For years here at Policy Medical, we have talked about how our policy management technology will save your hospital money and generate an enterprise-wide ROI. As you might imagine, everyone else in the healthcare policy management space does this. But a recent conversation I had with a long-term client made me take a serious look at this subject of “ROI”. Here are her thoughts, and they are quite telling:
“Listen. I want to keep using your company’s policy management system, but I need to justify not just your policy management software but I need to justify just having any policy management system. They are thinking of going the Microsoft SharePoint route and I don’t want that at all. To be honest with you I have been all over the internet to see what the return on investment is for policy management software and I can’t find anything. All I find are marketing brochures and sales collateral that are masked as healthcare ROI white papers, healthcare policy management analyses and healthcare policy management ROI calculators. I need something that paints the picture of the ROI of a healthcare policy management system from our side of the table.”
Surviving Value-Based Purchasing in Healthcare: Connecting Your Clinical and ...Health Catalyst
Reducing healthcare costs is a major driving force in bundled payments, home-centered medical care, and accountable care organizations. But each new delivery model is built on the premise of reducing revenue per patient. So how can a health system win? Find out what you can do financially survive in today’s environment.
Onboarding Compliance in the Healthcare Professional EnvironmentEquifax
Healthcare is easily one of the most tightly regulated industries in the US and without a targeted onboarding compliance strategy in place for your Health Care Professional hires (HCP), you could be exposing your organization to significant risks.
How to thrive in the new value based care delivery worldHealth Catalyst
As Healthcare shifts from fee-for-service towards value-based care, many healthcare systems struggle with this challenging transition.
Join Tom Burton, Co-founder of Health Catalyst, as he describes the journey of many health systems working through the complexities, capabilities and strategies required to thrive through the transition.
You will come to understand:
How analytics can help to better manage at risk contracts in value-based care delivery settings
How network optimization through appropriate provider selection can reduce out of network leakage
How a balanced approach to care management increases your return on investment
The three key capabilities required for systematic population health management
Strategic Options for Analytics in HealthcareDale Sanders
There are essentially four analytic strategies available in the healthcare IT market at present. This slide summarizes those options, the pros and cons, and vendors in the space.
Is the financial penalty for readmissions a true incentive to improve care?
Indeed, research shows that reducing readmissions can have an outsized
effect on hospital finances.
Hospital executives working to reduce the cost of readmissions should note that:
The penalty imposed by the Centers for Medicare & Medicaid Services (CMS) for excess readmissions can be disproportionately high
The true cost of readmissions goes beyond the CMS penalty
Even small reductions in readmissions can substantially reduce penalties
Changes to healthcare reimbursement, such as bundled payments, will also incentivize hospitals to reduce readmissions
Principles and Pracitces of Accountable Care TransformationHealth Catalyst
Facing the most sweeping payment transformation in history, healthcare systems are balancing two competing mandates: build the competencies needed to succeed under value-based payment models while remaining financially viable in the current fee-for-service landscape. Across the next decade, changing payment models will drive a fundamental transformation in care delivery, emphasizing dramatically lower costs and improvements in quality. While this final destination is clear, today’s health care leaders face high stakes and a great deal of uncertainty as they architect the path for their organizations' survival and success not only under value-based payment, but—critically—during the transition period.
Join Marie Dunn, Director of Analytics, as she outlines the key near-term priorities for health care organizations transitioning to value-based payment models, with a particular focus on the importance of leveraging data to drive effective decision making. She will also use Health Catalyst solutions to demonstrate these principles.
Marie will cover:
State of the transition from fee-for-service to value-based payment models
Near-term priorities for organizations looking to build the competencies to successfully manage at-risk contracts, including:
At-risk contract management: monitor performance against contractual requirements and leverage data to drive payer negotiations.
Network management: reduce leakage and improve referral patterns and network composition.
Care management: focus care team efforts by leveraging data to identify the patients in greatest need of support.
Performance monitoring: identify opportunities to improve performance on quality measures, like the ACO quality measures.
