arounds, etc. Metrics needing improvement: Coding accuracy rates Days in A/R DNFB Clean claim rate Insurance denials

Evaluation Steps to assure success: Measures of success: Resources Evaluation of current state Build ideal state Test, test, test!!! Measures of success: Gross revenue by day by department DNFB Clean claim rate Days in A/R and DCOH Resources Key leaders (ownership) Strong partner Question everything

Outcomes Outcome: Improve/Control Post go-live: 48 days Large capital outlay impacting cash Delay in claims submission Increasing days in A/R Decreasing cash flow DCOH impact (need plan) Increased operational expense Improve/Control Daily/weekly revenue cycle calls Continues improvement through issue management IT/Cerner collaboration (partnership) Post go-live: 48 days System adoption continues Issue identification continues Constant improvement (rapid cycle)

Lessons Learned Business Impact Financial Impact Community perception Overall experience Financial Impact Balance sheet Income statement Cash flow Satisfaction levels (personal, staff, patients, etc.), experience Patient experience (service and billing delays) Provider frustration with new system Stress level of providers/staff/leaders to correct issues

Questions?