Over the past decade, we have seen the role of the facility manager change across multiple industries, but none so much as in health care. The facility managers working in hospitals, assisted living facilities and other health care venues who partner with Brenneco Fire Protection are playing more critical roles and are fulfilling more demanding responsibilities than they were just a few years ago.
“Health Care Facility Managers: How to maximize vendor relationships to reach goals” offers our perspective on the crucial partnerships between facility managers and the outside service providers they hire.
What's Inside:
-Quality and performance goals for facility managers
-8 Search tactics to find a trusted vendor
-How vendors can help you reach your goals including:
-Fire Protection Services
-Electrical
-Plumbing
-HVAC
-Landscaping
-Commercial Insurance
-Temp Labor Provider
-Suppliers
5 best practices for ongoing evaluation
When to look for a new vendor
- See more at: http://brennecofp.com/health-care-facility-managers-guide#sthash.vXsRHBUO.dpuf
4. walsteijn.edifecs enabling value based healthcare 2015 04 09 v3Matthijs van Hagen
1) The document discusses the shift in healthcare from fee-for-service to fee-for-value and value-based care. It outlines challenges around information exchange, process automation, and community collaboration that are key to scaling partnerships under value-based models.
2) Edifecs is introduced as a partnership platform that can address these challenges through integrated data, automated workflows, and shared intelligence across organizations.
3) The platform is depicted as enabling various components of value-based care including population health monitoring, intervention programs, and payment calculations.
This document provides an overview of Synergetics' "Industry in Focus" series highlighting trends in the healthcare and life sciences industry and how Synergetics is positioned to help clients in this sector. It discusses the challenges facing third party administrators in healthcare, including balancing costs and provider reimbursement rates. It also identifies factors driving increasing healthcare costs and provides examples of ways Synergetics has helped healthcare clients improve efficiency and profitability through process improvements and technology optimization.
PYA Speaks the New Language of HealthcarePYA, P.C.
PYA Principal David McMillan addressed the 2013 Florida Institute of Certified Public Accountants Health Care Industry Conference and offered a consultant-turned-linguist perspective on “Learning the New Language of Healthcare.”
Removing Barriers to Clinician Engagement: Partnerships in Improvement WorkHealth Catalyst
The document summarizes strategies for overcoming barriers to engaging clinicians in quality improvement work. It describes how the University of Kansas Health System partners with clinicians at three levels - local improvement projects, departmental value-based performance, and leadership planning - to achieve system-wide improvements. Examples include reducing COPD readmissions, adopting a less costly acetaminophen, and antibiotic cost savings. The framework aligns clinicians in data-driven improvement work through dedicated performance teams.
The Healthcare Outcomes Improvement Engine: The Best Way to Ensure Sustainabl...Health Catalyst
The document discusses the healthcare outcomes improvement engine as the best way to ensure sustainable and scalable change. It describes the engine as having four key components: 1) engaging executives, 2) prioritizing opportunities, 3) adequately staffing initiatives, and 4) communicating success early and often. Effective engagement of executives is needed to launch improvement work through strategic vision and prioritization of goals. Standardized processes for prioritizing opportunities based on data ensure resources are focused on initiatives with the highest return. Teams dedicated to improvement initiatives and communication of successes helps drive engagement and scale outcomes improvement efforts across the organization.
Hospital Readmissions Reduction Program: Keys to SuccessHealth Catalyst
Avoidable readmissions are a major financial major problem for the healthcare industry, especially for government payers. To tackle this problem, CMS launched the Hospital Readmissions Reduction Program (HRRP). While some hospitals may be able to absorb the financial penalties under HRRP, they still need to track increasingly complex reporting metrics. Most tracking solutions are inadequate for today’s complicated reporting needs. A healthcare enterprise data warehouse and analytics applications, however, are designed to solve the numerous reporting burdens. When used together, they also deliver a robust solution that enables hospitals to track and drive real cost and quality improvement initiatives, all without the need for users to be technical experts.
How Risk-Bearing Entities Work Together to Succeed at Population HealthHealth Catalyst
Integrating healthcare delivery between risk-bearing entities, such as providers and insurers, is, on the surface, an important step towards population health management and value-based goals. However, even vertically integrated units tend to function separately around patient care. As a result, patients are spread thin between receiving care, navigating insurance, and more—a situation that degrades the patient experience, thwarts optimal outcomes, and interferes with value-based goals. However, some organizations are bridging the gap between healthcare entities to improve quality and decrease costs of caring for at-risk patient populations through a sustainable, collaborative population health model. By joining forces and using analytics to drive decisions and scale programs, truly integrated risk-bearing entities put patients at the center of care, meeting their healthcare needs in a more efficient, cost-effective way.
Improving Patient Safety: Lessons from a Military Operations FrameworkHealth Catalyst
The document discusses how healthcare can improve patient safety by adopting a proactive framework inspired by military operations, referred to as "staying left of bang". It notes that currently healthcare relies on a reactive model where harm is responded to after it occurs. A proactive approach would use automated surveillance systems to detect risks and issues before harm occurs. This could help address safety blind spots and prevent adverse events. The document advocates for technologies like predictive analytics and machine learning to help healthcare organizations achieve greater situational awareness and stay "left of bang".
4. walsteijn.edifecs enabling value based healthcare 2015 04 09 v3Matthijs van Hagen
1) The document discusses the shift in healthcare from fee-for-service to fee-for-value and value-based care. It outlines challenges around information exchange, process automation, and community collaboration that are key to scaling partnerships under value-based models.
2) Edifecs is introduced as a partnership platform that can address these challenges through integrated data, automated workflows, and shared intelligence across organizations.
3) The platform is depicted as enabling various components of value-based care including population health monitoring, intervention programs, and payment calculations.
This document provides an overview of Synergetics' "Industry in Focus" series highlighting trends in the healthcare and life sciences industry and how Synergetics is positioned to help clients in this sector. It discusses the challenges facing third party administrators in healthcare, including balancing costs and provider reimbursement rates. It also identifies factors driving increasing healthcare costs and provides examples of ways Synergetics has helped healthcare clients improve efficiency and profitability through process improvements and technology optimization.
PYA Speaks the New Language of HealthcarePYA, P.C.
PYA Principal David McMillan addressed the 2013 Florida Institute of Certified Public Accountants Health Care Industry Conference and offered a consultant-turned-linguist perspective on “Learning the New Language of Healthcare.”
Removing Barriers to Clinician Engagement: Partnerships in Improvement WorkHealth Catalyst
The document summarizes strategies for overcoming barriers to engaging clinicians in quality improvement work. It describes how the University of Kansas Health System partners with clinicians at three levels - local improvement projects, departmental value-based performance, and leadership planning - to achieve system-wide improvements. Examples include reducing COPD readmissions, adopting a less costly acetaminophen, and antibiotic cost savings. The framework aligns clinicians in data-driven improvement work through dedicated performance teams.
The Healthcare Outcomes Improvement Engine: The Best Way to Ensure Sustainabl...Health Catalyst
The document discusses the healthcare outcomes improvement engine as the best way to ensure sustainable and scalable change. It describes the engine as having four key components: 1) engaging executives, 2) prioritizing opportunities, 3) adequately staffing initiatives, and 4) communicating success early and often. Effective engagement of executives is needed to launch improvement work through strategic vision and prioritization of goals. Standardized processes for prioritizing opportunities based on data ensure resources are focused on initiatives with the highest return. Teams dedicated to improvement initiatives and communication of successes helps drive engagement and scale outcomes improvement efforts across the organization.
Hospital Readmissions Reduction Program: Keys to SuccessHealth Catalyst
Avoidable readmissions are a major financial major problem for the healthcare industry, especially for government payers. To tackle this problem, CMS launched the Hospital Readmissions Reduction Program (HRRP). While some hospitals may be able to absorb the financial penalties under HRRP, they still need to track increasingly complex reporting metrics. Most tracking solutions are inadequate for today’s complicated reporting needs. A healthcare enterprise data warehouse and analytics applications, however, are designed to solve the numerous reporting burdens. When used together, they also deliver a robust solution that enables hospitals to track and drive real cost and quality improvement initiatives, all without the need for users to be technical experts.
How Risk-Bearing Entities Work Together to Succeed at Population HealthHealth Catalyst
Integrating healthcare delivery between risk-bearing entities, such as providers and insurers, is, on the surface, an important step towards population health management and value-based goals. However, even vertically integrated units tend to function separately around patient care. As a result, patients are spread thin between receiving care, navigating insurance, and more—a situation that degrades the patient experience, thwarts optimal outcomes, and interferes with value-based goals. However, some organizations are bridging the gap between healthcare entities to improve quality and decrease costs of caring for at-risk patient populations through a sustainable, collaborative population health model. By joining forces and using analytics to drive decisions and scale programs, truly integrated risk-bearing entities put patients at the center of care, meeting their healthcare needs in a more efficient, cost-effective way.