Strategies for balancing near-term priorities with long-term efforts to drive care transformation across the delivery system
Surviving Value-Based Purchasing in Healthcare: Connecting Your Clinical and ...Health Catalyst
Reducing healthcare costs is a major driving force in bundled payments, home-centered medical care, and accountable care organizations. But each new delivery model is built on the premise of reducing revenue per patient. So how can a health system win? Find out what you can do financially survive in today’s environment.
Onboarding Compliance in the Healthcare Professional EnvironmentEquifax
Healthcare is easily one of the most tightly regulated industries in the US and without a targeted onboarding compliance strategy in place for your Health Care Professional hires (HCP), you could be exposing your organization to significant risks.
How to thrive in the new value based care delivery worldHealth Catalyst
As Healthcare shifts from fee-for-service towards value-based care, many healthcare systems struggle with this challenging transition.
Join Tom Burton, Co-founder of Health Catalyst, as he describes the journey of many health systems working through the complexities, capabilities and strategies required to thrive through the transition.
You will come to understand:
How analytics can help to better manage at risk contracts in value-based care delivery settings
How network optimization through appropriate provider selection can reduce out of network leakage
How a balanced approach to care management increases your return on investment
The three key capabilities required for systematic population health management
Strategic Options for Analytics in HealthcareDale Sanders
There are essentially four analytic strategies available in the healthcare IT market at present. This slide summarizes those options, the pros and cons, and vendors in the space.
Is the financial penalty for readmissions a true incentive to improve care?
Indeed, research shows that reducing readmissions can have an outsized
effect on hospital finances.
Hospital executives working to reduce the cost of readmissions should note that:
The penalty imposed by the Centers for Medicare & Medicaid Services (CMS) for excess readmissions can be disproportionately high
The true cost of readmissions goes beyond the CMS penalty
Even small reductions in readmissions can substantially reduce penalties
Changes to healthcare reimbursement, such as bundled payments, will also incentivize hospitals to reduce readmissions
Principles and Pracitces of Accountable Care TransformationHealth Catalyst
Facing the most sweeping payment transformation in history, healthcare systems are balancing two competing mandates: build the competencies needed to succeed under value-based payment models while remaining financially viable in the current fee-for-service landscape. Across the next decade, changing payment models will drive a fundamental transformation in care delivery, emphasizing dramatically lower costs and improvements in quality. While this final destination is clear, today’s health care leaders face high stakes and a great deal of uncertainty as they architect the path for their organizations' survival and success not only under value-based payment, but—critically—during the transition period.
Join Marie Dunn, Director of Analytics, as she outlines the key near-term priorities for health care organizations transitioning to value-based payment models, with a particular focus on the importance of leveraging data to drive effective decision making. She will also use Health Catalyst solutions to demonstrate these principles.
Marie will cover:
State of the transition from fee-for-service to value-based payment models
Near-term priorities for organizations looking to build the competencies to successfully manage at-risk contracts, including:
At-risk contract management: monitor performance against contractual requirements and leverage data to drive payer negotiations.
Network management: reduce leakage and improve referral patterns and network composition.
Care management: focus care team efforts by leveraging data to identify the patients in greatest need of support.
Performance monitoring: identify opportunities to improve performance on quality measures, like the ACO quality measures.
Strategies for balancing near-term priorities with long-term efforts to drive care transformation across the delivery system
6 Real World Use Cases for Robotic Process Automation (RPA) in Healthcare | C...CiGen
RPA use cases in healthcare offer valuable insight into why it’s worth passing on some repetitive tasks, like entering patients’ blood test results into specific files and then consistently updating those files, to software robots.
Nursing Peer Review to Improve Quality and Reduce Costs 2014iCareQuality.us
A system engineering approach is used to reduce frontline nursing care variability by integrating peer review to enhance quality of care efforts on the frontline.
The impact of quality and CMS scores on costJames Case
Quality performance is important for provider organizations, but it can be difficult to understand the financial implications of improved quality performance. Despite controversy, the CMS star ratings for providers will have a substantial impact on hospital's financial position through the relationships it has through the entire organization.
