Here are some best practices and user stories related to HL7 integration, downloads, and front-end processes based on the Trace workshop:
HL7 Integration Best Practices:
- Configure HL7 interface to send registration, admission, discharge, transfer (ADT) data to Trace for automatic patient indexing
- Test HL7 interface regularly to ensure accurate and timely data exchange
- Train staff on searching by demographics and selecting correct patient record from HL7 results
Downloads Tab Best Practices:
- Educate clinical staff on ability to upload files from documents library or desktop applications for PixCert, faxing, notifying, or printing
- Consider customizing downloads tab with shortcuts to common file locations to
Key Findings from MD Ranger's 2018 Total Facility Benchmarks ReportMD Ranger, Inc.
Review key findings from our recently published 2018 Total Facility Benchmark Reports, as well as compare them to past years' reports to uncover trends in physician payments.
This presentation covers:
-How much hospitals spend on call coverage and medical directorships
-Facility-wide physician contracting trends
-How healthcare organizations use facility-wide benchmarks to drive better performance
-And more!
Medicine the way it used to be.
Ttelemedicine subscription plans allow you to have access to a doctor 24/7 by phone or secure video conference call.
These plans are complimentary to your regular health care plan meaning having a telemedicine plan allows you to speak with a doctor when your regular doctor is not available or it is an emergency and you need to talk to a physician right away.
Think of it as concierge medicine -- access to a doctor when you want for routine health care questions.
The doctors are located in your state and are all board certified.
Telemedicine plans are available for you and your family for $19.95 per month. There is no deductible and no coinsurance.
Telemedicine subscriptions are available to companies. The fee is $10.00 per employee if paid by the company. The plan is portable and you may take the plan with you if you leave the company.
Secure web portals allow you to keep your personal medical information where you may easily find it. It is available in emergency situations or to show your personal doctor.
Prescriptions cards are part of the plan to receive discounts.
I guarantee that you will find this to be a plan of value to help you when you feel most vulnerable, you are not well and you want to speak to a doctor within minutes and not hours or days.
Research Report - Insights into Revenue Cycle ManagementBESLER
The findings in this report are based on online research conducted in October 2018 among 102 respondents employed in leadership roles within finance, revenue cycle, reimbursement and HIM in U.S. hospitals and acute-care facilities.
HIPAA & OIG Compliance for Medical Billing Company OwnersKareo
The success of your business relies on timely billing and accurate coding. Whether you’re managing the billing for one provider or 50, it’s a complex job that must meet a variety of regulations, making it easy for medical billing companies to be the target of false claims and fraudulent crimes. As healthcare fraud continues to be a growing issue in the industry, medical billers are increasingly being held liable for their role in the submission of fraudulent claims.
Executive Director of American Medical Billing Association, Cyndee Weston, CMRS, CMCS, CPC, will provide an in-depth analysis of what can be considered fraud when submitting medical claims, how the government is enforcing guidelines, and what you can do to help protect your business as well as your practices.
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.
Key Findings from MD Ranger's 2018 Total Facility Benchmarks ReportMD Ranger, Inc.
Review key findings from our recently published 2018 Total Facility Benchmark Reports, as well as compare them to past years' reports to uncover trends in physician payments.
This presentation covers:
-How much hospitals spend on call coverage and medical directorships
-Facility-wide physician contracting trends
-How healthcare organizations use facility-wide benchmarks to drive better performance
-And more!
Medicine the way it used to be.
Ttelemedicine subscription plans allow you to have access to a doctor 24/7 by phone or secure video conference call.
These plans are complimentary to your regular health care plan meaning having a telemedicine plan allows you to speak with a doctor when your regular doctor is not available or it is an emergency and you need to talk to a physician right away.
Think of it as concierge medicine -- access to a doctor when you want for routine health care questions.
The doctors are located in your state and are all board certified.
Telemedicine plans are available for you and your family for $19.95 per month. There is no deductible and no coinsurance.
Telemedicine subscriptions are available to companies. The fee is $10.00 per employee if paid by the company. The plan is portable and you may take the plan with you if you leave the company.
Secure web portals allow you to keep your personal medical information where you may easily find it. It is available in emergency situations or to show your personal doctor.
Prescriptions cards are part of the plan to receive discounts.
I guarantee that you will find this to be a plan of value to help you when you feel most vulnerable, you are not well and you want to speak to a doctor within minutes and not hours or days.
Research Report - Insights into Revenue Cycle ManagementBESLER
The findings in this report are based on online research conducted in October 2018 among 102 respondents employed in leadership roles within finance, revenue cycle, reimbursement and HIM in U.S. hospitals and acute-care facilities.
HIPAA & OIG Compliance for Medical Billing Company OwnersKareo
The success of your business relies on timely billing and accurate coding. Whether you’re managing the billing for one provider or 50, it’s a complex job that must meet a variety of regulations, making it easy for medical billing companies to be the target of false claims and fraudulent crimes. As healthcare fraud continues to be a growing issue in the industry, medical billers are increasingly being held liable for their role in the submission of fraudulent claims.
Executive Director of American Medical Billing Association, Cyndee Weston, CMRS, CMCS, CPC, will provide an in-depth analysis of what can be considered fraud when submitting medical claims, how the government is enforcing guidelines, and what you can do to help protect your business as well as your practices.
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.
Hospital / Technology / Revenue / Business
This is the approach for success in terms of workflow, revenue, and technology effeciency in HIT (Healthcare Information Technology).
Structuring Your Contracts for the Current ClimateKareo
Learn about the evolution of revenue cycle management and how to best structure your contracts now that patient responsibility is on the rise. Additionally, Aimee will walk through how to have tough conversations with clients when they are not being compliant.
Presented by Aimee Heckmann
Automated Prior Authorization: A High-Value OpportunityCognizant
In the face of manual PA proliferation and pressure from the value-based care model, the need is growing for real-time electronic PA systems that will ease the administrative burden on stakeholders throughout the healthcare ecosystem.
Evaluating the Brand Value of Healthcare EntitiesPYA, P.C.
PYA Principal Jim Lloyd co-presented with PYA colleague Anna Bhat at the NACVA and Consultants Training Institute’s (CTI) Advanced Healthcare Valuation and Consulting Symposium, December 12-13, 2014, on the topic, “Evaluating the Brand Value of Healthcare Entities,” providing a comprehensive overview regarding:
Healthcare affiliations in which “brand” is a key factor.
Detailed discussion regarding healthcare entity brands.
Methodologies commonly used to value brands.
Evaluating a healthcare entity’s brand strength.
Capitalizing on your entity’s brand.
DrugScope conducts an annual appraisal of the drug and alcohol treatment sector on behalf of the Recovery Partnership; taking a snapshot of the current conditions for and adaptation of the sector in England.
Drawing on an online survey of managers of adult community and residential services from across the country followed up with in-depth interviews and the views of Chief Executives, State of the Sector provides a detailed insight into the changing nature of drug and alcohol treatment services, the partnerships that are vital to creating recovery outcomes, and challenges for the system.
As public and private insurers move away from traditional fee-for-service payments, healthcare organizations are struggling to make the leap. Market share, regional characteristics, financial health and an organization’s mission and culture are shaping the path as the flow of money shifts and the skills to manage and measure risk are being redirected in largely untested ways.
Ten Tips For a More Profitable Veterinary Practice in 2011McGaunnSchwadronCPA
This powerpoint presentation by Mark J. McGaunn, CPA (of McGaunn & Schwadron, CPA’s, LLC) addresses how to best manage a Veterinary Practice to maximize profitability in 2011. Specifically covers best financial and management strategies and ten tips to follow for a successful vet practice.
