SUCCESS STORY

Clinical Process Improvement – Opportunities to Improve ROI

After implementing a new Epic EHR, a nationally recognized academic medical center* shifted its focus to clinical optimization and engaged Impact Advisors to identify opportunities and provide guidance for clinical performance improvement.

*Comprised of a 650+ bed main campus hospital (a regional Level I Trauma Center) and a network of outpatient health care centers
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Tech-Enabled Improvement

  • Is your EHR not delivering anticipated ROI? New technology alone won’t drive performance improvement. Optimizing your EHR and associated clinical operations parallel will unlock your potential and deliver against expected ROI.

1.) Identifying “Low Hanging Fruit”

Although each provider organization is different, there are areas of a healthcare operation that consistently deliver results, such as patient throughput / excess day reduction, OR utilization, and clinical documentation integrity (CDI) improvement. Impact Advisors starts with this list of focus areas or opportunities, prioritizing those that can directly impact key performance indicators or are aligned with current and planned future performance improvement initiatives.

2.) Partner Clinical Leads with EHR Subject Matter Experts

Our unique pairing of your clinical and operational resources with our EHR and clinical experts (most of whom have operational backgrounds themselves) brings the best of both organizations together to rapidly identify inefficiencies and drive clinical workflows with better patient outcomes across the system.

3.) Apply Differentiated and Proven Approach

To identify and quantify actionable opportunities for improvement (e.g., reduce length of stay, improve clinical utilization and workflow efficiency), Impact Advisors performs a rapid assessment of targeted focus areas, including: 

  • Quantitative Analysis & KPI Benchmarking
  • EHR & Clinical Operations Alignment & Optimization Review
  • On-site Process Mapping & Gap Analysis 
  • Hardwiring Results to Ensure Long-term Sustainability

Our Client Impact

Impact Advisors’ 12-week rapid assessment model, focused on the alignment of people, process and technology for the long-term health and viability of the organization, identified opportunities quantified at a minimum of a 5:1 ROI across all clinical focus areas. Example focus areas include the following:

Operating Room (OR) Performance

OR performance is predicated on appropriate governance, scheduling, staff coverage, and clinical alignment. We conducted “cases in progress,” turnover time, and OR utilization analyses to identify performance and cost savings opportunities.

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Epic Workflow Compliance and Performance

A combination of Epic module and KPI analysis, distributed surveys, and a repeatable observation approach identified Epic workflow performance and
optimization opportunities across the system.

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Patient Throughput and Excess Day Removal

A high-performing patient status management program maximizes bed utilization, reimbursement, and patient satisfaction while minimizing the risk of clinical
denials. By managing care progression to a Geometric Mean Length of Stay (GMLOS) target, protecting the acute care bed base, and enabling proactive patient discharge planning, the team identified the specific levers to improve patient throughput and increase bed utilization by driving efficiencies within the ED, Care Coordination and patient discharge processes.

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CDI Performance Improvement

Clinical documentation integrity (CDI) optimization is driven by streamlined program architecture and automation aligned to all master payer files, coupled
with a high-performing clinical team. We conducted analyses of CDIS Team Performance, Work Queue and Case Assignment, CDI KPI benchmarking and
dashboards to identify opportunities to improve documentation efficiency, reduce patient length of stay and increase Case Mix Index (CMI) accuracy.

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