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Higher-Quality, Lower-Cost Healthcare
Performance and Profitability Improvement




Audit | Tax | Advisory | Risk | Performance   The Unique Alternative to the Big Four ®
Crowe Horwath LLP




Tangible Patient and Provider Impact                                                  ■■ Outpatient clinic productivity
                                                                                      ■■ Length-of-stay reduction

Today’s healthcare executives are seeking performance                                 ■■ Asset and facility productivity
                                                                                      ■■ Process and technology alignment
improvement across multiple dimensions: expenses
and profitability, waste, risk, and patient satisfaction                              Integral to any engagement is the
                                                                                      installation of the Crowe Horwath
and outcomes. That’s what the Crowe Horwath LLP                                       Accountability and Management
Performance Improvement team delivers.                                                Performance System (CHAMPS™), a
                                                                                      proprietary patient-centered, purpose-
In a changing industry where the future    Turning Operational                        driven operations excellence system. This
is uncertain because of political and
other external influences, there is one
                                           Challenges Into                            balanced scorecard methodology helps

inescapable truth: the delivery model      Bottom-Line Results                        support and maintain the improvement
                                                                                      year after year. Further, going beyond
needs to shift toward one that provides    The Crowe Performance Improvement
                                                                                      the traditional limitations of simple
high-quality, patient-centric health       team has a bottom-line focus.
                                                                                      metrics, CHAMPS also provides critical
solutions at a better value.               Combining the hard science of
                                                                                      accountability and change-management
                                           operations management and rigorous
The Crowe Performance Improvement                                                     tools, enabling clients to not only
                                           data analysis with techniques from the
team, working at the intersection of                                                  recognize the key performance indicators,
                                           soft sciences of organizational change
improved patient experience and                                                       but also what to change and how to drive
                                           and performance management, we apply
improved financial performance, has had                                               behaviors based on this information.
                                           leading practices to drive an improved
great success delivering solutions that    patient experience while reducing costs.
provide direct, immediate, significant,                                               Why Operations
and measurable impact.                     Crowe approaches each client situation     Excellence Delivers
                                           objectively and assertively. Instead of
The Crowe team helps healthcare                                                       When the challenge is to deliver more
                                           redefining your business’s challenges to
providers identify the root causes of                                                 for less, more effective operations
                                           match a predetermined solution, Crowe
performance deficiencies and then                                                     management is the solution. Raising
                                           begins by accurately identifying the
designs and helps implement solutions                                                 quality, lowering costs, and reducing
                                           challenge and opportunity it presents
to streamline processes, reduce waste                                                 risk are best accomplished through
                                           and then draws on the broadest possible
and variability, improve management                                                   evidence-based process and operations
                                           array of solutions and approaches
effectiveness, enhance revenue, and                                                   improvement, as has been shown in
                                           to identify the specific methods that
address additional, specific concerns.                                                virtually all other industries. This is the
                                           will produce immediate positive
                                                                                      best path for “bending the cost curve”
                                           impact. This differentiates Crowe from
Beyond making recommendations, Crowe                                                  while delivering an improved patient
                                           narrowly focused specialists or niche
employs a hands-on implementation                                                     experience and better outcomes.
                                           consultancies that typically approach
approach that delivers immediate
                                           every challenge as an opportunity to       Operations improvement helps HIT
bottom-line improvement during the
                                           apply the same, familiar tools.            investments pay bigger dividends. Many
course of the engagement, while also
establishing a foundation for long-term,                                              technology-driven improvement efforts
                                           Particular areas of expertise for
sustainable growth.                                                                   deliver only mixed results, at best. To
                                           Crowe include:
                                                                                      avoid the risk of automating dysfunctional
                                           ■■ Operating room efficiency               work processes or deploying expensive
                                                                                      tools with an uncertain return, a much
                                           ■■ Emergency department performance
                                                                                      more effective approach is to first
                                           ■■ Procurement and materials               focus on the process rather than the