The Deloitte Center for Health Solutions took a pulse on where industry stakeholders are in their progress in preparing for MACRA. We found MACRA is poised to disrupt relationships across health systems, health plans, and life sciences companies. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/macra.html?id=us:2sm:3ss:macra:eng:chs:091518:macra
Healthcare Savings Via Pharmacy Benefit Management ProgramsThe Partners Group
Optimize your employees’ drug benefit costs, while decreasing costs and simultaneously improving overall drug benefit coverage.
Pharmacy benefit costs are the fastest growing segment of national health expenditures… rising at a rate faster than hospital care and physician services combined. Learn how employers are achieving significant savings via the TPG Proprietary Pharmacy Benefit Program.
In This Seminar We Cover:
• Options for controlling health care pharmacy costs without impacting your membership.
• Overview of the latest trends in the pharmacy benefits arena and new programs that will improve members’ RX utilization and lower your self-funded prescription drug spend.
• Methods to establish true transparency into the cost of your plan’s prescription drug program and how to continuously monitor your drug costs vs. the pharmacy contract.
• Real life case studies of actual plan savings from the 2014 plan year.
• How to become eligible for a pharmacy audit completed by The Partners Group.
There are many missed opportunities for revenue retention in today’s healthcare call centers. Would you like to increase your captured revenue. We highlight a $25M case study.
This Conversation May be Recorded for Quality PurposesTraceByTWSG
Three industry leaders will share strategies to improve patient experience by recording, monitoring and scoring patient encounters.
As consumers, we have come to expect customer service calls to be recorded for quality purposes. This presentation will share why leading healthcare organizations are now following suit and incorporating recording and quality scoring throughout the revenue cycle. A panel of Patient Access innovators will share methods for monitoring and scoring patient encounters to improve patient experience. Attendees will hear outcomes and walk away with practical steps to standardize communication best practices among their teams.
Hospital / Technology / Revenue / Business
This is the approach for success in terms of workflow, revenue, and technology effeciency in HIT (Healthcare Information Technology).
Structuring Your Contracts for the Current ClimateKareo
Learn about the evolution of revenue cycle management and how to best structure your contracts now that patient responsibility is on the rise. Additionally, Aimee will walk through how to have tough conversations with clients when they are not being compliant.
Presented by Aimee Heckmann
Automated Prior Authorization: A High-Value OpportunityCognizant
In the face of manual PA proliferation and pressure from the value-based care model, the need is growing for real-time electronic PA systems that will ease the administrative burden on stakeholders throughout the healthcare ecosystem.
Evaluating the Brand Value of Healthcare EntitiesPYA, P.C.
PYA Principal Jim Lloyd co-presented with PYA colleague Anna Bhat at the NACVA and Consultants Training Institute’s (CTI) Advanced Healthcare Valuation and Consulting Symposium, December 12-13, 2014, on the topic, “Evaluating the Brand Value of Healthcare Entities,” providing a comprehensive overview regarding:
Healthcare affiliations in which “brand” is a key factor.
Detailed discussion regarding healthcare entity brands.
Methodologies commonly used to value brands.
Evaluating a healthcare entity’s brand strength.
Capitalizing on your entity’s brand.
DrugScope conducts an annual appraisal of the drug and alcohol treatment sector on behalf of the Recovery Partnership; taking a snapshot of the current conditions for and adaptation of the sector in England.
Drawing on an online survey of managers of adult community and residential services from across the country followed up with in-depth interviews and the views of Chief Executives, State of the Sector provides a detailed insight into the changing nature of drug and alcohol treatment services, the partnerships that are vital to creating recovery outcomes, and challenges for the system.
As public and private insurers move away from traditional fee-for-service payments, healthcare organizations are struggling to make the leap. Market share, regional characteristics, financial health and an organization’s mission and culture are shaping the path as the flow of money shifts and the skills to manage and measure risk are being redirected in largely untested ways.
Ten Tips For a More Profitable Veterinary Practice in 2011McGaunnSchwadronCPA
This powerpoint presentation by Mark J. McGaunn, CPA (of McGaunn & Schwadron, CPA’s, LLC) addresses how to best manage a Veterinary Practice to maximize profitability in 2011. Specifically covers best financial and management strategies and ten tips to follow for a successful vet practice.
The Deloitte Center for Health Solutions took a pulse on where industry stakeholders are in their progress in preparing for MACRA. We found MACRA is poised to disrupt relationships across health systems, health plans, and life sciences companies. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/macra.html?id=us:2sm:3ss:macra:eng:chs:091518:macra
Healthcare Savings Via Pharmacy Benefit Management ProgramsThe Partners Group
Optimize your employees’ drug benefit costs, while decreasing costs and simultaneously improving overall drug benefit coverage.
Pharmacy benefit costs are the fastest growing segment of national health expenditures… rising at a rate faster than hospital care and physician services combined. Learn how employers are achieving significant savings via the TPG Proprietary Pharmacy Benefit Program.
In This Seminar We Cover:
• Options for controlling health care pharmacy costs without impacting your membership.
• Overview of the latest trends in the pharmacy benefits arena and new programs that will improve members’ RX utilization and lower your self-funded prescription drug spend.
• Methods to establish true transparency into the cost of your plan’s prescription drug program and how to continuously monitor your drug costs vs. the pharmacy contract.
• Real life case studies of actual plan savings from the 2014 plan year.
• How to become eligible for a pharmacy audit completed by The Partners Group.
There are many missed opportunities for revenue retention in today’s healthcare call centers. Would you like to increase your captured revenue. We highlight a $25M case study.
This Conversation May be Recorded for Quality PurposesTraceByTWSG
Three industry leaders will share strategies to improve patient experience by recording, monitoring and scoring patient encounters.
As consumers, we have come to expect customer service calls to be recorded for quality purposes. This presentation will share why leading healthcare organizations are now following suit and incorporating recording and quality scoring throughout the revenue cycle. A panel of Patient Access innovators will share methods for monitoring and scoring patient encounters to improve patient experience. Attendees will hear outcomes and walk away with practical steps to standardize communication best practices among their teams.
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Strategic Visioning for Health Systems: What's holding health systems back?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Cheryl Kreider, MBA, FACHE
CEO of Kreider Health Solution, LLC
More info at: vsee.com/conference
Sharing a New Ideal: How Tomorrow’s Understaffed, Multi-Site Lab Organization...mhartman1309
This presentation was presented by Chris Christopher at the Lab Quality Confab Conference on Nov 2, 2010. It shows how medical laboratories are using automation, technology and lean sigma improvement methodologies to meet organizational needs.
Presentation hosted by Conventus outlining specific strategies for adapting to new quality-based payment plans to boost revenue and cash flow. Features Ron Sterling of Sterling Solutions
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.
Align Patient Outcomes with Financial Data: a Formula for Correlating Cost an...Perficient, Inc.