Improving Patient Safety: Lessons from a Military Operations FrameworkHealth Catalyst
The document discusses how healthcare can improve patient safety by adopting a proactive framework inspired by military operations, referred to as "staying left of bang". It notes that currently healthcare relies on a reactive model where harm is responded to after it occurs. A proactive approach would use automated surveillance systems to detect risks and issues before harm occurs. This could help address safety blind spots and prevent adverse events. The document advocates for technologies like predictive analytics and machine learning to help healthcare organizations achieve greater situational awareness and stay "left of bang".
Three Strategies to Deliver Patient-Centered Care in the Next NormalHealth Catalyst
Juggling financial demands, uncertain healthcare legislation, and COVID-19 can distract healthcare leaders from the most important aspect of care—patients. Delivering patient-centered care in this volatile market can be challenging, especially when traditional healthcare methods (e.g., in-person visits) are on hold. These sudden disruptions to routine care have highlighted the importance of keeping patients at the center of care, whether care delivery is in-person or virtual. Health systems can manage competing priorities, adjust to pandemic-induced changes, and deliver patient-centered care by focusing on three strategies:
Improve the patient experience.
Implement the Meaningful Measures Initiative.
Transition in-person visits to virtual.
Drive Better Outcomes with Four Data-Informed Patient Engagement TacticsHealth Catalyst
Increased patient engagement leads to better clinical outcomes, but organizations still struggle to engage patients and their families in their care. To start, patients have different levels of interest in their care and competency regarding healthcare, which adds to the challenge of treating each patient like a member of the care team.
However difficult these patient engagement roadblocks are, organizations can use data to overcome them. Access to data allows healthcare leaders and providers to identify opportunities to optimize patient engagement. By implementing four data-informed tactics, systems can increase patient engagement and improve health outcomes:
1. Implement shared decision-making interventions.
2. Advance health equity.
3. Prioritize patient feedback.
4. Provide patient-centered education.
Emad Rizk, MD - Navigating the Complexity of New Value-Based Reimbursement Mo...Cleveland HeartLab, Inc.
This document discusses the transition to value-based reimbursement models in healthcare. It outlines trends driving this transition, such as an increasing reliance on government funding, changes to employer-provided insurance plans, and projected decreases in Medicare reimbursements to hospitals and physicians. It also discusses the prevalence of different value-based models currently being piloted by Medicare. Finally, it notes that providers are responding to these changes through industry consolidation in order to better manage costs and take on new payment models.
Many healthcare organizations seem to have been in perpetual pilot stage while experimenting with value-based payment models. Healthcare organizations are focusing their efforts in two primary areas: developing the skills to successfully manage at-risk contracts and, preparing for the considerable business and care delivery transformation necessary for true population health management. But what are the foundational competencies needed to take on risk? Healthcare organizations should consider the following 5 key areas: 1) at-risk contract management, 2) network management, 3) care management, 4) performance monitoring, and 5) improvement prioritization. The value of analytics in each of these competency areas is to prioritize limited resources on the highest impact area.
Measuring the Value of Care Management: Five Tools to Show ImpactHealth Catalyst
To earn legitimacy and resources within a healthcare organization, care management programs need objective, data-driven ways to demonstrate their success. The value of care management isn’t always obvious; while these programs may, in fact, be responsible for improvements in critical metrics, such as reducing readmissions, C-suite leaders need visibility into care management’s impact and processes to understand precisely how they’re improving care and lowering costs at their organizations.
Five analytics-driven technologies give healthcare leaders a comprehensive understanding of care management performance:
The Patient Stratification Application
The Patient Intake Tool
The Care Coordination Application
The Care Companion Application
The Care Team Insights Tool
The document discusses a technology company called SA Ignite that provides software solutions to help healthcare organizations comply with value-based care programs. It describes the challenges providers face with new programs like MIPS that tie Medicare reimbursements to quality metrics. SA Ignite's platform automates and simplifies tracking, measuring, and reporting on clinical and financial performance required by these programs. The platform provides end-to-end support through predictive analytics and expert guidance, helping organizations adapt to the shift toward value-based care.
10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care...Health Catalyst
Care management programs are most successful when patients are deeply engaged in their own care. Using the motivational interviewing technique, care managers work with patients to identify personal care goals and motivators to follow the care management program.
Ten strategies guide the motivational interviewing process, each focusing on patient-centered insights (e.g., pros and cons to following care management and barriers to adherence). With mobile technology to support these interactions, motivational interviewing can become a seamless, and vital, part of the care management workflow.
2021 Changes to the Quality Payment Program: Must-Know Guidelines for ACOsHealth Catalyst
In 2021, CMS proposes the following four key changes to the Quality Payment Program (QPP) that will impact quality measurement for ACOs and ACO participants:
The discontinuation of the CMS Web Interface.
The introduction of the alternative payment model (APM) Performance Pathway (APP).
The discontinuation of the APM scoring card.
The addition of the APM entity as a submitter type for MIPS.
Each change will create new challenges for ACOs and ACO participants. Organizations can successfully navigate these shifts by partnering with a robust quality measures solution that creates a complete picture by combining comprehensive data and measures information in performance visualizations. An inclusive quality measures solution also creates a thorough workflow by combining the monitoring and improving processes, then submitting performance to payers.
A New GIS-driven Approach to Optimize Service Area Boundaries for ACOsHealth Catalyst
While many organizations use patient registries from EMRs to determine their patient population, there is a better way. Using GIS location technology, a health system can identify its care population based on geography and drive times. Health Catalyst uses Dartmouth Atlas hospital referral regions, a hierarchy of facility levels with appropriate drive time isochrones, and medical specialties-based central place theory to develop a more comprehensive view of a health system’s minimum bounding geometry. Using this method, ACOs derive a better understanding of their enrolled patients and eligible payer groups resulting a better basis for strategy and decision making.
Steps for Effective Patient and Staff Contact Tracing to Defend Against COVID...Health Catalyst
While the world waits for a vaccine or effective treatment for COVID-19, managing disease spread is paramount. For health systems, patient and staff contact tracing is one of the top transmission-control strategies. Because the virus appears to spread mainly through respiratory droplets from person-to-person contact, knowing where infected individuals have been and with whom they’ve been in contact is an essential capability. With this insight, organizations can manage transmission with data-driven emergency planning and monitoring capabilities. The resulting appropriate and timely workflow modifications will serve disease control efforts during the 2020 pandemic and help health systems prepare for future outbreaks.
Engage Front-line Care Team Using Clinical Audit Checklists iCareQuality.us
The culture of patient safety, quality, and transparency is central to improving care delivery at the organization and industry level. Implementing a sustainable frontline solution like quality checklists will require new leadership, innovative thinking, applications of human factor engineering, and patient voices who demand better. We need to reward staff engagement and quality patient safety efforts which can translate into better patient outcomes. CCG, PSO developed a Clinical Audit Checklist program that can support a culture of transparency and accountability, thereby reducing healthcare costs and delivering positive patient outcomes. Together, we can make continuous daily improvement a standard practice at the hospital and system level. Patients are counting on us to make care delivery safer today for a better patient experience tomorrow.
The many ways in which healthcare reform affects the healthcare industry are still playing out. Undoubtedly, a question for physicians and the hospitals that employ many of them is “how will physician compensation be affected?”
PYA Principal Carol Carden recently spoke at the 2013 AICPA Healthcare Industry Conference, where she addressed this question with her presentation, “Current Reform Initiatives and Their Impact on Physician Compensation.”
ACOs: Four Ways Technology Contributes to SuccessHealth Catalyst
With an increasing emphasis on value-based care, Accountable Care Organizations (ACOs) are here to stay. In an ACO, healthcare providers and hospitals come together with the shared goals of reducing costs and increasing patient satisfaction by providing high-quality coordinated healthcare to Medicare patients. However, many ACOs lack direction and experience difficulty understanding how to use data to improve care. Implementing a robust data analytics system to automate the process of data gathering and analysis as well as aligning data with ACO quality reporting measures. The article walks through four keys to effectively implementing technology for ACO success:
Build a data repository with an analytics platform.
Bring data to the point of care.
Analyze claims data, identify outliers, including successes and failures.
Combine clinical claims, and quality data to identify opportunities for improvement.
Healthcare Quality Improvement: A Foundational Business StrategyHealth Catalyst
Waste is a $3 trillion problem in the U.S. Fortunately, quality improvement theory (per W. Edwards Deming) intrinsically links high-quality care with financial performance and waste reduction. According to Deming, better outcomes eliminate waste, thereby reducing costs.
To improve quality and process and ultimately financial performance, an industry must first determine where it falls short of its theoretic potential. Healthcare fails in five critical areas:
Massive variation in clinical practices.
High rates of inappropriate care.
Unacceptable rates of preventable care-associated patient injury and death.
A striking inability to “do what we know works.”
Huge amounts of waste.