2
Higher-Quality, Lower-Cost
                                                                                         Healthcare: Performance and
                                                                                         Profitability Improvement




technology. By addressing process              as specialized experts in specific        ■■ We Stick With You Until the
deficiencies before or during a technology     management tools and methods                 Results Are Delivered – You and we
implementation, savings generated can          drawn from many other industries.            agree upon a specific, guaranteed
help fund the necessary upgrades and         ■■ Positive ROI – Above all, our               financial return at the outset of the
multiply the benefits.                          approach achieves immediate and             assignment – and we stay with you
                                                measurable financial improvement,           until it’s achieved.
Highly efficient operations enable
                                                producing an agreed-upon return on       ■■ We Empower You to Make It
physician practice integration and new
                                                the client’s investment.                    Last – We go beyond merely training
coordinated care models. Optimal
                                             ■■ Long-Term Commitment – Our goal             your people in tools and techniques;
design of the delivery of services
                                                is to establish ongoing relationships       we instill a continuous improvement
encompasses the processes, operational
                                                with successful organizations, helping      mind-set so that initial results form
footprint, management systems, tools,
                                                you apply proven and continuing             the basis for further improvement.
and employee behavior – all integral
components of coordinating populations          improvement initiatives in a variety
across organizations and creating               of venues.                               Proven Expertise
stronger connections with physicians                                                     The Crowe Performance Improvement
                                             In addition, clients frequently comment
across the continuum of care.                                                            team has achieved results addressing a
                                             on the Crowe team’s insight and ability
                                                                                         broad array of business problems with an
Operations excellence augments a             to quickly discern opportunities. This,
                                                                                         impact on the patient experience, helping
culture of quality and patient safety.       coupled with the ability to quickly
                                                                                         to deliver an improved financial position
Both the mission-critical need to drive      prioritize needed actions and rally
                                                                                         for the provider. Crowe brings dedicated
out variability and adverse events and       client teams to achieve rapid results,
                                                                                         specialists with proven expertise in tools
the financial implications of heightened     produces a unique “bias for action” that
                                                                                         and methodologies such as:
sensitivity to performance relative          is the hallmark of a Crowe Performance
to peers are completely aligned with         Improvement initiative.                     ■■ Planning and scheduling optimization
driving quality metrics such as improved                                                 ■■ Productivity improvement
outcomes, decreased length of stay, and      What Makes It Work                          ■■ Procurement cost reduction
reduced readmissions.                        As important as technical and
                                                                                         ■■ Inventory and materials management
                                             industry expertise are, the Crowe
What Sets Us Apart                           Performance Improvement team adds           ■■ Capacity planning and optimization
The Crowe Performance Improvement            a third essential component: a proven,      ■■ SG&A optimization
team has built a strong track record of      systematic approach.
                                                                                         ■■ Process and technology alignment
delivering measurable financial results.
                                             ■■ We Find the Right Levers – The           ■■ Asset utilization
Among the key factors that set Crowe
                                                Crowe analytical approach identifies     ■■ Cycle and lead-time reduction
apart are:
                                                those areas in which performance
                                                                                         ■■ Lean and Six Sigma
■■ Quality of Our Team – The Crowe              improvement will have direct financial
   consulting team members bring years          and patient impact so we can focus       ■■ Theory of constraints
   of experience to bear. Inexperienced         our efforts in those areas.              ■■ Service design
   staffers are not brought in to train at   ■■ We Implement What We Recom-              ■■ Total quality management (TQM)
   the client’s expense.                        mend – Rather than merely presenting
■■ Broad and Deep Expertise – Our               reports and recommendations, the
   team is composed of proven                   Crowe team works side-by-side with
   performers in healthcare, as well            you at every level of your business to
                                                help get the desired improvement.