This slideshare discusses the cost crisis in healthcare, challenges healthcare organizations are facing, and how to:
Uncover true patient costs and value based purchasing
Understand quality and cost outcomes by aligning clinical and financial data
Identify trends and opportunities, and create actionable steps to improve business
Accelerate data integration with Perficient's High-Performance Costing Expressway
Leverage actionable visuals via dashboards with Oracle Business Intelligence tools
Evaluate patient complications, outcomes and detailed costs with Oracle’s Enterprise Healthcare Analytics Data Model
Your website is a big investment. It's also one that, if done well, will pay for itself over and over again. The key is understanding how your website, and supporting digital initiatives, can be used as tools to deliver value. Attend this webinar and learn how to successfully translate your organization's strategic goals into digital goals, making your website a revenue-generating and volume-driving machine. You'll discover how to define value for your online tactics, and how to communicate that value to key stakeholders. We'll also cover what effective digital plans look like, and provide actionable guidance to help make your digital marketing strategy deliver real results.
Interested in learning more? Check out the slideshare.
Bookends of the Patient Experience: Improvement Strategies from Admission to ...TraceByTWSG
In this webinar, Yvonne Chase of Mayo Clinic shares strategies to improve patient experience across the continuum of care - from pre-service to post-servcie activities. This presentation shares tools and processes used to streamline patient access, coordinate patient care and conduct patient follow-up post discharge - all while monitoring patient interactions to ensure clear and accurate communication from the first point of contact to the last.
How Orange Regional Medical Center Reduced Readmissions by 30 PercentTraceByTWSG
Industry thought leaders from Orange Regional Medical Center, Nexus Health Resources and The White Stone Group will discuss care coordination strategies that have resulted in a 30-percent reduction in hospital readmissions at Orange Regional Medical Center.
Bookends of the Patient Experience: Improvement Strategies from Admission to ...TraceByTWSG
Yvonne Chase has a strategy. She shows how hospitals can prepare for the paradigm shift of value-based purchasing. She has the exact revenue cycle tools and processes used to streamline patient access, coordinate patient care and conduct patient follow-up post discharge – all while monitoring patient interactions to ensure clear and accurate communication from the first point of contact to the last.
New Ways to Improve the Patient Experience: Because it Begins Before the Fron...TraceByTWSG
This presentation will review strategic initiatives for revenue cycle leaders to further engage patients in their care experience – beginning before they enter the hospital’s front door. The session will present key strategies and related outcomes in patient satisfaction, staff performance, reimbursement and upfront patient collections.
• Ensure meaningful upfront encounters with Patient Access – at each and every encounter.
• Hardwire measurable standards throughout Patient Access teams.
• Reduce process time and eliminate duplication for quicker patient turnaround.
• Ensure consistent practices across hospital entities and among associates.
• Avoid financial harm through automated documentation.
• Protect staff through documentation integrity.
• Increase visibility of – and access to – critical patient touch points across the organization.
Leading the development of Texas Health’s Patient Access infrastructure, Patti Consolver and Scott Phillips oversee the centralized patient access intake center and the patient access departments for the system’s 13 wholly-owned hospitals.
Communicating Effectively: Strategies to Ensure the Quality of Communication...TraceByTWSG
Ensuring that patients receive clear and accurate communication from the first point of contact is critical to setting the stage for a positive experience across the continuum of care. In this presentation, Health First will share strategies to better manage communication with patients across the revenue cycle. The presentation will include discussion of a QA tool used to measure and improve the quality of patient interactions through monitoring, scoring and focused training with staff members.
Integrating Care Coordination in the Revenue CycleTraceByTWSG
West Jefferson Medical Center expert, Darlene Gondrella, reviews strategic initiatives for hospitals to integrate care coordination and revenue cycle teams for better outcomes across the organization.
•Engage care coordination in the revenue cycle process
•Integrate clinical and revenue cycle teams
•Bridge communication gaps across the organization
•Reduce readmissions through an integrated approach to patient discharge and follow-up
Communicating Effectively: Strategies to Ensure the Quality of Communication...TraceByTWSG
Blair Wright (The White Stone Group, Inc.) presenting to Massachusetts Association of Hospital Access Managers (MAHAM) on how the quality of communicating with patients is directly linked to the perceived quality of care.
Essentials of Automations: The Art of Triggers and Actions in FMESafe Software
In this second installment of our Essentials of Automations webinar series, we’ll explore the landscape of triggers and actions, guiding you through the nuances of authoring and adapting workspaces for seamless automations. Gain an understanding of the full spectrum of triggers and actions available in FME, empowering you to enhance your workspaces for efficient automation.
We’ll kick things off by showcasing the most commonly used event-based triggers, introducing you to various automation workflows like manual triggers, schedules, directory watchers, and more. Plus, see how these elements play out in real scenarios.
Whether you’re tweaking your current setup or building from the ground up, this session will arm you with the tools and insights needed to transform your FME usage into a powerhouse of productivity. Join us to discover effective strategies that simplify complex processes, enhancing your productivity and transforming your data management practices with FME. Let’s turn complexity into clarity and make your workspaces work wonders!
Epistemic Interaction - tuning interfaces to provide information for AI supportAlan Dix
Paper presented at SYNERGY workshop at AVI 2024, Genoa, Italy. 3rd June 2024
https://alandix.com/academic/papers/synergy2024-epistemic/
As machine learning integrates deeper into human-computer interactions, the concept of epistemic interaction emerges, aiming to refine these interactions to enhance system adaptability. This approach encourages minor, intentional adjustments in user behaviour to enrich the data available for system learning. This paper introduces epistemic interaction within the context of human-system communication, illustrating how deliberate interaction design can improve system understanding and adaptation. Through concrete examples, we demonstrate the potential of epistemic interaction to significantly advance human-computer interaction by leveraging intuitive human communication strategies to inform system design and functionality, offering a novel pathway for enriching user-system engagements.
Enhancing Performance with Globus and the Science DMZGlobus
ESnet has led the way in helping national facilities—and many other institutions in the research community—configure Science DMZs and troubleshoot network issues to maximize data transfer performance. In this talk we will present a summary of approaches and tips for getting the most out of your network infrastructure using Globus Connect Server.
Welcome to the first live UiPath Community Day Dubai! Join us for this unique occasion to meet our local and global UiPath Community and leaders. You will get a full view of the MEA region's automation landscape and the AI Powered automation technology capabilities of UiPath. Also, hosted by our local partners Marc Ellis, you will enjoy a half-day packed with industry insights and automation peers networking.
📕 Curious on our agenda? Wait no more!
10:00 Welcome note - UiPath Community in Dubai
Lovely Sinha, UiPath Community Chapter Leader, UiPath MVPx3, Hyper-automation Consultant, First Abu Dhabi Bank
10:20 A UiPath cross-region MEA overview
Ashraf El Zarka, VP and Managing Director MEA, UiPath
10:35: Customer Success Journey
Deepthi Deepak, Head of Intelligent Automation CoE, First Abu Dhabi Bank
11:15 The UiPath approach to GenAI with our three principles: improve accuracy, supercharge productivity, and automate more
Boris Krumrey, Global VP, Automation Innovation, UiPath
12:15 To discover how Marc Ellis leverages tech-driven solutions in recruitment and managed services.
Brendan Lingam, Director of Sales and Business Development, Marc Ellis
GraphRAG is All You need? LLM & Knowledge GraphGuy Korland
Guy Korland, CEO and Co-founder of FalkorDB, will review two articles on the integration of language models with knowledge graphs.
1. Unifying Large Language Models and Knowledge Graphs: A Roadmap.
https://arxiv.org/abs/2306.08302
2. Microsoft Research's GraphRAG paper and a review paper on various uses of knowledge graphs:
https://www.microsoft.com/en-us/research/blog/graphrag-unlocking-llm-discovery-on-narrative-private-data/
SAP Sapphire 2024 - ASUG301 building better apps with SAP Fiori.pdfPeter Spielvogel
Building better applications for business users with SAP Fiori.
