Children’s Mercy Hospital, Kansas City, MO - Implementing Combined Business Office (CBO), Pre-Sales Decision Making Through Successful Go-Live Thursday April 30, 2015

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Introductions Amy Andrade, MBA Diana Whitney, FHFMA Theresa Quinn Senior Director of Revenue Cycle Operations Children’s Mercy Hospital and Clinics Diana Whitney, FHFMA Managing Consultant GE Healthcare IT Theresa Quinn Director, Patient Financial Applications - IS Louie Abila Project Manager

A Little Bit About Children’s Mercy Hospital and Clinics Children’s mission statement is focused on improving the health and well being of children by providing comprehensive, family-centered health care and committing to the highest level of clinical and psychosocial care, and to research, academic and service excellence. Organization Overview Children’s Mercy Hospital provides comprehensive care for patients from birth to age 21. Children's Mercy consistently is ranked among the leading children's hospitals in the nation, and was the first hospital in Missouri or Kansas to earn the prestigious Magnet designation for excellence in patient care from the American Nurses Credentialing Center.  Medical staff of more than 700 pediatric specialists More than 40 pediatric specialties Principle teaching hospital for The University of Kansas Medical Center Home of the nation’s first Pediatric Emergency Medicine Fellowship The largest Clinical Pharmacology program in North American and one of 13 designated Pediatric Pharmacology Research Units studying the safety of new medications for use by children

Children’s Mercy Awards and Recognition #6 in Pediatrics: Nephrology #14 in Pediatrics: Orthopedics #17 in Pediatrics: Cancer #23 in Pediatrics: Neonatology #30 in Pediatrics: Diabetes & Endocrinology #32 in Pediatrics: Gastroenterology & GI Surgery #38 in Pediatrics: Neurology & Neurosurgery #38 in Pediatrics: Pulmonology #40 in Pediatrics: Urology Nationally Ranked Hospital Children's Mercy Hospitals and Clinics in Kansas City, MO is ranked nationally in 9 pediatric specialties

Why a New Billing System?

A New Billing System – Why? Single Guarantor Statement CMH families will benefit by receiving only one bill for both hospital and physician charges. They will be able to make a single payment arrangement for all charges due. Transparent and reliable billing Children’s Mercy will benefit from more accurate payments of hospital and physician charges, as well as a transparent and reliable billing process with improved reporting capability.

A New Billing System – Why? Strategic Goals, Shared Values Demonstrate quality outcomes, improve performance and deliver value through continuous improvement, teamwork and transparency. One Pass technology A sophisticated and integrated billing system that eliminates redundant tasks and manual work, improves quality, and reduces the time it takes to accurately bill for hospital and physician charges.

The Implementation What drives success?

What Drives Success? Leadership A proven methodology Process re-design Education Smooth transition

Leadership Help the team focus on what is important Empower the team to make decisions When needed, get all stakeholders in the room and make them stay there until issue is resolved Every now and then….talk someone off a ledge

Project Management Proven Methodology Knowledge Transfer Scope Design Build Activate Project Management Knowledge Transfer

Changing Systems and Structures Mobilizing Commitment Process Redesign Leading Change Changing Systems and Structures Current State Transition State Future State Mobilizing Commitment Creating a Shared Need Shaping a Vision Making Change Last Monitoring Progress

Comprehensive Education Development Lead GE Educator involved during entire project, not just for end user training. Lead GE Educator also acted as Process Consultant. Managers of each area collaborated with design of training materials, and also led classes.

Smooth Transition Dedicated Client Support (DCS) team rolled into some project activities DCS team participated in all phases of testing Key members of Implementation team fade away slowly – not a hard stop

Why Children’s Mercy Chose GE People Process Technology David Haight’s “Three Legged Stool”

Why Children’s Mercy Chose GE Centricity™ Business – People Collaborative partnership that pushed CMH outside their comfort zone and ensured they did not recreate the status quo It’s all about the TEAM!

Why Children’s Mercy Chose GE Centricity Business – Process Proven best practices that will mitigate impact of implementation on bottom line and keep us on the right track System design in conjunction with GE-supplied Revenue Cycle Process Consultation. GE-supplied build Services. Extensive testing – Prototype, Integration & Simulation Progressive Education Solutions, aligned with Children’s business requirements

Why Children’s Mercy Chose GE Centricity Business – Technology Innovative software solution that replaces work arounds, duplications, and manual processes with manage-by-exception workflows. Combined Business Office Transaction Editing System Financial Assistance Manager Business Intelligence Anesthesia Billing Module ADT (with Abstracting & Coding) and Charge Interfaces into Centricity Business Security

Technology - Interfaces You know you’re a Techie if you can read this Cerner McKesson Lawson BI Anes Centricity MFN HIDI PHIS Compass ADT Comp Web Portal Balancing GL Charges Refunds ADT NOTES ADT Forms Charges 3M Payments Guar Portal Web Cashiering DRG CADJ Bank payments Refund Acryness

Measuring Our Success

Measuring our Success We are still working on Post Go Live metrics, Stay Tuned………! Denial numbers and dollars to quantify cleaner claims Denial codes by payor to analyze trends Gross and net revenue Days in A/R Revenue and collection percentages by payor, lines of business, and location

Putting it all Together

The sweet smell of success Successful interfaces Successful knowledge transfer Successful processes Successful implementation

What’s next? Bundled Care Manager to support research billing? ETM worklists? DME billing out of CBO?

Questions? Thank you!