1. Presentation to ProModel Solutions Conference

2. INTRODUCING

3. Delta Healthcare Consulting Group, Inc. © 2006 Company Bio Delta Healthcare Consulting Group Background: –Combined 60+ years of healthcare experience among staff –Over 80 hospitals have used DHCG consultants

4. Delta Healthcare Consulting Group, Inc. © 2006 Specializing in: –Process Improvement –Dependency-based staffing systems for Nursing –Mix-sensitive staffing approaches for all other departments Company Bio Delta Healthcare Consulting Group

5. Delta Healthcare Consulting Group, Inc. © 2006 Company Bio Delta Healthcare Consulting Group Client Profiles: –Magnet-designated hospitals –Top 100 Hospitals –Specialty and acute care facilities –Teaching Hospitals

6. Delta Healthcare Consulting Group, Inc. © 2006 Company Bio Delta Healthcare Consulting Group Client Profiles (contd): –Outpatient Clinics –Tertiary Teaching hospitals –Long Term Care facilities

7. Delta Healthcare Consulting Group, Inc. © 2006 Company Bio Delta Healthcare Consulting Group Don Ballash – Director –Designed multiple healthcare applications Cory Carrigan – Senior Consultant –Head of process improvement

8. Delta Healthcare Consulting Group, Inc. © 2006 Abstract December 2004 embarked on a patient flow/process improvement study with large pediatric Cardiology clinic. The clinic includes; echo lab, stress test, pacemaker, ekg, and patient exam rooms. After documenting all patient flow and staff workflow processes a data collection captured the time elements associated with the steps in the process. Data analysis yielded potential process changes. Changes were implemented in the model to determine the impact on the patient and staff. As a result major patient flow and staff role changes were made as well as changes to the patient schedule. Estimated financial impact from recommendations was near $5,000,000.

9. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Business Situation Business Situation: –Management felt capacity had been reached –Patients were experiencing very long length of stay –Echo and clinic schedule were not working well together

10. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Business Situation Business Situation (contd): –Had a very large backlog of patients –Patient satisfaction was very poor

11. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Objectives Project Objectives: –Increase capacity –Decrease patient length of stay –Increase compatibility of echo and clinic schedule –Decrease scheduling backlog –Increase patient satisfaction

12. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Solutions Project Solutions: –Identified physician, staff and clinic capacity Physicians not meeting contract –Changed scheduling Staff working below capacity –Used modeling to match staffing with volume Rooms had excess capacity –Increased patient volume

13. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Solutions Project Solutions (contd): –Decreased patient length of stay Identified and eliminated bottlenecks –Used modeling to test solutions Identified scheduling issues –Used modeling to test scheduling changes

14. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Solutions Project Solutions (contd): –Increase compatibility of clinic and echo schedule Found appointments not synchronized –Used modeling to verify proposed changes Found high percentage of patients not being schedule properly –Implemented check-out process and used modeling to look at impact on patient flow

15. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Solutions Project Solutions (contd): –Decreased scheduling backlog Excess physician capacity helped decrease scheduling backlog –At same time reduced physician time in clinic

16. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Solutions Project Solutions (contd): –Increased patient satisfaction Unsolicited feedback from parents almost instantaneously upon changes –Especially noticed less waiting time, smoother flow through department, and convenience of new checkout process

17. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Results Project Results: –Increased physician, staff and clinic capacity and utilization Increased physician capacity by 20% Increased clinic staff utilization by 16% Increased echo staff utilization by 15%

18. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Results Project Results: –Increased physician, staff and clinic capacity and utilization (contd) Identified clinic room excess capacity of 47% Increased clinic room utilization by 19% Identified echo room excess capacity of 55% Increased echo lab room utilization by 11%

19. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Results Project Results (contd): –Decreased patient length of stay Clinic length of stay decreased 10% Echo length of stay decreased 27%

20. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Results Project Results (contd): –Increased compatibility of echo and clinic schedule Contributed to decrease clinic length of stay of 10% Decreased overall length of stay of clinic patient receiving an echo by 10% Increased return scheduling percentage by 23% to a percentage of 98%

21. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Results Project Results (contd): –Decreased scheduling backlog Clinic backlog decreased 20% Echo backlog decreased 25%

22. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Results Project Results (contd): –Increased customer satisfaction No large increase in hospital survey customer satisfaction but results were already high prior to project. Have not reissued project customer survey to compare results. Have seen a large increase in real-time positive feedback

23. Delta Healthcare Consulting Group, Inc. © 2006 Application Summary Project Results Project Results (contd): –Revenue, cost reduction and cost avoidance Increased revenue of $1.73 million Decreased staffing cost by $65,000 Cost avoidance of over $3 million 1 year ROI of 9x 3 year ROI of 24x

24. Delta Healthcare Consulting Group, Inc. © 2006 Thank you for your Participation! Questions and Discussion