• What is SAP Fiori and why it matters to you
• How a better user experience drives measurable business benefits
• How to get started with SAP Fiori today
• How SAP Fiori elements accelerates application development
• How SAP Build Code includes SAP Fiori tools and other generative artificial intelligence capabilities
• How SAP Fiori paves the way for using AI in SAP apps
A tale of scale & speed: How the US Navy is enabling software delivery from l...sonjaschweigert1
Rapid and secure feature delivery is a goal across every application team and every branch of the DoD. The Navy’s DevSecOps platform, Party Barge, has achieved:
- Reduction in onboarding time from 5 weeks to 1 day
- Improved developer experience and productivity through actionable findings and reduction of false positives
- Maintenance of superior security standards and inherent policy enforcement with Authorization to Operate (ATO)
Development teams can ship efficiently and ensure applications are cyber ready for Navy Authorizing Officials (AOs). In this webinar, Sigma Defense and Anchore will give attendees a look behind the scenes and demo secure pipeline automation and security artifacts that speed up application ATO and time to production.
We will cover:
- How to remove silos in DevSecOps
- How to build efficient development pipeline roles and component templates
- How to deliver security artifacts that matter for ATO’s (SBOMs, vulnerability reports, and policy evidence)
- How to streamline operations with automated policy checks on container images
Why You Should Replace Windows 11 with Nitrux Linux 3.5.0 for enhanced perfor...SOFTTECHHUB
The choice of an operating system plays a pivotal role in shaping our computing experience. For decades, Microsoft's Windows has dominated the market, offering a familiar and widely adopted platform for personal and professional use. However, as technological advancements continue to push the boundaries of innovation, alternative operating systems have emerged, challenging the status quo and offering users a fresh perspective on computing.
One such alternative that has garnered significant attention and acclaim is Nitrux Linux 3.5.0, a sleek, powerful, and user-friendly Linux distribution that promises to redefine the way we interact with our devices. With its focus on performance, security, and customization, Nitrux Linux presents a compelling case for those seeking to break free from the constraints of proprietary software and embrace the freedom and flexibility of open-source computing.
GDG Cloud Southlake #33: Boule & Rebala: Effective AppSec in SDLC using Deplo...James Anderson
Effective Application Security in Software Delivery lifecycle using Deployment Firewall and DBOM
The modern software delivery process (or the CI/CD process) includes many tools, distributed teams, open-source code, and cloud platforms. Constant focus on speed to release software to market, along with the traditional slow and manual security checks has caused gaps in continuous security as an important piece in the software supply chain. Today organizations feel more susceptible to external and internal cyber threats due to the vast attack surface in their applications supply chain and the lack of end-to-end governance and risk management.
The software team must secure its software delivery process to avoid vulnerability and security breaches. This needs to be achieved with existing tool chains and without extensive rework of the delivery processes. This talk will present strategies and techniques for providing visibility into the true risk of the existing vulnerabilities, preventing the introduction of security issues in the software, resolving vulnerabilities in production environments quickly, and capturing the deployment bill of materials (DBOM).
Speakers:
Bob Boule
Robert Boule is a technology enthusiast with PASSION for technology and making things work along with a knack for helping others understand how things work. He comes with around 20 years of solution engineering experience in application security, software continuous delivery, and SaaS platforms. He is known for his dynamic presentations in CI/CD and application security integrated in software delivery lifecycle.
Gopinath Rebala
Gopinath Rebala is the CTO of OpsMx, where he has overall responsibility for the machine learning and data processing architectures for Secure Software Delivery. Gopi also has a strong connection with our customers, leading design and architecture for strategic implementations. Gopi is a frequent speaker and well-known leader in continuous delivery and integrating security into software delivery.
Generative AI Deep Dive: Advancing from Proof of Concept to ProductionAggregage
Join Maher Hanafi, VP of Engineering at Betterworks, in this new session where he'll share a practical framework to transform Gen AI prototypes into impactful products! He'll delve into the complexities of data collection and management, model selection and optimization, and ensuring security, scalability, and responsible use.
The Art of the Pitch: WordPress Relationships and SalesLaura Byrne
Clients don’t know what they don’t know. What web solutions are right for them? How does WordPress come into the picture? How do you make sure you understand scope and timeline? What do you do if sometime changes?
All these questions and more will be explored as we talk about matching clients’ needs with what your agency offers without pulling teeth or pulling your hair out. Practical tips, and strategies for successful relationship building that leads to closing the deal.
In his public lecture, Christian Timmerer provides insights into the fascinating history of video streaming, starting from its humble beginnings before YouTube to the groundbreaking technologies that now dominate platforms like Netflix and ORF ON. Timmerer also presents provocative contributions of his own that have significantly influenced the industry. He concludes by looking at future challenges and invites the audience to join in a discussion.
LF Energy Webinar: Electrical Grid Modelling and Simulation Through PowSyBl -...DanBrown980551
Do you want to learn how to model and simulate an electrical network from scratch in under an hour?
Then welcome to this PowSyBl workshop, hosted by Rte, the French Transmission System Operator (TSO)!
During the webinar, you will discover the PowSyBl ecosystem as well as handle and study an electrical network through an interactive Python notebook.
PowSyBl is an open source project hosted by LF Energy, which offers a comprehensive set of features for electrical grid modelling and simulation. Among other advanced features, PowSyBl provides:
- A fully editable and extendable library for grid component modelling;
- Visualization tools to display your network;
- Grid simulation tools, such as power flows, security analyses (with or without remedial actions) and sensitivity analyses;
The framework is mostly written in Java, with a Python binding so that Python developers can access PowSyBl functionalities as well.
What you will learn during the webinar:
- For beginners: discover PowSyBl's functionalities through a quick general presentation and the notebook, without needing any expert coding skills;
- For advanced developers: master the skills to efficiently apply PowSyBl functionalities to your real-world scenarios.
4. Account Management Team
Jo Norris – VP of Account Management
Nichole Harmon – Indianapolis, IN
Debra Holman – Nashville, TN
Aljeana Howard – Atlanta, GA
La Teshia Jones – Houston, TX
Debbie Lloyd – Dallas, TX
Michael Mouton – Dallas, TX
Marcia Patterson – Cincinnati, OH
Deborah Todd – Memphis, TN
Lynda Clay – Nashua, NH
Lauren Bento – Port St. Lucie, FL
5. Sales Team
Ken Cassell – Senior Vice President of Sales
Blair Wright – Knoxville, TN
Jerry Thomas – Oviedo, FL
Walt Bearden – Knoxville, TN
Lori Forbess – Beaverton, OR
Windell Yancy – Dallas, TX
Phillip McClure – Fort Worth, TX
6. Our Team - Here to Serve You
Tim Hoskins | Director of Enterprise Architecture & Security
Matt Jernigan | Director of Product Management
Erin McCarty | Director of Marketing
Bill Milam | Director of Software Development
Derek Morgan | Trace Product Owner
Ben O’Brien | Director of Support Services
Nicole Shanklin | Director of Implementation & Training
7. Our Lofty Goal
To be the very best support organization in the
healthcare software industry.
• High value on genuine relationships with our customers
• High value on responsiveness
• High value on ROI - ensuring that our products bring real
value to your organization
• High value on trustworthiness - we want to be a
company that you can trust to do the right thing
16. Workshop 1:
Is Your Revenue Cycle STILL Suffering
from Communication Chaos?