Quality Data is Essential for Doctors Concerned with Patient EngagementHealth Catalyst
It might be a bit of a leap to associate quality data with improving the patient experience. But the pathway is apparent when you consider that physicians need data to track patient diagnoses, treatments, progress, and outcomes. The data must be high quality (easily accessible, standardized, comprehensive) so it simplifies, rather than complicates, the physician’s job. This becomes even more important in the pursuit of population health, as care teams need to easily identify at-risk patients in need of preventive or follow-up care. Patients engaged in their own care via portals and personal peripherals contribute to the volume and quality of data and feel empowered in the process. This physician and patient engagement leads to improved care and outcomes, and, ultimately, an improved patient experience.
Solutions to the New Challenges Facing ACOs and ACO Participants from the 202...Health Catalyst
This webinar thoroughly explains four key changes in the 2021 Quality Payment Program (QPP) Final Rule: the discontinuation of the CMS Web Interface, the introduction of the Alternative Payment Model (APM) Performance Pathway (APP), the discontinuation of the APM scoring standard, and the expanded use of the APM entity submitter type. These changes create eight new challenges in quality measurement for ACOs in the Medicare Shared Savings Program (MSSP) and ACO participants in the Merit-Based Incentive Payment System (MIPS).
Darren O’Brien, Client Development Director for Regulatory Measures at Health Catalyst, and Rachel Katz, Senior Vice President of Product Development at Health Catalyst and former CEO of Able Health, analyze each change, discuss the new challenges created, and demonstrate how Health Catalyst solutions can help.
This webinar accomplishes the following:
- Analyzes the four key changes.
- Evaluates the eight new challenges.
- Creates solutions for each new challenge.
Precision Medicine: Four Trends Make It PossibleHealth Catalyst
When realized, the promise of precision medicine (to specifically tailor treatment to each individual) stands to transform healthcare for the better by delivering more effective, appropriate care. To date, to achieve precision medicine, health systems have faced financial, data management, and interoperability barriers. Current trends in healthcare, however, will give researchers and clinicians the quality and breadth of health data, biological information, and technical sophistication to overcome the challenges to achieving precision medicine.
Four notable trends in healthcare will bolster to growth of precision medicine in the coming years:
Decision support methods harness the power of the human genome.
Healthcare leverages big data analytics and machine learning.
Reimbursement methods incentivize health systems to keep patients well.
Emerging tools enable more data, more interoperability.
The Key to Transitioning from Fee-for-Service to Value-Based ReimbursementsHealth Catalyst
The shift from fee-for-service to value-based reimbursements has good and bad consequences for healthcare. While the shift will ultimately help health systems provide higher quality lower cost care, the transition may be financially disastrous for some. In addition, the shifting revenue mix from commercial payers to Medicare and Medicaid is creating its own set of challenges. There are, however, three keys to surviving the transition: 1) Effectively manage shared savings programs to maximize reimbursement. 2) Improve operating costs. 3) Increase patient volumes. With an analytics foundation, health systems will be able to meet and survive today’s healthcare challenges.
Surviving Value-Based Purchasing in HealthcareHealth Catalyst
How does your health system's quality of care measure up? With the shift toward a value-based purchasing model that rewards value, outcomes, and patient satisfaction instead of merely volume, providers need to be prepared as the country moves to implement value-driven healthcare. In a world of accountable care, quality measures, shared savings, and bundled payments, today's focus must shift to affordability in conjunction with obtaining higher value.
This document discusses the top 5 challenges facing the healthcare industry in 2015. They are: 1) Reining in costs while improving care. Initiatives like ACOs, telehealth, and bundled payments face implementation challenges. 2) Keeping up with ongoing policy shifts as key provisions of the ACA remain unresolved and face legal challenges. 3) Health plans needing to capitalize on new opportunities in a consumer-centric market by improving customer service and updating legacy IT systems.
Healthcare Payer Digital Transformation | Health Plan Services | Healthcare B...RNayak3
Transform your healthcare payer operations with our digital transformation services. As the #1 outsourcing and consulting company, we're your premier provider for BPO/BPM solutions in the healthcare payer industry.
Three Strategies to Deliver Patient-Centered Care in the Next NormalHealth Catalyst
Juggling financial demands, uncertain healthcare legislation, and COVID-19 can distract healthcare leaders from the most important aspect of care—patients. Delivering patient-centered care in this volatile market can be challenging, especially when traditional healthcare methods (e.g., in-person visits) are on hold. These sudden disruptions to routine care have highlighted the importance of keeping patients at the center of care, whether care delivery is in-person or virtual. Health systems can manage competing priorities, adjust to pandemic-induced changes, and deliver patient-centered care by focusing on three strategies:
Improve the patient experience.
Implement the Meaningful Measures Initiative.
Transition in-person visits to virtual.
Drive Better Outcomes with Four Data-Informed Patient Engagement TacticsHealth Catalyst
Increased patient engagement leads to better clinical outcomes, but organizations still struggle to engage patients and their families in their care. To start, patients have different levels of interest in their care and competency regarding healthcare, which adds to the challenge of treating each patient like a member of the care team.
However difficult these patient engagement roadblocks are, organizations can use data to overcome them. Access to data allows healthcare leaders and providers to identify opportunities to optimize patient engagement. By implementing four data-informed tactics, systems can increase patient engagement and improve health outcomes:
1. Implement shared decision-making interventions.
2. Advance health equity.
3. Prioritize patient feedback.
4. Provide patient-centered education.
Emad Rizk, MD - Navigating the Complexity of New Value-Based Reimbursement Mo...Cleveland HeartLab, Inc.
This document discusses the transition to value-based reimbursement models in healthcare. It outlines trends driving this transition, such as an increasing reliance on government funding, changes to employer-provided insurance plans, and projected decreases in Medicare reimbursements to hospitals and physicians. It also discusses the prevalence of different value-based models currently being piloted by Medicare. Finally, it notes that providers are responding to these changes through industry consolidation in order to better manage costs and take on new payment models.
Many healthcare organizations seem to have been in perpetual pilot stage while experimenting with value-based payment models. Healthcare organizations are focusing their efforts in two primary areas: developing the skills to successfully manage at-risk contracts and, preparing for the considerable business and care delivery transformation necessary for true population health management. But what are the foundational competencies needed to take on risk? Healthcare organizations should consider the following 5 key areas: 1) at-risk contract management, 2) network management, 3) care management, 4) performance monitoring, and 5) improvement prioritization. The value of analytics in each of these competency areas is to prioritize limited resources on the highest impact area.
Measuring the Value of Care Management: Five Tools to Show ImpactHealth Catalyst
To earn legitimacy and resources within a healthcare organization, care management programs need objective, data-driven ways to demonstrate their success. The value of care management isn’t always obvious; while these programs may, in fact, be responsible for improvements in critical metrics, such as reducing readmissions, C-suite leaders need visibility into care management’s impact and processes to understand precisely how they’re improving care and lowering costs at their organizations.
Five analytics-driven technologies give healthcare leaders a comprehensive understanding of care management performance:
The Patient Stratification Application
The Patient Intake Tool
The Care Coordination Application
The Care Companion Application
The Care Team Insights Tool
The document discusses a technology company called SA Ignite that provides software solutions to help healthcare organizations comply with value-based care programs. It describes the challenges providers face with new programs like MIPS that tie Medicare reimbursements to quality metrics. SA Ignite's platform automates and simplifies tracking, measuring, and reporting on clinical and financial performance required by these programs. The platform provides end-to-end support through predictive analytics and expert guidance, helping organizations adapt to the shift toward value-based care.
10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care...Health Catalyst
Care management programs are most successful when patients are deeply engaged in their own care. Using the motivational interviewing technique, care managers work with patients to identify personal care goals and motivators to follow the care management program.
Ten strategies guide the motivational interviewing process, each focusing on patient-centered insights (e.g., pros and cons to following care management and barriers to adherence). With mobile technology to support these interactions, motivational interviewing can become a seamless, and vital, part of the care management workflow.
2021 Changes to the Quality Payment Program: Must-Know Guidelines for ACOsHealth Catalyst
In 2021, CMS proposes the following four key changes to the Quality Payment Program (QPP) that will impact quality measurement for ACOs and ACO participants:
The discontinuation of the CMS Web Interface.
The introduction of the alternative payment model (APM) Performance Pathway (APP).
The discontinuation of the APM scoring card.
The addition of the APM entity as a submitter type for MIPS.
Each change will create new challenges for ACOs and ACO participants. Organizations can successfully navigate these shifts by partnering with a robust quality measures solution that creates a complete picture by combining comprehensive data and measures information in performance visualizations. An inclusive quality measures solution also creates a thorough workflow by combining the monitoring and improving processes, then submitting performance to payers.
A New GIS-driven Approach to Optimize Service Area Boundaries for ACOsHealth Catalyst
While many organizations use patient registries from EMRs to determine their patient population, there is a better way. Using GIS location technology, a health system can identify its care population based on geography and drive times. Health Catalyst uses Dartmouth Atlas hospital referral regions, a hierarchy of facility levels with appropriate drive time isochrones, and medical specialties-based central place theory to develop a more comprehensive view of a health system’s minimum bounding geometry. Using this method, ACOs derive a better understanding of their enrolled patients and eligible payer groups resulting a better basis for strategy and decision making.