The Healthcare Revenue Cycle: How to Optimize PerformanceHealth Catalyst
Health systems rely on effective revenue cycle management to follow the patient journey, navigate claims, and ensure the organization collects payment for its services. In today’s complex and fluid healthcare industry, in which revenue cycle management is about much more than billing and collecting payment, traditional revenue cycle approaches can’t meet escalating demands. Additionally, with lost volume due to COVID-19, organizations can’t afford to miss an opportunity for payment.
The contemporary healthcare landscape requires a comprehensive, standardized, and data-driven revenue cycle process. Health systems that leverage data to support revenue cycle management improve their financial outcomes in three significant ways:
1. Reduce denials.
2. Increase collections with propensity-to-pay insight.
3. Improve discharged-not-final-billed efforts.
The Who, What, and How of Health Outcome MeasuresHealth Catalyst
Even though thousands of health outcome measures have the potential to impact the work we do every day, how well do we really understand them? In this article, we take a close look at the definitions, origins, and characteristics of health outcome measures. We break down the financial relevance of certain measures, the relationship between outcome measures and ACOs, and which measures impede, rather than enhance, a typical healthcare system. We review the role of an enterprise data warehouse and analytics, and we touch on the future of health outcome measures, all in an effort to provide deeper insight into some of the mechanics behind outcomes improvement.
Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
The Formula for Optimizing the Value-Based Healthcare EquationHealth Catalyst
Two variables are required in the value-based healthcare equation if it is to add up to a profitable contract. One variable, optimizing the care for the patient population, is commonly included and is a focus for most healthcare systems involved in managing population health. However, a second variable, getting the right dollars in order to care for that population, is often overlooked. And yet this variable is easier to attain. It’s a matter of appropriately assessing the risk of the population by addressing inaccurate diagnoses coding. Here, we offer four methods for solving this variable: identifying high-risk gaps over time, persistent diagnosis tracking, identifying code adequacy, and identifying likely diagnoses.
Provides an overview of the current revenue cycle management and its processes and offers a point-of-view on today’s RCM trends and areas of transformation.
Five Ways For Improving Hospital Revenue Cycle ManagementHealth Catalyst
Besides improving your information systems and educating your staff on the ins and outs of managing revenue, there are many more opportunities for improvement. Here are five suggestions to help health systems improve their revenue cycle management: 1. trend and benchmark your healthcare data; 2. use an enterprise data warehouse to mine your healthcare data; 3. constantly ask frontline staff for suggestions; 4. monitor all payer contracts; and 5. maintain convenient and caring touch points with patients.
This presentation by the Bureau of Health Information to the Royal Australasian College of Physicians looks at using clinical outcome data to improve patient care.
It examines:
Why measure and report on performance?
- Accountability and quality improvement
What is performance really?
- It is not a measure of what the system is, it is a measure of how well the system does
Whose performance is it anyway?
- Attributing results to providers, units or sectors requires a careful assessment
A Detailed Guide on Medical Billing Outsourcing.pptxGraciaBrown1
24/7 Medical Billing Services has to spend 14+ years tailoring the medical billing and coding services with a pool of talented and experienced teams. We ensure that our experts can assist in outsourcing medical billing and maximize the potential of the management while retaining more revenue.
6 Real World Use Cases for Robotic Process Automation (RPA) in Healthcare | C...CiGen
RPA use cases in healthcare offer valuable insight into why it’s worth passing on some repetitive tasks, like entering patients’ blood test results into specific files and then consistently updating those files, to software robots.
Nursing Peer Review to Improve Quality and Reduce Costs 2014iCareQuality.us
A system engineering approach is used to reduce frontline nursing care variability by integrating peer review to enhance quality of care efforts on the frontline.
The impact of quality and CMS scores on costJames Case
Quality performance is important for provider organizations, but it can be difficult to understand the financial implications of improved quality performance. Despite controversy, the CMS star ratings for providers will have a substantial impact on hospital's financial position through the relationships it has through the entire organization.