Rebecca Black, FHFMA, CPA
Vice President of Revenue Cycle
Southern Regional Medical Center
Riverdale, GA
17. IS YOUR REVENUE
CYCLE STILL SUFFERING
FROM COMMUNICATION
CHAOS?
Rebecca T. Black, FHFMA, CPA | Vice President of Revenue
Cycle
Southern Regional Medical Center | Riverdale, GA
18. Learning Objectives
What are the signs that you still have
communication gaps in your Revenue Cycle?
What are your key feedback loops?
How did one hospital use Trace to reduce
communication chaos?
How can you track and demonstrate return on
investment (ROI)?
19. The Cost of Communication Chaos
Hospitals waste $12 billion a year due to poor
communication, approximately 2 percent of national
hospital revenues and more than half the average
hospital margin of 3.6 percent.
Source: Amednews.com. Communication failures over diagnostic tests prompting more lawsuits. 2011.
20. Why Do We Still Have CHAOS in
the Revenue Cycle?
Very complex
Many processes and players
Broad spectrum of activities
Departments don’t align under the same area of
oversight
Source: Protiviti. Healthcare Revenue Integrity Strategies: Using High Value Revenue Cycle Assessments to Protect
and Improve the Bottom Line. 2012.
“A provider is at risk every day of losing revenue at
many points in the cycle, especially in routine
areas of operations where inefficiency and a lack
of communication between departments are
common.”
21. How to Know if You Still Suffer from CHAOS
Delayed accounts receivables
Initial denial rate
Net days in A/Rec – benchmark to standards/best practice
Collections compared to Net Patient Service Revenue (avg
100%)
Denied claims
Technical (administrative) or clinical rate
Overturn rate
Data by payer/line of business
Rework
First pass clean claim rate
Volume of required claim edits
Volume of manual adjustments
Wasted staff time
Productivity
Cost to collect
22. How to Know if You Still Suffer from CHAOS
Frustrated customers
Complaint volume
HCAHPS scores
Cancelled procedures
Last minute scheduling changes
By procedural area/payer contract
Wasted materials/resources
High cost radio therapeutic drugs/chemo agents
Gaps in schedules (Open rooms in procedural areas)
Physician dissatisfaction
Complaints to Administration
Loss of volume/downward trends
Patient steerage
23. Key Revenue Cycle Feedback Sources
• Who owns these functions:
• Scheduling
• Pre Access
• Point of Service
• Case Management functions
• Notification of Admission
• Status Determination
• Concurrent Reviews
• Denials Management
• Trending
• Tracking
• Root cause analysis
Communication
is critical to
solving denials
and harnessing
information to
drive revenue
cycle
performance
24. Missing Pieces to Your Bottom Line
Denials “falling through the cracks”
Reliance on “homegrown” databases and
manual spreadsheets to track performance
Not prioritizing denied accounts for resolution
Inconsistent follow-up activity on accounts
Lack of understanding of root causes of
denials
Inability to speed account resolution with
payers
Poor communication among departments and
revenue cycle functions
25. Denials: Not Going Away
20% of claims are delayed or denied
7% of claims are never paid
Insurance companies return claims an average of two times
to get the information they require to process the claim
Source: PNC. Automated Billing/Payment Process Can Reduce US Health Care Costs Without Sacrificing Patient Care. 2007.
26. Initial Denials: % of Outstanding AR
50%
19%
31%
0% - 5%
6% - 10%
>10%
31% of hospitals have initial denials greater than 10%
Source: Financial Leadership Council 2011 Revenue Cycle Survey. The Advisory Board Company. 2011.
27. Initial Denials: Sources of Errors
Nearly 3/4 of errors traced back to the front end
Source: Financial Leadership Council 2011 Revenue Cycle Survey. The Advisory Board Company. 2011.
27%
16%
30%
27%
Medical Necessity
Authorizations
Demographic Information
Eligibility
30. Making Sense of the Numbers
Hospital A
Gross revenue = $1B
Net revenue (30%) = $300M
Net operating margin of 3% = $9M
1.5% lost to denials = $4.5M left on the table
Losing 50% of margin
Every year!
31. Are You Protecting Your Dollars Today…
AND TOMORROW?
• Recoupment reasons:
• Coverage at time of care
• Type of service provided
• Existence of
authorizations
• Retro reviews where
status is changed
Retro
denials
are
costing
hospitals
millions
32. How Are You Doing in These Areas?
Denial Prevention
Authorizations (phone, web or fax)
Verification that no pre cert was required
POS Collections/Back-end Follow-up & Collections
OOP estimates, ABNs for Medicare
Promises to pay/claim tracking
Patient Satisfaction/Quality Assurance
Consistent use of scripting, record of encounter
Document consistent adherence to Policy/Procedure
Behavior Modification
Staff training/retraining
And much more…
34. Bringing Clarity to Chaos
Central
Record
Storage
Web
Tracking
System
Index and
Archive
Date-and-
Time Stamp
System-
Wide
Access
Easy
Retrieval
and Routing
Central Repository
35. Saint Joseph’s Hospital of Atlanta
410-bed
acute-care
facility serving
metro Atlanta
& surrounding
areas
One of
Southeast’s
top specialty-
referral
hospitals
Challenging
margins due
to high
Medicare
utilization &
tight margins
on managed
care
Objective to
support
revenue cycle
best practices
& achieve
total denial
rate of < 1%
gross
36. Areas of Technology Application
Precertification
Preregistration process
Payment estimates
POS collections
Verification of claim receipt & promise to pay
Denial & appeal management
Contract review/payment accuracy
Staff education & training
37. Voice Recording Process
Incoming Calls
Outgoing Calls
Outgoing Voicemails
Voice solution
captures, indexes, an
d stores the
conversation or
message
Staff access the
transcription of the
call or voicemail
Hospital then uses
the transcripts to
resolve disputes
with insurance
companies
38. Real-Life Scenario
Identified large volume of denials for “lack of
pre-certification/notification” from a particular
payer related to outpatient radiology scans
(CT, MRI, PET).
Almost every denied claim appeared to be
pre-certified and had a pre-certification
number.
The payer’s Contracting Department was
contacted and several examples were sent
for “investigation” as to why the claims were
denied.
39. Details
Patient received 3 CT scans on same
date of service – chest, abdomen, and
pelvis.
All 3 scans were fully authorized.
A recorded conversation clearly indicated
that SJHA obtained the pre-certification and
had explicitly inquired whether a different
precert number was needed for each scan.
40. Review of Payer’s Research
Recorded conversation between facility & Contracting Manager from Payer
Payer says
that only one
of the 3 CT
scans was
authorized.
41. Transcript Emailed Immediately to
Contracting Manager
This is the transcript header; it contained the patient’s name, account
number, and time stamps
42. Transcript Continued…
This is from the body of the transcript where the authorization takes
place; it clearly shows that all three scans were authorized.
43. A Week Later, Payer Calls Back…
Payer finally acknowledges that they have a core issue between their third-
party radiology vendor and their claims processing system.
44. Results of Project Implementation
Implemented Dec. 1, 2009
Results as of Mar. 31, 2012
“Cash in the door” = $458,816
161 accounts, average recoup = $2,849
Average accounts overturned per month = 6.4
Prevented denials
45. Results – Improved Satisfaction
Staff Members
• Listening to
recorded calls
helps staff
members learn
from mistakes
and find ways to
keep improving
customer service
• Staff members
know they have
documented
proof to
substantiate
Patients
• Increased front-
end staff training
leads to more
satisfied patients
• Front-end staff
have more
accountability
and resources at
their disposal to
provide great
service to
patients
Physicians
• Improved
relations between
different
departments
• Less often
assume an error
is the result of
patient access
negligence
46. Lessons Learned
For SJHA, documentation was invaluable to proving
compliance with prescribed precertification protocols.