Steps for Effective Patient and Staff Contact Tracing to Defend Against COVID...Health Catalyst
While the world waits for a vaccine or effective treatment for COVID-19, managing disease spread is paramount. For health systems, patient and staff contact tracing is one of the top transmission-control strategies. Because the virus appears to spread mainly through respiratory droplets from person-to-person contact, knowing where infected individuals have been and with whom they’ve been in contact is an essential capability. With this insight, organizations can manage transmission with data-driven emergency planning and monitoring capabilities. The resulting appropriate and timely workflow modifications will serve disease control efforts during the 2020 pandemic and help health systems prepare for future outbreaks.
Engage Front-line Care Team Using Clinical Audit Checklists iCareQuality.us
The culture of patient safety, quality, and transparency is central to improving care delivery at the organization and industry level. Implementing a sustainable frontline solution like quality checklists will require new leadership, innovative thinking, applications of human factor engineering, and patient voices who demand better. We need to reward staff engagement and quality patient safety efforts which can translate into better patient outcomes. CCG, PSO developed a Clinical Audit Checklist program that can support a culture of transparency and accountability, thereby reducing healthcare costs and delivering positive patient outcomes. Together, we can make continuous daily improvement a standard practice at the hospital and system level. Patients are counting on us to make care delivery safer today for a better patient experience tomorrow.
The many ways in which healthcare reform affects the healthcare industry are still playing out. Undoubtedly, a question for physicians and the hospitals that employ many of them is “how will physician compensation be affected?”
PYA Principal Carol Carden recently spoke at the 2013 AICPA Healthcare Industry Conference, where she addressed this question with her presentation, “Current Reform Initiatives and Their Impact on Physician Compensation.”
ACOs: Four Ways Technology Contributes to SuccessHealth Catalyst
With an increasing emphasis on value-based care, Accountable Care Organizations (ACOs) are here to stay. In an ACO, healthcare providers and hospitals come together with the shared goals of reducing costs and increasing patient satisfaction by providing high-quality coordinated healthcare to Medicare patients. However, many ACOs lack direction and experience difficulty understanding how to use data to improve care. Implementing a robust data analytics system to automate the process of data gathering and analysis as well as aligning data with ACO quality reporting measures. The article walks through four keys to effectively implementing technology for ACO success:
Build a data repository with an analytics platform.
Bring data to the point of care.
Analyze claims data, identify outliers, including successes and failures.
Combine clinical claims, and quality data to identify opportunities for improvement.
Healthcare Quality Improvement: A Foundational Business StrategyHealth Catalyst
Waste is a $3 trillion problem in the U.S. Fortunately, quality improvement theory (per W. Edwards Deming) intrinsically links high-quality care with financial performance and waste reduction. According to Deming, better outcomes eliminate waste, thereby reducing costs.
To improve quality and process and ultimately financial performance, an industry must first determine where it falls short of its theoretic potential. Healthcare fails in five critical areas:
Massive variation in clinical practices.
High rates of inappropriate care.
Unacceptable rates of preventable care-associated patient injury and death.
A striking inability to “do what we know works.”
Huge amounts of waste.
Quality Data is Essential for Doctors Concerned with Patient EngagementHealth Catalyst
It might be a bit of a leap to associate quality data with improving the patient experience. But the pathway is apparent when you consider that physicians need data to track patient diagnoses, treatments, progress, and outcomes. The data must be high quality (easily accessible, standardized, comprehensive) so it simplifies, rather than complicates, the physician’s job. This becomes even more important in the pursuit of population health, as care teams need to easily identify at-risk patients in need of preventive or follow-up care. Patients engaged in their own care via portals and personal peripherals contribute to the volume and quality of data and feel empowered in the process. This physician and patient engagement leads to improved care and outcomes, and, ultimately, an improved patient experience.
Solutions to the New Challenges Facing ACOs and ACO Participants from the 202...Health Catalyst
This webinar thoroughly explains four key changes in the 2021 Quality Payment Program (QPP) Final Rule: the discontinuation of the CMS Web Interface, the introduction of the Alternative Payment Model (APM) Performance Pathway (APP), the discontinuation of the APM scoring standard, and the expanded use of the APM entity submitter type. These changes create eight new challenges in quality measurement for ACOs in the Medicare Shared Savings Program (MSSP) and ACO participants in the Merit-Based Incentive Payment System (MIPS).
Darren O’Brien, Client Development Director for Regulatory Measures at Health Catalyst, and Rachel Katz, Senior Vice President of Product Development at Health Catalyst and former CEO of Able Health, analyze each change, discuss the new challenges created, and demonstrate how Health Catalyst solutions can help.
This webinar accomplishes the following:
- Analyzes the four key changes.
- Evaluates the eight new challenges.
- Creates solutions for each new challenge.
Precision Medicine: Four Trends Make It PossibleHealth Catalyst
When realized, the promise of precision medicine (to specifically tailor treatment to each individual) stands to transform healthcare for the better by delivering more effective, appropriate care. To date, to achieve precision medicine, health systems have faced financial, data management, and interoperability barriers. Current trends in healthcare, however, will give researchers and clinicians the quality and breadth of health data, biological information, and technical sophistication to overcome the challenges to achieving precision medicine.
Four notable trends in healthcare will bolster to growth of precision medicine in the coming years:
Decision support methods harness the power of the human genome.
Healthcare leverages big data analytics and machine learning.
Reimbursement methods incentivize health systems to keep patients well.
Emerging tools enable more data, more interoperability.
The Key to Transitioning from Fee-for-Service to Value-Based ReimbursementsHealth Catalyst
The shift from fee-for-service to value-based reimbursements has good and bad consequences for healthcare. While the shift will ultimately help health systems provide higher quality lower cost care, the transition may be financially disastrous for some. In addition, the shifting revenue mix from commercial payers to Medicare and Medicaid is creating its own set of challenges. There are, however, three keys to surviving the transition: 1) Effectively manage shared savings programs to maximize reimbursement. 2) Improve operating costs. 3) Increase patient volumes. With an analytics foundation, health systems will be able to meet and survive today’s healthcare challenges.
Surviving Value-Based Purchasing in HealthcareHealth Catalyst
How does your health system's quality of care measure up? With the shift toward a value-based purchasing model that rewards value, outcomes, and patient satisfaction instead of merely volume, providers need to be prepared as the country moves to implement value-driven healthcare. In a world of accountable care, quality measures, shared savings, and bundled payments, today's focus must shift to affordability in conjunction with obtaining higher value.
This document discusses the top 5 challenges facing the healthcare industry in 2015. They are: 1) Reining in costs while improving care. Initiatives like ACOs, telehealth, and bundled payments face implementation challenges. 2) Keeping up with ongoing policy shifts as key provisions of the ACA remain unresolved and face legal challenges. 3) Health plans needing to capitalize on new opportunities in a consumer-centric market by improving customer service and updating legacy IT systems.
Healthcare Payer Digital Transformation | Health Plan Services | Healthcare B...RNayak3
Transform your healthcare payer operations with our digital transformation services. As the #1 outsourcing and consulting company, we're your premier provider for BPO/BPM solutions in the healthcare payer industry.
ExecutiveInsight July 2014 - Supply Chain cover storygaryjohnson500
The document discusses strategies for optimizing healthcare supply chain management. It notes that simply relying on group purchasing organizations for lower prices is no longer sufficient, and health systems are now looking more closely at cost variability, utilization, and quality across hospitals, units, and clinicians. Advanced analytics and improved value analysis processes are helping to generate savings. However, fully optimizing supply chain management requires accountability across the entire health system to improve processes and focus on patient outcomes. Automating supply chain processes can also reduce waste compared to current manual methods. Coordinating all facets of vendor management through a streamlined supply chain is key to generating savings from this area, which accounts for up to half of total healthcare costs.
in order to meet cost reduction targets, CMOs
* Share patient data across ecosystems
* Embed shared organizational intelligence
* Establish guidance for quality & cost within physician workflows
* Prepare physician leaders to create a culture of continual improvement
This document discusses how moving to a true cloud-based ERP system can help healthcare providers succeed by improving efficiency. It notes that digital transformation in healthcare is being driven by consumer demand for better experiences. While many providers have adopted some new technologies, successful digital transformation requires integrating across departments. The document argues that a cloud-based ERP can eliminate silos by providing real-time, centralized access to financial, HR, supply chain and other data. Key benefits mentioned include improved decision-making, better talent management, and increased productivity. Examples are provided of healthcare providers that have boosted efficiency and outcomes by implementing a cloud ERP system.
MCD Healthcare Leader Predictions featuring Mark Herzog and Dr. Steven DriggersMark Herzog
Mark Herzog, CEO and President of Holy Family Memorial and Dr. Steven Driggers, Cheif Medical Officer of Holy Family Memorial provide their insights into how to effectively evolve healthcare facilities over the next ten years.