The Healthcare Revenue Cycle: How to Optimize PerformanceHealth Catalyst
Health systems rely on effective revenue cycle management to follow the patient journey, navigate claims, and ensure the organization collects payment for its services. In today’s complex and fluid healthcare industry, in which revenue cycle management is about much more than billing and collecting payment, traditional revenue cycle approaches can’t meet escalating demands. Additionally, with lost volume due to COVID-19, organizations can’t afford to miss an opportunity for payment.
The contemporary healthcare landscape requires a comprehensive, standardized, and data-driven revenue cycle process. Health systems that leverage data to support revenue cycle management improve their financial outcomes in three significant ways:
1. Reduce denials.
2. Increase collections with propensity-to-pay insight.
3. Improve discharged-not-final-billed efforts.
The Who, What, and How of Health Outcome MeasuresHealth Catalyst
Even though thousands of health outcome measures have the potential to impact the work we do every day, how well do we really understand them? In this article, we take a close look at the definitions, origins, and characteristics of health outcome measures. We break down the financial relevance of certain measures, the relationship between outcome measures and ACOs, and which measures impede, rather than enhance, a typical healthcare system. We review the role of an enterprise data warehouse and analytics, and we touch on the future of health outcome measures, all in an effort to provide deeper insight into some of the mechanics behind outcomes improvement.
Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
The Formula for Optimizing the Value-Based Healthcare EquationHealth Catalyst
Two variables are required in the value-based healthcare equation if it is to add up to a profitable contract. One variable, optimizing the care for the patient population, is commonly included and is a focus for most healthcare systems involved in managing population health. However, a second variable, getting the right dollars in order to care for that population, is often overlooked. And yet this variable is easier to attain. It’s a matter of appropriately assessing the risk of the population by addressing inaccurate diagnoses coding. Here, we offer four methods for solving this variable: identifying high-risk gaps over time, persistent diagnosis tracking, identifying code adequacy, and identifying likely diagnoses.
Provides an overview of the current revenue cycle management and its processes and offers a point-of-view on today’s RCM trends and areas of transformation.
Five Ways For Improving Hospital Revenue Cycle ManagementHealth Catalyst
Besides improving your information systems and educating your staff on the ins and outs of managing revenue, there are many more opportunities for improvement. Here are five suggestions to help health systems improve their revenue cycle management: 1. trend and benchmark your healthcare data; 2. use an enterprise data warehouse to mine your healthcare data; 3. constantly ask frontline staff for suggestions; 4. monitor all payer contracts; and 5. maintain convenient and caring touch points with patients.
This presentation by the Bureau of Health Information to the Royal Australasian College of Physicians looks at using clinical outcome data to improve patient care.
It examines:
Why measure and report on performance?
- Accountability and quality improvement
What is performance really?
- It is not a measure of what the system is, it is a measure of how well the system does
Whose performance is it anyway?
- Attributing results to providers, units or sectors requires a careful assessment
A Detailed Guide on Medical Billing Outsourcing.pptxGraciaBrown1
24/7 Medical Billing Services has to spend 14+ years tailoring the medical billing and coding services with a pool of talented and experienced teams. We ensure that our experts can assist in outsourcing medical billing and maximize the potential of the management while retaining more revenue.
Overview of an Open-Platform Health Plan that Lowers Costs and Improves Perfo...Mark Gall
It's hard to gauge how well a health plan is performing. Do our employees understand and get the most out of their benefits? How effective is our wellness program? Are we paying too much for services? These are typical questions. An Open-Platform Health Plan is a self-funded health plan with unique features that allow an employer to establish, track and review performance benchmarks and reduce their exposure to risk.
HLU Consultants, Inc. is a privately held, independent consulting firm based out of Cincinnati, OH since 1961. The consultants at HLU successfully bring together a tremendous amount of industry expertise, valued partners and innovative technologies to design a better, cost-efficient health plan around a customer’s workforce. They help employers establish meaningful benchmarks so they can gauge the success of their plan with a focus on reducing costs, improving outcomes and helping employees successfully navigate the complex healthcare system.
The 12 Fundamental Best Practices of Supply Chain ManagementIntalere
This article highlights the fundamental best practices of healthcare supply chain management. Intalere assists our customers in managing their entire non-labor spend, providing innovative technologies, products and services, and leveraging the best practices of a provider-led model.