Without it, inappropriate denials and cash payment
delays would have continued.
Documentation used to assure mutually agreeable
processes with managed care payers and lessen
administrative burdens for both payer and provider.
47. Calculating ROI: Scheduling, Orders
Prevent one cancelled surgery = ___
Retain one physician = ___
Reassign one FTE from scanning, filing, etc. = ___
Prevent one HIPAA violation = ___
Save one hour per day in managing orders = ___
Save one hour per day in document scanning = ___
Eliminate fax machines = ___
TOTAL savings per month = ___
48. Calculating ROI: Patient Experience
Retain one additional patient = ___
Collect one additional payment at
Point of Service = ___
Prevent one patient identity theft = ___
TOTAL savings per month = ___
49. Calculating ROI: Revenue At-Risk
Prevent one denial per month = ___
Overturn one denial per month = ___
Reduce cost to collect = ___
Reduce number of net days in AR = ___
TOTAL savings per month = ___
50. Calculating ROI: Coordination of Care
Prevent one readmission = ___
Prevent one medical necessity denial = ___
Prevent one notification denial = ___
Prevent one EMTALA violation = ___
Reassign one FTE from faxing for discharge
placement = ___
TOTAL savings per month = ___
51. Conclusions
Revenue cycle communications are many and varied and far from
perfect.
Misleading and inaccurate information is a significant barrier to
achieving revenue cycle best practices.
Providers can leverage technology to bring clarity to the chaos and
gain valuable ground toward achieving best practices.
Providers need to increase their knowledge and understanding of
what “value” systems such as Trace provide and endeavor to find
additional ROI opportunities.
53. Which area represents the best opportunity
for growth with Trace at your organization?
1 2 3 4
54%
5%
24%
16%
1. Revenue-at-Risk
2. Physician Orders
3. Care Coordination
4. Patient Experience
58. My Hospital…
A. Already has an HL7/ADT feed with Trace
B. Does not have HL7 with Trace, but we plan to get it
C. Does not have HL7 with Trace & we don’t really think we need it
D. Thinks it would be awesome if we only had the $$
77. Reports!
A. We need more & better reports ASAP!
B. The reports we already have are good enough
C. We love the existing reports
D. We hate the existing reports with a burning hate
E. We don’t care about reports
F. Reports? I didn’t know there were reports….
81. Workshop 2 & 5
Trace Best Practices & User Stories
82. HL7 Integration & Indexing
What is HL7 integration?
It is an interface or communication between your
hospitals patient management system and Trace.
It sends the Patient’s Registration, Pre
Registration, Admission, Discharge or Transfer data to
Trace.
How do you index with the HL7 interface?
Simply search in Trace by the patient’s
demographics. Then select the correct patient
record from the HL7 results shown.
83. Downloads Tab
This feature gives you the ability to “upload and save”
files saved in your documents library or documents
store in other applications on your desktop.
Once saved, you can choose to PixCert & Fax, Notify
or Print your documents.
89. Inbound Faxing – Best Practice
• Physician Orders
• Pharmacy
• Bed Status Change
• Surgery
• Case Management
90. Front End Processes
• Value
- Prevents lost orders
- Audit Trail
- Ability to track invalid orders
- Eliminate Paper
- Accessible to other departments to view
91. Trace Voice
• Why Record Conversations?
– Big Brother
OR
– Capture Prior Authorizations
– Validate Scripting
– Eliminate “he said....she said”
– VOB/VOE
– Quality Insurance
– Scripting
92. Trace Voice
4 Voice Recording Options -Choice depends on:
• Volume
• Purpose
• Call Type
93. Trace Voice
• Auto Record
– Seamless
– No end user intervention
– Indiscriminate
Best Practice Scenario – Call Centers to support VOB
and/or VOE, scripting, pre-registration information
94. Trace Voice
• On Demand
– Requires hardware
– User controlled
– Discriminate
Best Practice Scenario – Collection areas calling on
claim status for multiple claims/patients
95. Trace Voice
• Anywhere
– Flexible
– User controlled
– Discriminate
Best Practice Scenario – Case Managers for billing
disputes, SNF placement conversations, transfers.
96. Trace Voice
• Face-to-Face
– In-person
– User controlled
– Discriminate
Best Practice Scenario – Financial Counselors
reviewing patient financial responsibility and
payment plans.
98. Case Management Processes
• Centralized number for incoming faxes
• Case Managers officed all over the hospital
• Paper documentation filed in individual desk
drawers
• Paper shuffling
99. Fax Management with FaxCert
• Inbound and outbound
• Alternative to scanning documents
• HL7 integration for efficient and accurate
indexing
• Departmental notifications
100. Fax Management with FaxCert
• Value
– Centralized, electronic storage of faxes
– Improve workflow efficiency
– Enhanced departmental communication
– Paper savings
101. PixCert
• Capture clinical documentation and fax
• Capture departmental forms and notify or fax
• HL7 integration for efficient and accurate
indexing
106. Downloads Tab
• Value
– Centralized location for frequently used forms and
documents
– Capture and store document without having to
save to PC
– Electronic faxing and combining of documents
107. Trace Voice for Readmissions Reductions Programs
Patient Protection and Affordable Care Act (P-PACA)
Quality indicator versus reimbursement denial
Record discharge instructions
Non compliance versus neglect to inform
110. Managing Trace Communication Events
How do I use my Worklists?
Customize Column data to match your workflow
Organizes data in an easy to read format when
performing searches on patient transactions
Quickly access transactions for
printing, faxing, emailing transactions
Perform batch operations
114. How do you resubmit your denials & appeals?
Answer # 1 - By Fax
Answer # 2 - Print and Mail
Answer # 3 - Phone Call and pleading case
115. Tools and Utilities for Back End
Import Tiff or PDF documents
Electronic Medical Records
Insurance Forms
Release of Information or Disclosure Forms
Benefits
Retrieve and complete on any patient
Index form/document and save in Tracker
Fax outbound completed documents for denials
management and appeals
118. Outbound Faxing
Why Fax Outbound your appeals and claim process?
Benefits
Easy to locate faxed transactions and
documents
Merge records and documents into a single
Trace transaction to fax
Date & Time Stamped - proof that you met the
deadline date
Fast and easy process to “Resend” faxes
Saves time- no more running to and from fax
machine
124. Do you currently print and scan documents
for the sole purpose of entering into another
system?
1 2 3 4 5
31%
0% 0%
63%
6%
1. No, not in my area.
2. I don’t know.
3. I think so.
4. Yes.
5. No, that’s what
interns are for!
126. Image Export
Some typical benefits…
• Reduced printing costs
• Instant access to documents in other systems
• Documents backed up within Tracker
• Increased workflow efficiency
128. Image Import
Some typical uses…
• Auto faxing of test results such as radiology or
mammography results
• Consolidate CPOE and faxed physician orders
into a single system for workflow
improvement
131. • Trace Integration Options
• Auto notification of admission
• Trace Quality & Coaching
• Discharge Instructions
Next Up
132. Notification of Admission
Problem
• Payers often require notification of inpatient
admission within 24 hours.
• If missed, the claim will be denied for every
day late.