Healthcare by Any Other Name - Centricity Business WhitepaperGE Healthcare - IT
This document discusses new models of healthcare delivery such as accountable care organizations and integrated health organizations that aim to improve outcomes and reduce costs through greater coordination and integration of care. It summarizes that these models seek to address long-standing issues with the traditional fragmented healthcare system such as its focus on episodic treatment rather than prevention. Critical to enabling these new models is developing an information technology infrastructure that includes electronic medical records, revenue cycle management systems, clinical decision support, and health information exchange capabilities to facilitate data sharing and population health management.
HRS provides healthcare executive relationship services and solution assessments focused on improving the patient experience and addressing challenges caused by ACA mandates. There are several challenges impacting the patient-provider relationship, including patient experience metrics that impact reimbursement, an increasing number of uninsured patients, constraints on caregiver capacity, becoming a data-driven organization, delivering integrated care throughout the patient lifecycle, accurate ordering and revenue cycle management, quickly implementing ACA requirements, transitioning to a value-based and patient-centric model with price transparency, and accelerating accurate claims cycles. HRS' solutions aim to address these challenges through approaches like accelerated learning, virtual offices, data analytics platforms, communication and workflow solutions, performance management, and improving order accuracy
The below stated are the Challenges and business requirements faced .pdfapleather
The below stated are the Challenges and business requirements faced by the hospital
Population health
Population health was one of the biggest ideas in healthcare this past year, and it will likely
maintain or gain momentum in the next few years to come. But despite the frequent use of the
term in the healthcare bubble, population health is a multidisciplinary concept to be shared
between public health agencies, social institutions and policymakers.
Hospitals fit in there somewhere. Defining that role is one of the ongoing challenges they will
face in 2015.
Hospitals\' demand for population health expertise overwhelms the supply. Nearly 60 percent of
health system and hospital CEOs ranked population health as the hardest skill set to find within
the broader healthcare field, according to a 2014 American Hospital Association survey. Further,
nearly half of executives polled identified community and population health management as a
talent gap within their organizations. Some health systems are filling this gap by creating new C-
suite positions: 10 percent of executives indicated their health system had a chief population
health manager.
Quantifying population health is another challenge. Although healthcare leaders need to think
creatively about how to improve the health of a geographic population, they should also maintain
a healthy sense of skepticism about population health efforts. What might seem like a much-
needed intervention on paper, such as a grocery store in a food desert, may be one small piece of
a multipronged solution. There are no silver bullets, after all. Amid excitement for population
health, systems may oversimplify problems and overinvest in solutions only to see the same
health outcomes.
To find success, hospital leaders may need to diminish their traditional reliance on \"programs\"
and instead focus more on partnerships with community organizations and nonprofits. Some
health systems still act as autonomously as they can, ignoring a wealth of expertise and
resources.
\"When we talk to other population health managers, they have unearthed a number of unique
challenges inside their populations, such as domestic violence, elder abuse and other public
health crises,\" says Jason Dinger, PhD, CEO of MissionPoint Health Partners in Nashville, the
accountable care organization affiliated with Saint Thomas Health. \"Unfortunately, most
respond by trying to implement their own unique program to respond to the issue. We usually
encourage them to first speak with the experts in their community who work on these issues
every day. In many cases these are nonprofit organizations that can add great value to the
population health effort but often have trouble engaging and integrating with a health system\'s
efforts.\"
Shifting from volume- to value-based reimbursement
The move from volume- to value-based reimbursement is inevitable. For now, it\'s a matter of
how quickly providers should make it.
Move too fast, and hospitals risk los.
The document discusses four pressures that are shaping the future of post-acute care: 1) the pressure to serve patients in the lowest-cost setting using telemedicine, telehealth, and mobile technologies; 2) the pressure to avoid readmissions and improve patient compliance; 3) the pressure to remove friction from data and workflow exchange; and 4) the pressure to prove the value of post-acute care. It recommends that post-acute care providers identify challenges, do a reality check on needed changes, and embrace pressures as opportunities to invest in technologies that improve data access, workflows, and care coordination across settings.
The document discusses how the Patient Success Platform from Salesforce can help healthcare organizations address the challenges of patient-centric care. It provides 3 key capabilities:
1) Acquisition and retention - It treats patients like retail consumers by using tools like physician referral management and customer engagement to attract and retain patients.
2) Collaboration - It promotes modern collaboration among the care team by providing a shared view of patient data and centralized communications.
3) Engagement - It engages patients anytime, anywhere through mobile apps, educational resources, and tools to track goals and care plans.
This helps deliver coordinated, personalized care that improves outcomes and reduces costs.
Enhancing Patient Care through Innovative Revenue Cycle ManagementJena Eggert
Revenue Cycle Management (RCM) traditionally operates as the financial backbone of hospitals and health systems, ensuring a smooth flow of transactions from the initial patient encounter to the final collection of payment. However, the dynamism of healthcare economics and patient expectations demands a reimagining of RCM that is deeply intertwined with the patient experience.
The Link Between RCM and Patient Experience
Historically, RCM has been a behind-the-scenes operation focused on administrating insurance claims, billing, and payment collection. Conversely, the patient experience deals with the quality and delivery of care as perceived by patients. What's been commonly misunderstood is that the RCM process, many times, is the first and last part of actual care a patient receives – the communication or lack thereof about costs and services can make or break the complete patient experience. Acknowledging this intersection is critical to modern healthcare strategy.
Crafting a Patient-Centric Approach: Pre-Visit Communication
The patient's financial experience, often the most opaque part of their healthcare, is where innovation should start. Crafting a patient-centric RCM begins far before the patient arrives at your facility. Clear, educational communication about potential costs, what financial barriers exist, and how the provider can support in overcoming them fosters a relationship of trust and preparedness. It's about empowering the patient with knowledge to make informed decisions.
During the Visit: Real-Time Engagement
Engagement during a patient's visit shouldn't just revolve around their clinical condition. It's also an opportune time to discuss financial aspects openly. Providing payment options, evaluating affordability, and being flexible in adjusting billing can significantly reduce frustrations and improve the patient's overall experience with the healthcare system.
Post-Care Follow-Up: Continuous Trust
For patients, the post-care phase is a lasting impression of the entire treatment experience. Facilitating clear, accessible communication about financial responsibilities and follow-up care solidifies the trust earned throughout their interaction. By post-care engagement, providers can ensure clarity and resolution of financial concerns, thus wrapping up the patient's experience on a positive note.
Adapting to the Future: Aligning RCM with Patient Expectations
Adapting RCM to the future is not just a strategic move but an ethical one. With the exponential rise of high-deductible health plans and an increasingly consumer-driven healthcare model, it is incumbent upon providers to deliver financial experiences that match the level of care they give clinically. Transparency, accessibility, and innovation are the watchwords as we transform the traditionally rigid RCM into a responsive, dynamic part of patient care.
Innovating for Accessibility and Engagement
In this new healthcare paradigm, technology serves as the great enabler. From c
Revenue Cycle Management: Market Dynamics & Opportunities in a Changing Healt...Cognizant
Sourcing revenue cycle management can help healthcare insurers overcome growing reimbursement complexities. Yet providers say managing dozens of RCM vendors comes with its own complications. That’s why they’re increasingly sourcing comprehensive RCM solutions with a single vendor to generate greater efficiencies, reduce costs and improve patient satisfaction.
Imagine a healthcare system where people live long, healthy lives, receiving quality, affordable care, with clinicians nationwide collaborating to improve outcomes. That's Accountable Care! Learn the benefits of becoming an ACO in this insightful eBook.
Direct to Employer - Dealing With Narrow Networks in the 'New Exchange World'McKonly & Asbury, LLP
This webinar was hosted by Tyler Wenger and Suzanne Sentman from McKonly & Asbury with special guest host Ernie Tsoules from Rhoads & Sinon.This presentation addressed the fact that self-insured employers are increasingly seeking to reduce employee health care costs. A new model of achieving this goal is taking hold in the market by employers contracting directly with new types of health care provider networks, commonly referred to as “narrow networks." This session explored the evolution of these new arrangements and its impact on employers, health care providers and employees. The session also addressed the key business and legal issues that are important to consider in developing these new relationships.
Check out our Upcoming Events page for news and updates on our future seminars and webinars at http://www.macpas.com/events/
Healthcare providers took an average of 8.1 minutes to complete scheduling calls, which was longer than the cross-industry average of 3.7 minutes. Calls were frequently transferred, occurring 63% of the time for providers compared to best practices of 5.7%. Despite long wait times and transfers, only 59% of calls resulted in a scheduled appointment on the first attempt, falling below cross-industry averages.