How to Leverage Increased Data Granularity in the ICD-10 Code SetPerficient, Inc.
A webinar designed for healthcare professionals. We explore how to leverage the increased data granularity in the ICD-10 code set. While there are risks, a properly executed ICD-10 implementation will deliver plentiful rewards.
While these hospitals are evolving as world-class care providers, not many of them are able to evolve as profitable and sustainable businesses. This can be prevented so that the investors and the managers of the hospital are able to build a sustainable industry while continuing to offer affordable care as well as run a sustainable business. This is not a hypothetical situation– it is indeed possible to be successful on both the counts if appropriate monitoring and management of the hospital’s KPI’s and KRA’s are conducted rigorously.
Streamlining Your Medical Practice for Profitability and SuccessConventus
Conventus webinar video providing key success strategies and tactics for improving productivity, profitability, and patient care. The one-hour video features host Susan Lieberman of Conventus and Stevie Davidson of Health Informatics Consulting.
Top Goals for Physicians to Implement In Their Facility.pptxalicecarlos1
Let's understand how our medical billing and coding experts help with Top Goals for Physicians to Implement In Their Facilities.
Read More: https://bit.ly/3LFPThv
Using Clinic Management Software to ensure compliance management.pptxMocDoc
Discover the importance of compliance management in healthcare and how Clinic Management Software (CMS) plays a vital role in ensuring adherence to regulations. Streamline operations, protect patient data, and enhance efficiency with CMS. Read more to elevate your clinic's compliance and efficiency.
The 100-Percent Solution to Improving Healthcare’s Operating MarginsHealth Catalyst
Healthcare organizations face unparalleled pressure to increase operating margins as they adapt to the revenue compression from COVID-19 and growing competition from insurers and digital disrupters. Yet, many health systems rely on outdated, revenue-centric cost accounting solutions that are ill equipped for strategic financial decision making. As a methodology for today’s complex healthcare environment, activity-based costing (ABC) can capture healthcare resource use at a granular level. With this service-level insight into clinical cost, ABC provides actionable intelligence to help organizations improve profitability and make strategic cost-reduction decisions. These comprehensive costing solutions give health systems a full understanding of cost across the care continuum—the only level of insight that will enable strategic cost transformation in the industry’s new normal.
Lean Strategies in Healthcare Revenue Cycle ManagementInvensis
Did you know? Revenue cycle inefficiencies accounted for 15% of 2.7 trillion spent on healthcare, or about $400 billion. Join Dr. Steven M Wagner to understand how to align continuous quality improvement through lean method for staff and management to overcome income obstacles in healthcare and help them to learn and experiment with strategies to address them.
Better Tips To Enhance Outsource Medical Billing & Coding Quality.pdfOmniMD Healthcare
Medical billing services have increasingly become an important component of the modern healthcare ecosystem. Equally important is the quality and efficiency of the service provider you choose. An optimized medical billing service system leads to better revenue generation and more efficient insurance claims. While there are in-house and outsourced systems, both with their unique merits, outsourced medical billing services often provide greater flexibility and cost-effectiveness.
How to Make US Medical Billing More Efficient Tips and StrategiesRM Healthcare
Unlock the keys to greater efficiency in US medical billing with this article's expert tips and strategies. From coding accuracy to insurance intricacies, discover how to streamline operations and improve revenue cycles. Whether you're a healthcare provider or billing professional, this resource offers practical guidance to boost your medical billing efficiency and success in the dynamic US healthcare landscape.
Similar to The Benefits of Healthcare Policy Management Software and How that Impacts ROI (20)
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
2. We have seen many hospitals try to calculate
basic and highly subjective figures to determine
how much time is wasted looking for policies and
procedures. Examples of typical calculations
include:
“If your facility has 100 employees searching for policies,
and each employee searches for 5 policies per month,
with each policy taking 50 secs to find, then the amount
of time your organization as a whole spends searching for
policies is 6 hours & 57 mins each month.”
“If you have about 35 departments, with an average of 7
binders per department & an average of 250 pages in
each binder, you will have around 61,250 pieces of
paper.”