• Adds pressure on access staff, particularly on
weekends and holidays, to notify payers.
136. Notification of Admission
Advantages
• Trace automates the notification.
• Within Tracker the notifications can be
compared to the patient census.
• In the event of a denial, proof of the
transaction is in Trace.
137. Would this feature be valuable at your
hospital?
1 2 3 4
57%
0%
14%
29%
1. Yes, this would be
awesome!
2. Interesting, it might be
helpful.
3. I’m not the right
person to ask but I’d
like to tell someone at
my hospital about it.
4. No, I don’t think this is
useful.
138. • Trace Integration Options
• Auto notification of admission
• Trace Quality & Coaching
• Discharge Instructions
Next Up
140. Voice – Quality & Coaching
Revenue Cycle Impact
• Pre-Service communications set the tone for
the entire stay.
• Post-Service communication may be the last
impression made with the patient.
142. Voice – Quality & Coaching
Voice – Quality and Coaching will be an add-on
module allowing managers to grade recordings
so that can staff can be coached, quality
improved…
and ultimately the patient experience improved.
144. Voice – Quality & Coaching
Advantages
• Create a quality and coaching program.
• Grade recordings based on your criteria.
• Identify top performers to use for training.
• Compare team members to identify coaching
opportunities.
• Track quality scores over time.
145. Would this feature be valuable at your
hospital?
1 2 3 4
43%
3%
26%
29%
1. Yes, this is the coolest
thing since Trace Days!
2. Interesting, it might be
helpful.
3. I’m not the right person to
ask but I’d like to tell
someone at my hospital
about it.
4. No, I don’t think this is
useful.
146. • Trace Integration Options
• Auto Notification of Admission
• Trace Quality & Coaching
• Discharge Instructions
Next Up
147. Discharge Instructions
• The Affordable Care Act established the Hospital
Readmission Reduction Program.
• Requires CMS to reduce payments to hospitals
with excessive readmissions.
• Common drivers of readmission
– Lack of a standard discharge process
– Lack of engagement by patients and families
– Patients did not understand/correctly take
medications
148. Discharge Instructions
Trace
• Utilize Trace Voice Face-to-Face to capture.
• Evaluate quality with Trace Quality & Coaching
tool.
• Review instructions prior to patient follow-up.
• Provide patients with access to recorded
discharge instructions.
149. Would this feature be valuable at your
hospital?
1 2 3 4
24%
9%
32%
35%
1. Yes, I think it would be
great!
2. Interesting, it might be
helpful.
3. I’m not the right person to
ask but I’d like to tell
someone at my hospital
about it.
4. No, I don’t think this is
useful.
154. About UHS
• University Health Systems, Inc., Knoxville, TN
• The region’s only academic medical center
• Licensed for 581 beds
• Delivery of care model, Centers of Excellence:
– Brain and Spine Institute
– Cancer Institute
– Center for Women’s and Children’s Health
– Emergency and Trauma Services
– Heart Lung Vascular Institute
155. The Past Facts for UHS
• Over $16 million in denials consisting of 8.7
million in fatal denials
• Over 35,000 denials
• 2.2% of hospital net revenue lost to denied
claims
• 96% cash to net patient service revenue
• Overturn rate less than 35%
• Less than 20% of all denied claims appealed
156. Our Plan of Attack
• Define denials
• Measure & monitor
• Establish denials champion
• Tools of the trade
157. Our Tools of The Trade
• Reporting
• Workflow
• Documentation
• Communication
158. Our Revenue Cycle Indicators
January 2007 to March 2012
• Aged Accounts greater than 90: 31% to 19%
• 23% increase in Cash Collections
• 99.5% Cash as % of NPSR
• 56% decrease in denials from $16M to $9M
(Jan 2007 – Mar 2010)
• 51% decrease in fatal denials from $8.7M to $4.3M
• 71% success in overturning denials!!!!
• 90% of all denials are reviewed for determination
159. Trace Voice at UHS
• Scheduling
• Insurance Authorization
• Financial Counseling
• Customer Service
• Business Office
160. FaxCert at UHS
• Order management
• Medical record requests
• Itemized charges for patients
• Information requests from physicians
• Insurance benefit information
• Notification of admission
• Discharge planning & notification
161. PixCert at UHS
Documented proof of important online
processes that protects revenue such as:
Verification of Benefits and Eligibility
Claim Status
Prior Authorization
Appeals
162. Our Results
• Overturning and preventing denials
• Improved revenue cycle productivity
• Renewed staff confidence to fight a battle and win
• Courtesy and customer focus among staff
• Real, live training examples for management team
• Improved relationships within revenue cycle team,
other hospital departments, physician offices,
patients and even with insurance companies
164. Our Future State
• Continue to streamline workflow
• Expansion of user defined work-lists
• Integration with optical imaging product
• Implementation of face-to-face recording
• Physician order management
166. How effective are you in using Trace to
address denials?
1 2 3 4
9%
21%
15%
56%
1. We’re doing great!
2. We’re doing
okay, but could be
better.
3. We’ve got a long
way to go.
4. We’re in denial
about our denial
problem.
167. Workshop 4
Q&A with Trace Champions
Lynn Arrington, CHAM
Manager of Insurance Verification,
Patient Access Intake Center
Texas Health Resources
Arlington, TX
170. What is your level of interest in using
face-to-face recording at your hospital?
1 2 3 4
43%
10%
3%
43%
1. OMG! I wish I had it
yesterday!
2. It’s sounds cool, but I
have some concerns.
3. Sounds too much like
Big Brother. I can’t
imagine ever doing that.
4. I’d like to use it to record
things my boss says!
174. CATHOLIC HEALTH SERVICES
Faith Based Organization
Mission: “To provide health care and services to those in need;
To minimize human suffering; To assist people to wholeness;
To nurture an awareness of their relationship with God.”
Vision includes innovative and proactive approaches to:
Managing care and providing services
Facilitating transitions across levels of care
Community partnerships and collaboration
Advocacy efforts
175. CATHOLIC HEALTH SERVICES
Nursing Homes (Skilled Nursing & Long Term Care)
633 Beds (4 locations)
Rehabilitation Hospitals (Inpatient & Outpatient Services)
88 Beds (3 locations)
Assisted Living Services
2 locations
Home Health Services
2 locations
Catholic Hospice
Home Services
Inpatient Services
Cemeteries
Elderly Housing (15 locations; 2200 units)
Early Education
176. CATHOLIC HEALTH SERVICES
8 Service Lines
30 Facilities
2,700 Employees
Total Revenue - $160 Million
177. Revenue Cycle Management
Centralized Business Office
Billing
Collections
System Management & Oversight (Net Solutions)
Technical Support
Charge Entry
Cash Posting
Customer Service
Policies & Procedures
Training & Development
Managed Care Contracting
192. REVENUE CYCLE TOOLS
Verification/Eligibility Process
Passport
Availity
Web Sites
Medicaid Web Portal
Medicare DDE
Financial Screening – Charity Care Program
Search America/Experian
Trace ***
Denials Reduction
Accountability
Payers
Staff
193. OVERALL PERFORMANCE
Days In A/R (Reduced from 45 to 33)
Cash Collections (Over Budget by $1.9M & $1.5M)
Increased Revenue via Managed Care Contracting
Reduced Bad Debt
194. Trace Implementation – Key
Components
Senior Management Support
ROI Analysis
References
Facility Leadership Support
Key Users’ “Buy – In”
195. Trace Implementation – Key
Components (cont’d.)