The document discusses vendor credentialing in healthcare from multiple perspectives. It explores the two main schools of thought around credentialing - controlling access to hospitals for pricing negotiations versus ensuring safety and security. Experts from hospitals, suppliers, and credentialing companies provide opinions on which school is more prevalent and important. They also discuss efforts over the past year to develop universal standards and best practices for credentialing, but note more work still needs to be done. Opinions are given on how an ideal credentialing system could work to satisfy both providers and suppliers.
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
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In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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Health Care Facility Managers: How to maximize vendor relationships to reach goals
1. A publication from
Health Care
Facility Managers
Health Care
Facility Managers
How to maximize vendor relationships to reach goals
With a changing system, health care facilities play a larger
role than ever in the overall success of their institutions.
2. Page 2
Reach a higher standard in fire protection.
Is This Guide For me?
Over the past decade, we have seen the role of the facility manager change across multiple
industries, but none so much as in health care. The facility managers working in hospitals,
assisted living facilities and other health care venues who partner with Brenneco Fire
Protection are playing more critical roles and are fulfilling more demanding responsibilities
than they were just a few years ago.
“Health Care Facility Managers: How to maximize vendor relationships to reach goals”offers
our perspective on the crucial partnerships between facility managers and the outside service
providers they hire.
On our website, you can find answers to many more questions from the Brenneco Fire
Protection team. Better yet, contact us at 1-866-967-0017 or through brennecofp.com so we
can start helping you achieve your goals today.
3. Page 3
Reach a higher standard in fire protection.
Contents
A New Era of Health Care Facilities Management ........................................... 4
Quality and Performance Goals for Facility Managers ................................... 6
8 Search Tactics to Find a Trusted Vendor .......................................................... 8
Use Your Vendors to Help You Reach Goals ..................................................... 10
Fire Protection Services ............................................................................ 10
Electrical ........................................................................................................ 12
Plumbing ....................................................................................................... 13
HVAC ............................................................................................................... 14
Landscaping ................................................................................................. 15
Commercial Insurance .............................................................................. 16
Temp Labor Provider ................................................................................. 17
Suppliers ........................................................................................................ 18
5 Best Practices for Ongoing Evaluation .......................................................... 19
When to Look for a New Vendor ......................................................................... 20
Bottom Line for Health Care Facility Managers ............................................. 22
Get in Touch ............................................................................................................... 23
Download the Checklist
4. Page 4
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Reform of the health care system has resulted in an emphasis on facilities and the pressure to
balance resources like never before.
Under health care reform laws, 16 million eligible Medicaid participants will be insured by
2019 when the Patient Protection and Affordable Care Act (PPACA) extends its coverage to
all individuals whose income is less than 133 percent of the federal poverty line. That means
increased pressure on institutions to hold down costs while serving new constituents with
greater accountability for results and patient satisfaction.
In any health care setting, the facility managers are the behind-the-scenes hands that allow
the facility to conduct its mission. Typically, these are the people who prefer to work out of the
spotlight but are vital to the overall success of the institution. They must manage varied
aspects of the buildings and grounds, from lawn mowing to construction, and stay on budget
while minimizing disruptions that could endanger the public or damage a good reputation.
As the health care market evolves, the philosophy of facility management must change
with it. The health care industry is moving from a“pay for procedure”model to a“pay for
performance”one with more emphasis on value of care opposed to volume of care. On the
medical professional side, this means doctors are being asked to delegate more routine
procedures to others while they focus on care management. Across the board, compensation
for completing a task is being replaced by compensation for accomplishing a goal.
In this new era of care, hospital executives rely
more heavily on their physical plant operations
to help improve overall quality and reduce costs.
Facility managers are being asked to do more
with less, and at the same time become much
more integrated into the patient experience.
The facility can no longer be considered an
afterthought or stay wholly out of the spotlight.
To accomplish their heightened mission, health care facility managers have essentially three
resources: people, time and money. Pulling too hard on any one of these levers can throw the
others out of balance. Facilities experts who are doing things right know that to get the most
out of their resources, close-knit relationships with trusted vendors in the building trades
are required.
Facility managers are being
asked to do more with less,
and at the same time become
much more integrated into
the patient experience.
A New Era of Health Care
Facilities Management
5. Page 5
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While it is always tempting to let the lowest bid guide your decision to partner with an outside
vendor, rarely does a cheap rate yield the best results. Instead, a long-term relationship with
mutually beneficial arrangements based on clear communications delivers the greatest value.
As the industry changes, health care facilities are pushing to maintain compliance standards
while doing more with less. Because of this, facilities need to minimize extraneous preventive
maintenance procedures. Overall, health care facilities should be run like businesses, with
decisions made after gathering appropriate data and assigning costs based on clinical impact.
This guide, produced and provided by Brenneco Fire Protection, highlights some of the key
vendor relationships health care facility managers rely on to meet their goals. It’s designed
to aid communications between facility managers and their trusted trade partners to ensure
success in the new world of health care.
6. Page 6
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Quality and Performance
Goals for Facility Managers
In the good old days, the only time anyone considered the support infrastructure was when a
pipe burst, the lights went out or the air conditioner was on the fritz. That’s no longer the case.
In the new health care environment, the facilities team must now be one of the patient touch
points and part of the customer service team, even when nothing appears to be“broken.”
Compliance with accreditation standards from the Centers for Medicaid and Medicare
Services (CMS) and state Departments of Health (DOH) regulations is nothing new.
Compliance, however, is becoming more and more important.
With restrictions on hospital reimbursements based on readmission rates, rates of health care-
associated infection (HAI) — the infections that patients acquire in the course of receiving
treatment —and Hospital Consumer Assessment of Healthcare Providers and Systems
(HCAHPS) scores, facilities play a key role in meeting these requirements.
By ensuring that the physical environment of
care has a positive impact on patient outcomes
and satisfaction, the cost of health care
should be reduced through lower infection
rates, higher staff retention, higher patient
satisfaction, energy savings and other efficiency
improvements.
For example, HVAC systems play a large role in patient outcomes. Healthcare-acquired
infection results in 90,000 deaths per year at a price tag of $4.5 billion to hospitals, noted
Robert Scheir, Ph.D., president of the American Society of Heating, Refrigerating, and Air-
Conditioning Engineers (ASHRAE).“Airborne transmission of diseases through HVAC systems is
actually much more prevalent than previously thought and proper control is critical,”Scheir
said in an ASHRAE report.
To the facility manager and health care professional, reliable power distribution, lighting and
communication networks are vital services in the successful treatment of every patient under
care. They are not only factors affecting a person’s comfort and experience, but they are also
necessary to facilitate medical care. You can have the greatest medical staff in the world,
but without access to energy, water and other facility-related resources, they can’t perform.
Hospitals and many other facilities operate 24/7, so any interruptions in service have to
be minimized.
Communicating expectations
to vendors and holding them
accountable can help facility
managers meet goals.
7. Page 7
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The connection to the patient, the amount of risk carried within the infrastructure and the
quality of support services delivered are now top priorities for an institution’s leadership.
Health care facility managers must align their operations with this new reality. Of course, the
goal of keeping a facility operational is always there. However, a new approach that aligns the
facilities team with institutional-level goals of delivering high-performance results can lead to
meaningful change.
8. Page 8
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8 Search Tactics to
Find a Trusted Vendor
Because health care services are so critical, many health care facilities prefer to develop
trusted partnerships with their vendors opposed to keeping them at arm’s length.
Communicating expectations to vendors and holding them accountable can help facility
managers meet goals such as increasing energy and resource efficiency, and reducing
environmental impacts.
Beyond the basics of any good vendor relationship, contractors in a health care setting must
meet a higher standard of competence. Understanding patient confidentiality, security issues,
even infection and contamination issues, are all part of the environment in which contractors
must be comfortable. Following are eight ways to help you find an outside service provider.
1 In selecting contractors, start with the basics: Check licenses, credentials,
insurance certificates and any special certifications required for specialty
disciplines.
2 Use search engines to see reviews or complaints that may be circulating. Check
references and ask to see references from similar types and sizes of facilities.
After all, installing a chair in a dentist’s office is not comparable to building a new
emergency department.
3 Call managers at other facilities that may not be on the references list for
independent verification.
4 Check with state licensing boards to see if any complaints have been filed
against a contractor.
5 Work with a contractor to develop a set of approved products for common
items. Doing so can help you specify products that align with your institution’s
standards. For instance, cleaning products or paints should meet the institution’s
standards for VOC content.
6 During your search, communicate the institution’s policies on things such as
access to the facility and shutdowns. Make sure the candidate would be on
board with such policies. For example, some facilities require an escort for
any contractor, while others provide trusted contractors with access cards.
Some facilities specify that a certain amount of notice be given before closing
9. Page 9
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a department or shutting down equipment for inspection or repair. Put
these policies in writing and make sure the vendors will be responsible for
disseminating the information to all employees who will be working at
the facility.
7 Share your goals and expectations with the potential vendor. If you’re trying to
cut energy costs or meet a performance standard, let the electrical vendor know
that. Ask for their input and ideas. They may know of efficient-lighting incentive
programs from utilities, for example.