www.crowehorwath.com                                                                                                                3
Contact Information                                               The Results: What’s                                              The Next Step
For more information on Crowe Horwath                             in It for You?                                                   Is there real, significant opportunity
LLP Healthcare Operations Consulting                              The Crowe hands-on approach has                                  for profitability improvement in your
Services, contact:                                                helped healthcare providers address a                            organization? One phone call can
                                                                  broad array of specific challenges – from                        get you started toward answering
Jerry Larson                                                                                                                       that question.
                                                                  underperforming operations, low
630.575.4315
                                                                  productivity, and shortcomings in patient
jerry.larson@crowehorwath.com                                                                                                      Jerry Larson and Pat Sorrentino,
                                                                  experience and service to scheduling,
                                                                                                                                   who lead the Crowe Performance
Pat Sorrentino                                                    inventory, capacity management, and
                                                                                                                                   Improvement and Healthcare Operations
630.990.4448                                                      revenue challenges. By clearly identifying
                                                                                                                                   services, have more than 20 years of
pat.sorrentino@crowehorwath.com                                   the root causes of poor performance,
                                                                                                                                   hands-on experience helping providers
                                                                  and by designing and implementing
                                                                                                                                   achieve measurable, verifiable bottom-
                                                                  specific solutions in a proven and highly
                                                                                                                                   line improvement. They would be happy
                                                                  interactive approach, the Crowe team
                                                                                                                                   to discuss your current situation and
                                                                  can help your organization achieve both
                                                                                                                                   give you their frank initial impression
                                                                  immediate bottom-line improvement and
                                                                                                                                   of the potential opportunities in your
                                                                  long-term, sustainable growth.
                                                                                                                                   organization. Based on that initial
                                                                                                                                   conversation you will be in a better
                                                                                                                                   position to determine if a no-cost,
                                                                                                                                   no-obligation review of your business
                                                                                                                                   might be worthwhile.


                                                                  Crowe Horwath LLP, The Unique Alternative®
                                                                  Crowe Horwath LLP (www.crowehorwath.com) is one of the largest public accounting
                                                                  and consulting firms in the United States. Under its core purpose of “Building Value
                                                                  with Values, ” Crowe uses its deep industry expertise to provide audit services
                                                                              ®


                                                                  to public and private entities, while also helping clients reach their goals with tax,
                                                                  advisory, risk, and performance services. With offices coast to coast and 2,600
                                                                  personnel, Crowe is recognized by many organizations as one of the country’s best
                                                                  places to work. Crowe serves clients worldwide as an independent member of Crowe
                                                                  Horwath International, one of the largest global accounting networks in the world,
                                                                  consisting of more than 150 independent accounting and advisory services firms in
                                                                  more than 100 countries around the world.




www.crowehorwath.com
                                                                                                                                                  When printed by Crowe Horwath LLP, this piece is printed
                                                                                                                                                  on Mohawk Color Copy Premium, which is manufactured
                                                                                                                                                  entirely with Green-e® certified wind-generated electricity.




The Mohawk Windpower logo is a registered trademark of Mohawk Fine Papers Inc.

Green-e is a registered trademark of Center for Resource Solutions.


Crowe Horwath LLP is an independent member of Crowe Horwath International, a Swiss verein. Each member firm of Crowe Horwath International is a separate and independent legal entity.
Crowe Horwath LLP and its affiliates are not responsible or liable for any acts or omissions of Crowe Horwath International or any other member of Crowe Horwath International and specifically
disclaim any and all responsibility or liability for acts or omissions of Crowe Horwath International or any other Crowe Horwath International member. Accountancy services in Kansas and North
Carolina are rendered by Crowe Chizek LLP, which is not a member of Crowe Horwath International. © 2012 Crowe Horwath LLP
                                                                                                                                                                                     PERF12449

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Healthcare Performance Improvement Brochure

