Budget cuts are looming- Strong NPOs will strengthen their internal & external management protocols in order to maximize/diversify funding and strengthen overall agency performance indicators

1. SUSTAINABIITY NONPROFIT (NPO) PERFORMANCE REVIEW FOR
MULTI-REVENUE FUNDING
2016
1
REVIEW NONPROFIT (NPO) SERVICES BY LICENSURE & CERTIFICATION
MEDICAID
SERVICES
NON-
MEDICAID
SERVICES
CARF
ACCREDITATION &
SERVICES
PROVIDED
JCAHO
ACCREDITATION
SERVICES
PROVIDED
UNITED
WAY
HHS
FEDERAL
OTHER
INCOME-
REVENUE
GENERATING
HOSPITAL
AFFILIATION
– MOU
CONTRACT
FUND
ENDOWMENT
PAYMENT
MECHANISM
FFS FFS /GRANT
FUNDING/ETO
FUNDING/PFS
CONTRACT-RATE
AGREEMENT
CONTRACT –
RATE
AGREEMENT
CONTRACT CONTRACT RATE
AGREEMENT-
CAPITATION
MANAGED CARE
ENROLLMENT
PRIOR
AUTHORIZATION-
TIMING OF
SERVICE
FY 2016
PROJECTED
ADULT
POPULATION
SERVED
FY 2016
PROJECTED
CHILDREN-
ADOLESCENTS
SERVED
PRIORITY 1 1 1 1 1 1 2 1 2
DRILL DOWN: DEVELOP ADDITIONAL MEDICAID/NON-MEDICAID REIMBURSESABLE SERVICE MATRICES BY “EPISODE OF CARE’
STRENGTHEN “COLLECTIVE IMPACT” & EFFORTS TO OUTCOME (ETO) COORDINATION, INCLUSIVITY & SERVICE DEFINITIONS
(TAXONOMY) FOR GREATER DELINEATION OF IDENTIFIED PERFORMANCE INDICATORS & OUTCOMES
AVOID OVERLAP: DEVELOP CLEAR & SPECIFIC DELINEATION BETWEEN MANDATED – EVIDENCE-BASED PRACTICES (EBP) SERVICES
TO AVOID COST AND PEOPLE-SHIFTING WHICH MAY RESULT IN “LOSS OF FUTURE PAYMENT-(REIMBURSEMENT)~
NPO MANAGEMENT TEAMS SHOULD DEVELOP “TIGHT” INTERNAL SYSTEM PERFORMACE PROTOCOLS AROUND: ACCESS, EPISODE
OF CARE, TIMELY BILLINGS, CONTINUOUS QUALITY IMPROVEMENT (CQI)/ (ETO) OUTCOMES AND CONSUMER SATISFACTION