8 If you’re facing budgetary pressure, discuss how you can meet those goals. If
you’re trying to keep the landscaping budget at last year’s level, say that upfront.
There may be tradeoffs in scheduling work or low-maintenance plants that could
allow a facility to save money with no apparent loss of service.
10. Page 10
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Over the next few pages, you will find an overview of the some of the most frequently used
vendors working in health care facilities. Maximizing your relationships with these service
providers can help you — the facility manager — ensure your facility operates in compliance
with applicable codes and standards, and reaches closer to the“pay for performance”model.
Fire Protection Services
Fire protection services companies install, maintain and inspect fire protection systems.
They conduct tests of the system on a regular basis and provide reports to facility managers
regarding performance and any maintenance needs. They may also offer ancillary services
such as fire extinguisher inspections and maintenance, and kitchen fire systems inspections
and maintenance.
Fire protection services companies provide detailed reports of inspections that are required
by state and accreditation inspectors and commercial insurance providers.
How They Add Value
A failing fire protection system represents a clear and present danger to the occupants of any
facility, including patients, staff and others who may be on the premises. A properly installed
and operating fire protection system is essential for accreditation and insurance, as well as the
safety of building occupants.
A fire protection partner can ensure the system is
operating properly and provide documentation of
that fact.“The biggest concern is that the facility
has all its paperwork in order, so they don’t get
fined or shut down,”says Eric Flora, president of
Brenneco Fire Protection in Central Indiana.
A fire protection service can provide the monthly, annual and five-year inspections required
by codes and commercial insurance providers. A trusted advisor in this field will also work
with you to finance services, schedule services around you and accommodate your specific
reporting and safety requirements.
Use Your Vendors to
Help You Reach Goals
A trusted advisor in this
field will also work with you
to finance services.
11. Page 11
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Keys to Finding a Partner
Check that the potential vendor has the necessary credentials and certifications to provide in-
spections and documentation. Also check that the vendor has previous experience in facilities
such as yours.
Find out if the contractor you’re talking to has a system to keep its clients up to date on any
changes in local, state or national building codes for your type of facility. (They should have
a process.)
“Building codes change on a regular basis. We keep facility managers informed so they can
make decisions based on what makes the most sense for them,”Flora says.“We try to be a
trusted partner with our clients and always give them our honest opinion.”
For fire protection service candidates, be sure the fire system inspection process is based on
checklists that follow the applicable National Fire Protection Association 25 code and NFPA
101 Life Safety code. Ask about inspection scheduling procedures so that service technicians
do not show up unannounced.
12. Page 12
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Electrical
Electrical contractors install and maintain power and data service for a facility. This includes
alarm and communication systems as well as back-up power and communications. They will
communicate with other trades such as HVAC and fire protection.
How They Add Value
An electrical contractor can help with energy-efficiency upgrades, keep up with new
equipment installations, and carry out work on construction and renovation projects. A
qualified contractor can also help ensure a new or renovated facility meets building codes
and can open as scheduled.
It’s critical that designated treatment spaces meet requirements for hospital-grade wiring,
such as redundant grounding and hospital-grade switches and outlets, according to Chris
Voglund, owner of Artisan Electric in Indiana. Voglund offers a no-nonsense perspective on
hiring an electrical contractor.
“You want to make sure that the patients in those spaces are going to be as safe as possible,”
he says. “The bottom line is that hospital facilities cost a lot and if you want to get them
open on time and start seeing patients to pay for the investment, you need to not use low-
bid contractors.”
Even in cases of equipment installation, it’s important to communicate with the contractor to
ensure proper power and data connections are set up for the new gear, Voglund adds.
Keys to Finding a Partner
An electrical contractor must be familiar with sections of the National Electrical Code that
are specific to health care facilities. Even an experienced residential contractor may not be
familiar with the specific requirements for health care facilities.
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Plumbing
Plumbing contractors install, repair and maintain water supply, waste systems and related
systems for oxygen and other medical gases. Typical plumbing concerns for all facilities
include repairing toilets, sinks and showers; maintaining piping systems throughout the
facility; keeping drain systems and wastewater lines open and operating properly; and
installing sprinkler systems, heads, valves and other fire-safety equipment. A plumbing
contractor can also keep up with regulatory requirements, such as updates to the Americans
with Disabilities Act (ADA).
Plumbing systems must also handle steam, water and medical gas systems for health care
facilities’central processing departments to clean and sterilize equipment.
How They Add Value
Plumbing contractors can help you meet goals
such as water conservation and infection
control. For instance, a plumbing contractor may
recommend that a facility replace older fixtures.
Newer designs can use 50 percent less water over
older fixtures. Also, newer designs tend to reduce
spilling and splashing for improved patient and
staff safety.
A plumbing contractor can provide services and recommendations to reduce spread
of infection. For instance, hospital plumbing systems have been linked to the spread of
Legionnaires’disease, a severe form of pneumonia transmitted by bacteria known to live
and grow in domestic water systems. A plumbing contractor can take steps to greatly
reduce growth of the bacteria in such systems.
Keys to Finding a Partner
“Whether you’re dealing with a complicated one-year job or a routine two-week one, always
expect a detailed plan and project checklist for each project and customer,”says Jay Maddox,
of Maddox Industrial Contractors in Indianapolis.
Ensure that a plumbing vendor has experience meeting code requirements for hospital-
grade piping and equipment. Also, the contractor must be able to provide regular preventive
inspections and provide predictive maintenance techniques such as pump vibration analysis
to schedule repairs rather than take equipment out of service in a failure situation.
A plumbing contractor
can provide services and
recommendations to reduce
spread of infection.
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HVAC
The heating, ventilating and air-conditioning (HVAC) system of a building supplies and
removes air naturally and mechanically to and from a space. HVAC systems consist of
mechanical parts that provide air to building occupants at a comfortable temperature and
humidity that is free of harmful concentrations of air pollutants.
Of all the trades involved in health care facilities, HVAC arguably has the greatest direct
impact on the well-being of a building’s occupants. Poor indoor air quality can impact people,
processes and productivity, and can contribute to employee absenteeism. Research shows
that improving air quality can help reduce the amount of airborne pathogens and increase
overall health and safety.
“One of the things we do in hospital construction is to create negative air pressure in certain
areas and run air through a HEPA filter system,”says Todd Black, vice president with Ideal
Heating & Air in Indiana.
By creating negative pressure in so-called“isolation rooms,”air flows from less contaminated
to more contaminated areas, thus reducing the spread of potentially harmful pathogens
to more sensitive areas such as surgical areas. HEPA filters not only reduce unwanted air
pollutants, but they also meet high standards of energy efficiency compared to other types of
filters.
How They Add Value
Better air quality leads to better overall health, thus reducing health care costs. Also, as the
largest consumers of energy, HVAC systems provide the best opportunity for a reduction in
operational cost as well as the highest return on investment.
As with other service providers who must carry out their work alongside health care staff and
patients, finding an HVAC company interested in accommodating your institution’s schedule
and people adds value to the overall quality of the patient experience.
“In a medical office building, we’ll work nights to lessen the impact on patients and staff,
but in a hospital we have to work during the day when the patients are awake,”Black said.
“Contractors have to be very sensitive to the needs of the facility.”
Keys to Finding a Partner
Ensure that your HVAC contractor is well versed in the requirements for hospital-grade
construction and has experience with similar facilities.
“In the health care business, relationships are everything,”Black says.“That’s why we make
sure we do a good quality job.”
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Landscaping
Landscape contractors have a significant impact on the patient experience at a hospital
by providing a comforting environment to patients and visitors. They typically install and
maintain vegetation in and around a facility and may also install and maintain irrigation
systems and perform other housekeeping duties. Services may include pruning, fertilization,
lawn care, integrated pest management and maintenance programs. Some companies
specialize in interior or exterior landscaping and maintenance.
How They Add Value
A landscaping contractor can improve sustainability and reduce resource use through plant
choices and irrigation techniques. For instance, a landscaping contractor helped St. Mary’s
Duluth (Minn.) Clinic cut water usage by 52 percent by creating a landscape that does not
require irrigation.
A qualified landscaping contractor can design plantings and irrigation systems that
contribute points to a LEED-certified project. A landscaping contractor can develop a land use
plan to meet government requirements for plantings to mitigate the effects of construction
and meet wetlands regulations.
Landscape contractors can ensure they use chemicals that are not harmful to patients and
staff. They can also provide snow removal and other seasonal services to curb accidents and
inconveniences.
Spaces for patients to experience nature in a comfortable setting, such as a therapeutic
garden, can positively impact patient outcomes as well as the overall experience with the
institution.
Keys to Finding a Partner
Look for a partner who has experience working in a sensitive environment such as a hospital
and check for current licenses for handling chemicals.
Noise from landscaping machinery and
activities can be disruptive to patients
and staff. When considering a landscaping
partner, talk to them about how they
would reduce such noise pollution for
your facility.