OPERATIONAL EFFICIENCY
policymedical.com 3
3. It is this type of data that is essentially
sales fluff in a slick PDF with the word
“whitepaper” or “calculator” bolded at
the top of the page. Here is an unbiased
look at the ROI of healthcare policy
management software.
OPERATIONAL EFFICIENCY
policymedical.com 4
4. Hospital staff can reduce their effort by 25-50% per
employee in the time it takes to manage and retrieve
policies and procedures.
Saved resources can be applied to other functions such as
patient care or generating additional revenue.
An electronic policy management system includes enhanced
workflow management to address regulatory and procedural
compliance. This is an additional 15-25% reduction in effort for
updating documentation.
REDUCE OPERATIONAL COSTS BY
IMPROVING STAFF EFFICIENCY
There is no doubt that a significant return on investment can be found in the
operational efficiency of your healthcare and corporate staff through time
savings, resources and materials. Here are some general rules of thumb for
you to use to determine your own operational efficiency savings:
policymedical.com 5
5. Hospitals can reduce direct operational
costs for producing printed policies and
procedures by over 90% by reducing the
cost of:
Materials and shipping costs for updates to
policies and procedures.
Materials and shipping costs for binder
“reorders”.
REDUCE OPERATIONAL COSTS BY
IMPROVING STAFF EFFICIENCY
policymedical.com 6
6. Hospitals can reduce indirect operational
costs by streamlining processes
Policies and Procedures Management
Compliance
Legal Contracts
… and more
REDUCE OPERATIONAL COSTS BY
IMPROVING STAFF EFFICIENCY
policymedical.com 7
7. Hospitals can add to their policy management
ROI by proactively mitigating risk and reducing
exposure during accreditation surveys by
demonstrating employee adherence to
regulations and standards. This will
significantly reduce the cost of survey citations.
Here are the general savings that can be
achieved by the following risk mitigation steps
that are possible with an electronic policy
management system:
REDUCE INSURANCE COST BY
REDUCING YOUR RISK EXPOSURE
policymedical.com 8
8. Limiting your risk exposure will allow you to
reduce your hospital’s risk reserve funds by
10-20%. Every year hospitals set aside funds
for legal action based on their risk exposure.
If a hospital can immediately prove that the
policy in question was up-to-date, available,
and read by the employee, the risk and cost of
legal action is significantly reduced, thereby
reducing the need for reserve funds.
REDUCE INSURANCE COST BY
REDUCING YOUR RISK EXPOSURE
policymedical.com 9
9. Maintain a continued state of readiness.
The most current policies and procedures
are readily accessible and available to
staff, therefore reducing risk of patient
safety and abiding by federal and payor
regulations and standards.
REDUCE INSURANCE COST BY
REDUCING YOUR RISK EXPOSURE
policymedical.com 10
10. Reduce the risk of exposure to survey
citations. Learning from the knowledge
of prior citations will help hospitals
prevent surveyors from imposing fines on
citations that have not been mitigated
and preventing new citations for the
same observation.
REDUCE INSURANCE COST BY
REDUCING YOUR RISK EXPOSURE
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11. Greater control and management for
team members allows everyone to
stay on top of the latest policies
which reduces risk exposure.
REDUCE INSURANCE COST BY
REDUCING YOUR RISK EXPOSURE
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12. Improve intangible items such as
surveyor satisfaction, hospital brand
protection, your reputation, and your
credit rating and protection.
REDUCE INSURANCE COST BY
REDUCING YOUR RISK EXPOSURE
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13. Reduce errors by 30-40% on
governance risk and compliance
reports.
REDUCE INSURANCE COST BY
REDUCING YOUR RISK EXPOSURE
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14. When hospitals reduce their citations,
they get a better rating from programs
like Medicare which leads to increased
reimbursements for all procedures. Policy
management systems contribute to this
ROI for all of the same reasons listed
above.
EFFECTIVE GOVERNANCE INCREASES
HOSPITAL REIMBURSEMENTS BY
MEDICARE
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15. Immediate accessibility allows
administrative departments to focus
on improving policies and
procedures and providing oversight
rather than getting caught up in
updating binders.