  • 1. Higher-Quality, Lower-Cost Healthcare Performance and Profitability Improvement Audit | Tax | Advisory | Risk | Performance The Unique Alternative to the Big Four ®
  • 2. Crowe Horwath LLP Tangible Patient and Provider Impact ■■ Outpatient clinic productivity ■■ Length-of-stay reduction Today’s healthcare executives are seeking performance ■■ Asset and facility productivity ■■ Process and technology alignment improvement across multiple dimensions: expenses and profitability, waste, risk, and patient satisfaction Integral to any engagement is the installation of the Crowe Horwath and outcomes. That’s what the Crowe Horwath LLP Accountability and Management Performance Improvement team delivers. Performance System (CHAMPS™), a proprietary patient-centered, purpose- In a changing industry where the future Turning Operational driven operations excellence system. This is uncertain because of political and other external influences, there is one Challenges Into balanced scorecard methodology helps inescapable truth: the delivery model Bottom-Line Results support and maintain the improvement year after year. Further, going beyond needs to shift toward one that provides The Crowe Performance Improvement the traditional limitations of simple high-quality, patient-centric health team has a bottom-line focus. metrics, CHAMPS also provides critical solutions at a better value. Combining the hard science of accountability and change-management operations management and rigorous The Crowe Performance Improvement tools, enabling clients to not only data analysis with techniques from the team, working at the intersection of recognize the key performance indicators, soft sciences of organizational change improved patient experience and but also what to change and how to drive and performance management, we apply improved financial performance, has had behaviors based on this information. leading practices to drive an improved great success delivering solutions that patient experience while reducing costs. provide direct, immediate, significant, Why Operations and measurable impact. Crowe approaches each client situation Excellence Delivers objectively and assertively. Instead of The Crowe team helps healthcare When the challenge is to deliver more redefining your business’s challenges to providers identify the root causes of for less, more effective operations match a predetermined solution, Crowe performance deficiencies and then management is the solution. Raising begins by accurately identifying the designs and helps implement solutions quality, lowering costs, and reducing challenge and opportunity it presents to streamline processes, reduce waste risk are best accomplished through and then draws on the broadest possible and variability, improve management evidence-based process and operations array of solutions and approaches effectiveness, enhance revenue, and improvement, as has been shown in to identify the specific methods that address additional, specific concerns. virtually all other industries. This is the will produce immediate positive best path for “bending the cost curve” impact. This differentiates Crowe from Beyond making recommendations, Crowe while delivering an improved patient narrowly focused specialists or niche employs a hands-on implementation experience and better outcomes. consultancies that typically approach approach that delivers immediate every challenge as an opportunity to Operations improvement helps HIT bottom-line improvement during the apply the same, familiar tools. investments pay bigger dividends. Many course of the engagement, while also establishing a foundation for long-term, technology-driven improvement efforts Particular areas of expertise for sustainable growth. deliver only mixed results, at best. To Crowe include: avoid the risk of automating dysfunctional ■■ Operating room efficiency work processes or deploying expensive tools with an uncertain return, a much ■■ Emergency department performance more effective approach is to first ■■ Procurement and materials focus on the process rather than the 2
  • 3. Higher-Quality, Lower-Cost Healthcare: Performance and Profitability Improvement technology. By addressing process as specialized experts in specific ■■ We Stick With You Until the deficiencies before or during a technology management tools and methods Results Are Delivered – You and we implementation, savings generated can drawn from many other industries. agree upon a specific, guaranteed help fund the necessary upgrades and ■■ Positive ROI – Above all, our financial return at the outset of the multiply the benefits. approach achieves immediate and assignment – and we stay with you measurable financial improvement, until it’s achieved. Highly efficient operations enable producing an agreed-upon return on ■■ We Empower You to Make It physician practice integration and new the client’s investment. Last – We go beyond merely training coordinated care models. Optimal ■■ Long-Term Commitment – Our goal your people in tools and techniques; design of the delivery of services is to establish ongoing relationships we instill a continuous improvement encompasses the processes, operational with successful organizations, helping mind-set so that initial results form footprint, management systems, tools, you apply proven and continuing the basis for further improvement. and employee behavior – all integral components of coordinating populations improvement initiatives in a variety across organizations and creating of venues. Proven Expertise stronger connections with physicians The Crowe Performance Improvement In addition, clients frequently comment across the continuum of care. team has achieved results addressing