Choose a partner who understands that landscaping plays a significant role in the institution’s
public image.
Landscape contractors can
ensure they use chemicals that are
not harmful to patients and staff.
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Commercial Insurance
Commercial insurance agents provide commercial insurance coverage for property loss
and liability insurance. They will assess a facility’s risk, provide coverage based on an annual
premium and offer risk management consulting services.
How They Add Value
Commercial insurance agents can protect your facility against loss and provide the funds to
repair or rebuild. In addition, they can provide risk management programs that will reduce
premiums and lower the risk of loss.
Documentation of an active risk management program can result in lower premiums. The
program can help quantify the return on investment of risk management. For instance, does
the cost of a five-year fire system inspection result in a premium reduction sufficient to justify
the cost?
“From the inspection standpoint, you and your
insurance representative need to be sure you’re
on the same page when it comes to how often
and what types of inspections you are carrying
out,”says Brad Chesterman of Heiny Insurance
Agency (MBAH Monticello) in Indiana.
“This will help you make sure you take full advantage of available discounts offered for having
a full sprinkler system.”
Keys to Finding a Partner
Work with a partner to ensure that all coverages can be obtained, especially those unique to
your facility. For instance, a hospital may require communicable disease and decontamination
coverage in addition to general business liability coverage.
Communication with your insurance carrier is essential. For example, occupancy and use
changes need to be communicated with the insurance company to adjust risk and make sure
that any changes in fire protection or other risks are addressed.
Documentation of an active
risk management program can
result in lower premiums.
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Temp Labor Provider
Temporary labor providers source staff for a variety of services, usually custodial and
maintenance activities. This arrangement allows facilities to reduce staffing costs while still
delivering required services. The provider handles all personnel issues such as payroll, time
keeping, labor relations and benefits. A labor provider can more easily ramp up staff for
seasonal requirements or special projects, says Danny Little with the Tradesman International
Inc. office in Lafayette, Ind.
“We help organizations by determining their basic core staffing level where they are the most
profitable,”Little says.“When they have peaks in their business, they can turn to us and we
augment their work crew for the duration of when they need the extra help.”
How They Add Value
Using temporary or outsourced labor can reduce overhead costs and often results in
improved performance. An outsourced provider can be held to high performance standards.
In fact, studies of in-house vs. outsourced custodial services show a significantly higher level
of productivity.
A temporary labor supplier provides HR services so
that the facility does not have to screen resumes
and conduct interviews. For instance, Manpower
offers background checks and drug screenings
based on client requirements, says Dorrie Luck,
manager of the Lafayette, Ind., Manpower office.
Keys to Finding a Partner
Work with a provider who offers a stable workforce that can become a trusted presence at
the facility. Ask about quality-control programs and human resources programs to ensure
temporary employees have a mechanism to handle employment and performance issues.
Institutions can tap temporary labor for short-term or long-term assignments and can offer
temp-to-permanent arrangements. Keep this in mind when choosing a partner.
“We believe the cultural fit is equally as important as the skill set itself,”Little says. Start
a relationship with a partner by outlining your needs and help them understand your
organization’s culture.
Studies of in-house vs.
outsourced custodial services
show a significantly higher
level of productivity.
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Suppliers
An industrial supply house ensures that your internal workforce and outside contractors
have ready access to fairly priced products and services that meet your requirements.
Health care facilities often need goods such as plumbing and electrical fixtures that meet
specific standards for use in a health care setting. A supply house worth partnering with will
understand those requirements and respond accordingly.
How They Add Value
A responsive supply company will help meet deadlines and budgets for construction, repairs
and maintenance. Any missed deadline can result in disruption of service to patients and a
delay in reimbursements, so be sure your supply is adding value and not the other
way around.
Your supply house can also source products that make your partners more valuable. Custodial
temp workers using cleaning products from your supplier that are green or nontoxic can
improve indoor air quality and patient comfort, for example.
Keys to Finding a Partner
Before you begin a relationship with a supply house, be sure they have products that meet
code requirements for your facility. Also check online ordering and payment systems and
other services that could reduce overhead costs and improve responsiveness.
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While you should be able to trust your vendor partners, being complacent about their
performance will not help you reach your goals as a facility manger. Following are ways to
evaluate your current or new vendors:
1 Communication is the key to a long-term successful relationship with a vendor.
Share performance expectations up front so that everyone works toward the
common goal.
2 Develop key performance indicators (KPI) and share appropriate performance
information with the vendor. KPIs remove subjectivity from the equation and
allow managers to concentrate on common goals for the institution. A KPI
should drive change and improve outcomes.
3 KPIs can drive cost/benefit decisions for a variety of activities. For example, if you
inspect a noncritical system every six months but only experience failure every
four years, those noncritical checks might be reduced. A trusted partner
can help analyze your return on investment for preventive maintenance and
other activities.
4 Develop open lines of communication with preferred vendors. Relationships
will vary based on the type of vendor. For instance, a fire protection services
vendor provides regular inspections and documentation. On the other hand, an
electrical contractor may be called in only when needed. That may be more of a
transactional relationship with clear goals based on the project.
5 For ongoing relationships, develop mutually agreeable contracts. Depending on
the trade, that might be monthly or annually. Of course, if policies, procedures or
expectations change in the meantime, communicate those as soon as possible.
5 Best Practices for
Ongoing Evaluation
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When to Look for
A New Vendor
Unfortunately, there comes a time when it might be in everyone’s best interest to modify or
end a vendor relationship. If it’s been a long-term relationship, it may be difficult to overlook
personal connections to concentrate on performance. But with the daily pressures facing
health care facility managers, there’s little time to waste in ensuring high performance from
vendors.
“It’s easy to call on the same guy that you and your company have been using for years,”said
Jay Maddox of Maddox Industrial Contractors.“He needs to keep your trust and business by
performing like a modern industrial contractor, not like a dinosaur.”
When reviewing contractor performance, talk
with internal staff members to get their input. Try
to be as fact-based as possible to deliver a useful
message. The senior management of the contractor
may not be aware of problems and can salvage the
relationship with some data-driven, constructive
feedback.
Fundamental performance problems should be dealt with immediately. Chris Voglund of
Artisan Electric recalls when a contractor that was the low bidder on a health care facility was
hired by a health care facility despite a lack of experience dealing with hospital-grade wiring
and fixtures. The building inspector found a problem and halted the project until the wiring
was brought up to code. Artisan Electric, which provided a higher bid for the initial contract,
was called in to basically start the project over.
“You want to use people who have worked on these kinds of facilities before; if you work with
a contractor who’s not familiar with the medical field, it can end up costing everybody a lot of
money,”Voglund says.
Other red flags may be subtle but can indicate a lack of interest or management oversight
in maintaining the relationship. For instance, if a vendor continually sends different staff
members to service the facility, this may indicate a high turnover rate or lack of ability to
schedule appropriate staff for the job. It also requires training and education of the vendor’s
technician and decreases the institutional knowledge the vendor can develop.
Lack of communication is another red flag. If a vendor installs new equipment or changes
some procedure, it should be communicated with the in-house staff that will have to deal
with the situation on a day-to-day basis. Getting accurate as-built drawings is also critical for
the in-house team.
You want to use people
who have worked on these
kinds of facilities before.
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Create an environment in which it’s acceptable to ask questions before and during the
project. If the contractor doesn’t understand what’s required and continues down the wrong
path or stops working, there may be communication and trust issues.
A vendor should follow policy on visits and shutdowns. Inspections should be scheduled at
least several days in advance, so if a contractor shows up unannounced expecting to go to
work, that could be indicative of a problem.
Good communication can ensure that the facility and the contractor understand which
party is responsible for warranty issues. Some institutions may prefer to deal with minor
repairs with in-house staff rather than schedule a contractor visit. For warranty work by the
contractor, the in-house staff should identify items that require repair or additional work and
understand what the warranty terms are to ensure the facility does not pay additional costs.
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The old days of simply keeping a facility up and running are long gone. Today, facilities play a
vital role in meeting an institution’s goals as the underlying structure of health care continues
to evolve.
Increasingly, successful facility managers will be able to directly support clinical care and
patient outcomes. Establishing and maintaining partnerships with trusted vendors can
directly impact the success or failure of a health care facility.
In a health care setting, the work is about more than doing a job. It’s about putting people
first. The facility must be an asset that lives up to that mission.
Download the Checklist
Communication is critical to any strong partnership. Our“Health Care Vendor
Communications Checklist”form can help you evaluate and retain valuable vendor
relationships to support the goals of your facility. Visit http://brennecofp.com/health-care-
fire-protection or download it here:
Bottom Line for Health
Care Facility Managers
Download the Checklist
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Get in Touch
If you would like to learn how Brenneco Fire Protection can become a partner for you, contact
us at 1-866-967-0017 or send us an email.
Eric Flora, Owner
eric.flora@brennecofp.com
Wayne Flora, Service Manager
wayne.flora@brennecofp.com