EFFECTIVE GOVERNANCE INCREASES
HOSPITAL REIMBURSEMENTS BY
MEDICARE
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16. Standardization of governance
and best practices across the
enterprise reduces risk exposure.
EFFECTIVE GOVERNANCE INCREASES
HOSPITAL REIMBURSEMENTS BY
MEDICARE
policymedical.com 17
17. Reduced cost of governance by
always having the right policies in
place rather than constantly
updating binders and figuring out
who needs which update.
EFFECTIVE GOVERNANCE INCREASES
HOSPITAL REIMBURSEMENTS BY
MEDICARE
policymedical.com 18
18. Increased business agility to
accelerate on-boarding of new clinics
and partners.
EFFECTIVE GOVERNANCE INCREASES
HOSPITAL REIMBURSEMENTS BY
MEDICARE
policymedical.com 19
19. Compliance agility to react more
proactively to emerging risks and
changes in regulatory compliance.
EFFECTIVE GOVERNANCE INCREASES
HOSPITAL REIMBURSEMENTS BY
MEDICARE
policymedical.com 20
20. There are many benefits to always being in a
state of ready compliance. Not only do your
hospital employees benefit from the knowledge
they gain by always having the latest
information, but whenever you are “tested” by
either governing agencies or risk assessments,
you will pass with flying colors. Some hospitals
now welcome the opportunity to shine in the
eyes of their surveyors. The cost savings
associated with a state of continued readiness
include:
THE VALUE OF A STATE OF READY
COMPLIANCE
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21. Reduce consultant costs to maintain
regulatory compliance by more than
50%.
THE VALUE OF A STATE OF READY
COMPLIANCE
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23. Decrease in the overall cost of surveys
and spot checks by federal and state
agencies because it doesn’t take as long
to complete with an electronic policy
management system as it does for a
paper-driven system.
THE VALUE OF A STATE OF READY
COMPLIANCE
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24. Automatic policy crosswalk of practices across
regulatory standards as it relates to each
policy and procedure provides proven
compliance to reduce risk exposure.
THE VALUE OF A STATE OF READY
COMPLIANCE
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25. Intangible benefits of an enriched
environment for collaboration and
sharing of knowledge amongst peers.
The financial impact of this benefit is
keeping good employees longer and
reducing the cost of staff turnover.
THE VALUE OF A STATE OF READY
COMPLIANCE
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26. Reduce man-hour costs for
compliance reporting by 15-25%.
THE VALUE OF A STATE OF READY
COMPLIANCE
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27. Reduce the cost of audits by 10-
20%
THE VALUE OF A STATE OF READY
COMPLIANCE
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28. Increasing the knowledge and satisfaction of
team members within your hospital does more
than create a great working environment. It
also creates a collaborative environment that
fosters patient safety. There is no argument
about the cost savings of patient safety, but
here are a few things to consider when
evaluating how a policy management system
could improve both patient safety and costs at
the same time.
THE ROI OF PATIENT SAFETY
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29. Ensure staff awareness to mitigate safeguards
that enhance patient safety or prevent
grievous or fatal patient harm. While the
human factor alone should be enough to
implement policy management software,
nobody can argue with the value of reducing
the cost of legal action.
THE ROI OF PATIENT SAFETY
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30. Health teams that have easy access to
instructional videos, links, and tests are better
equipped to serve their patients and ensure
their safety. There is no better mitigating
factor than a highly educated hospital staff.
THE ROI OF PATIENT SAFETY
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31. In summary, I hope this presentation has given you
enough guidance to articulate and start compiling your
own hospital’s return on investment for deploying
policy management software. Use these general
estimates to determine your own operational savings
and you will have a much more accurate picture of the
return on investment at your hospital for policy
management software.
CALCULATE THE ROI FOR YOUR
HOSPITAL
policymedical.com 32
32. If you would like to find out more, or would like
to request a demo, please don’t hesitate to
contact our team here at Policy Medical who
are always here to help with any questions you
may have.
policymedical.com 33
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