a on the Crowe team’s insight and ability broad array of business problems with an Operations excellence augments a to quickly discern opportunities. This, impact on the patient experience, helping culture of quality and patient safety. coupled with the ability to quickly to deliver an improved financial position Both the mission-critical need to drive prioritize needed actions and rally for the provider. Crowe brings dedicated out variability and adverse events and client teams to achieve rapid results, specialists with proven expertise in tools the financial implications of heightened produces a unique “bias for action” that and methodologies such as: sensitivity to performance relative is the hallmark of a Crowe Performance to peers are completely aligned with Improvement initiative. ■■ Planning and scheduling optimization driving quality metrics such as improved ■■ Productivity improvement outcomes, decreased length of stay, and What Makes It Work ■■ Procurement cost reduction reduced readmissions. As important as technical and ■■ Inventory and materials management industry expertise are, the Crowe What Sets Us Apart Performance Improvement team adds ■■ Capacity planning and optimization The Crowe Performance Improvement a third essential component: a proven, ■■ SG&A optimization team has built a strong track record of systematic approach. ■■ Process and technology alignment delivering measurable financial results. ■■ We Find the Right Levers – The ■■ Asset utilization Among the key factors that set Crowe Crowe analytical approach identifies ■■ Cycle and lead-time reduction apart are: those areas in which performance ■■ Lean and Six Sigma ■■ Quality of Our Team – The Crowe improvement will have direct financial consulting team members bring years and patient impact so we can focus ■■ Theory of constraints of experience to bear. Inexperienced our efforts in those areas. ■■ Service design staffers are not brought in to train at ■■ We Implement What We Recom- ■■ Total quality management (TQM) the client’s expense. mend – Rather than merely presenting ■■ Broad and Deep Expertise – Our reports and recommendations, the team is composed of proven Crowe team works side-by-side with performers in healthcare, as well you at every level of your business to help get the desired improvement. www.crowehorwath.com 3
  • 4. Contact Information The Results: What’s The Next Step For more information on Crowe Horwath in It for You? Is there real, significant opportunity LLP Healthcare Operations Consulting The Crowe hands-on approach has for profitability improvement in your Services, contact: helped healthcare providers address a organization? One phone call can broad array of specific challenges – from get you started toward answering Jerry Larson that question. underperforming operations, low 630.575.4315 productivity, and shortcomings in patient jerry.larson@crowehorwath.com Jerry Larson and Pat Sorrentino, experience and service to scheduling, who lead the Crowe Performance Pat Sorrentino inventory, capacity management, and Improvement and Healthcare Operations 630.990.4448 revenue challenges. By clearly identifying services, have more than 20 years of pat.sorrentino@crowehorwath.com the root causes of poor performance, hands-on experience helping providers and by designing and implementing achieve measurable, verifiable bottom- specific solutions in a proven and highly line improvement. They would be happy interactive approach, the Crowe team to discuss your current situation and can help your organization achieve both give you their frank initial impression immediate bottom-line improvement and of the potential opportunities in your long-term, sustainable growth. organization. Based on that initial conversation you will be in a better position to determine if a no-cost, no-obligation review of your business might be worthwhile. Crowe Horwath LLP, The Unique Alternative® Crowe Horwath LLP (www.crowehorwath.com) is one of the largest public accounting and consulting firms in the United States. Under its core purpose of “Building Value with Values, ” Crowe uses its deep industry expertise to provide audit services ® to public and private entities, while also helping clients reach their goals with tax, advisory, risk, and performance services. With offices coast to coast and 2,600 personnel, Crowe is recognized by many organizations as one of the country’s best places to work. Crowe serves clients worldwide as an independent member of Crowe Horwath International, one of the largest global accounting networks in the world, consisting of more than 150 independent accounting and advisory services firms in more than 100 countries around the world. www.crowehorwath.com When printed by Crowe Horwath LLP, this piece is printed on Mohawk Color Copy Premium, which is manufactured entirely with Green-e® certified wind-generated electricity. The Mohawk Windpower logo is a registered trademark of Mohawk Fine Papers Inc. Green-e is a registered trademark of Center for Resource Solutions. Crowe Horwath LLP is an independent member of Crowe Horwath International, a Swiss verein. Each member firm of Crowe Horwath International is a separate and independent legal entity. Crowe Horwath LLP and its affiliates are not responsible or liable for any acts or omissions of Crowe Horwath International or any other member of Crowe Horwath International and specifically disclaim any and all responsibility or liability for acts or omissions of Crowe Horwath International or any other Crowe Horwath International member. Accountancy services in Kansas and North Carolina are rendered by Crowe Chizek LLP, which is not a member of Crowe Horwath International. © 2012 Crowe Horwath LLP PERF12449