Project Management
Trace Oversight
Project Charter
Ongoing Communication
Accountability & Accessibility
User Perspective Experience
196. Trace Implementation – Key
Components (cont’d.)
Project Management
CHS Approach
Departmental Process Reviews (Admissions; Case
Management; Business Office; CBO)
Enhancement vs. “More work”
Pilot Roll – Out
Assessment/Feedback
Improvements
Full Roll- Out
Assessment/More Feedback
ROI
197.
198. Have you been able to quantify the benefit
Trace has brought to your organization?
1 2 3 4
23%
20%
33%
23%
1. Yes, through increased
productivity.
2. Yes, through increased
revenue.
3. Yes, but don’t have the
metrics to show it.
4. No, haven’t been able to
quantify the benefit.
199. Workshop 4
Q&A with Trace Champions
Jeanette McDowell R.N.C./MSN
Manager of Central Intake and Assessment
Phoebe Putney Memorial Hospital
Albany, GA
204. What is your interest in using Trace in your
Transfer Center?
1 2 3 4
18%
11%
39%
32%
1. Very interested! It’s a big
problem for us.
2. It sounds great, but it’s
not my area.
3. We don’t have a Transfer
Center.
4. I’d like to share this with
a colleague, but I don’t
think I can say “Phoebe
Putney” without giggling.
206. What movie/TV show best describes your
evening last night?
1 2 3 4 5
9%
41%
38%
3%
9%
1. The Hangover
2. Good Times
3. Lost
4. Alien
5. Home Alone
207. Chance to Win $50 Right Now!
Like Us
Facebook.com/TracebyTWSG
or
Use #tracedays in a Tweet
Twitter.com/TracebyTWSG
208. Workshop 6
Making the Most of Trace
Lori Forbess, Vice President of Enterprise Accounts
Jo Norris, Vice President of Account Management
Nicole Shanklin, Director of Implementation & Training
209. Is Trace underutilized in your facility?
1 2 3 4
0%
27%
42%
30%
1. I think it’s used to its
maximum potential.
2. There are a few other
areas in which I’d like to
see it used.
3. There are many other
areas in which it should
be used.
4. Don’t get me started!
210. Optimization
The act, process, or methodology
of making something (as a
design, system, or decision) as fully
functional or effective as possible.
216. Trace Assessment Purpose
1. Identify current work flow issues
2. Make recommendations for optimizing use of Trace
3. Identify ongoing training and implementation needs
4. Identify opportunities to streamline efficiencies
5. Build and maintain a positive customer relationship
217. General Workflow Overview
1. What is your department responsible for?
2. How is your work divided?
3. How many physical sites does your department have?
4. What is your biggest source of pain in your workflow?
5. What do you like most in your workflow?
6. How do you communicate internally?
7. How do you document authorization information?
8. What EMR system is in place?
218. Department Assessment
PATIENT ACCESS / PFS / SCHEDULING:
1. Who handles benefits and eligibility processing?
2. How do you document information from insurance
company websites?
3. Does your department schedule appointments?
4. How does your department receive physician orders?
5. How do you register patients?
6. Do you do upfront collections?
7. Who handles denials?
8. What is your denial rate?
219. Assessment Summary
• DEPARTMENT: CASE MANAGEMENT – WHITE STONE HOSPITAL
• Contacts:
• Department Contact:
• Trace Administrator:
• Account Manager: Jo Norris
• Reason for request:
• Currently uses Trace – wants to optimize Trace with consistent process and workflow
Improve consistent usage and workflow
Determine how to optimally print labels from exported Indexed info
Assess need for F to F recording and Voice Recording
•
• Recommended Solution:
• Training for employees w/shortcuts (done)
• Label workflow reviewed, recommendations made & implemented (Search Tracker, Export List to csv instead of xls and manipulate
data as desired before merging with label function in MS)
• All Call Solution when White Stone Hospital adopts it as a whole (approximately 10 users)
• Considers Trace implementation for Outbound faxing if / when applicable
• For Rx’s – evaluate Trace Export feature to Prescription system
•
• Costs: $0 Maintenance:$0
• No additional fax volume – already in use. All Call – 10 Seats (when proposal actually done, revisit number of seats in case there has been a
change)
• Metrics:
• Time Savings: Improve Inbound fax processing; Export names to excel for labels
• Save Money: Paper, Time Value associated with time savings
• Increased Efficiency: Consistent workflow process, Increase automation
• Compliance: Audit trails of transactions and workflow, Labels on all documents
221. Roadmap
Q2 2012 Q3 2012 Q4 2012
Discovery
Test/Training
environment
Redundancy/Disaster
Recovery
Prioritize additional
facilities
Implementation
TBD – some
departments based on
prioritized list
Discovery
Gap Analysis
Implementation
Training Environment
Redundancy/ Disaster
Recovery
Discovery
Awaiting on
prioritized list of
departments
Implementation
Outpatient Pharmacy
HIM
TBD – some
departments based on
prioritized list
225. Project Management Plan
• Scope Management Plan
o Project charter
• Time Management Plan
o Implementation Schedule
o Project Plan
• Communications Plan
o Stakeholder Register
o Communication methods & frequency
• Risk Management Plan
o Change control process
o Risk Register
226. Stakeholder Register
Name Primary Role/Designation Title Influence Communications/Strategy wkly call notes risk register updates monthly dashboard
ex. Vicki Moore Project Sponsor
VP of
Operations
Strategy /
Prioritization/Resource
Approval
Regular briefing, solutions,
progress dashboard / Meeting
reports , emails N Y Y
Considerations:
• Peer-to-Peer (Trace to Enterprise) mapping for each stakeholder
• Re-occurring optimization team status meetings
227. Risk Register
Risk # Date Requestor
Risk
Description
Overall
Impact
(H-M-L)
Probabilit
y (%)
Schedule
Impact
(H-M-L)
Mitigation Risk Owner Notes
1 7/23/2012
TWSG
Hospital
Current enterprise
HIS implementation
is delayed. Technical
team resources must
complete HIS project
prior to engagement
with Trace
Optimization
M 70%H
Team anticipates 3 week delay
if impact is realized. Hospital
and Trace will begin non-
technical / implementation
steps: workflow assessments,
needs analysis, etc. while
project waits for technical
resources to be released.
Hospital PM Lead / IT Director
Team will reconvene weekly to assess probability of impact and will adjust
mitigation steps if necessary.
231. Workshop 7
H. A. & Enterprise Support
Tim Hoskins, Director of Enterprise Architecture
232. What Is H.A. And Why Do I Want It?
• Load / Capacity
• Availability &
Resiliency
• Continuity
233. What does your day look like if you have
downtime with Trace?
1 2 3
66%
19%
16%
1. Running around with
my hair on fire.
2. I hear about it, but it
doesn’t impact me.
3. Business as usual.
234. Do you use Trace in patient contact or clinical
settings?
1 2 3 4
28%
22%
34%
16%
1. Patient Contact (e.g.
Registration, Financial
Counseling, etc.)
2. Clinical Setting (e.g.
Physician Orders, Patient
Discharge/Follow-
up, etc.)
3. Both
4. Neither
235. How Trace Looks Today
“I’m the
Database!”
“I’m the
Trace
Storage
System”
“I’m the
FaxCert
Server”
“I’m the
Tracker Web
Server”
“I’m the PixCert
Server”
“I’m the
Trace Auto-
Record
Server”
“I’m the
Trace Voice
Anywhere
Server”
“I’m
also the
....”
236. How Trace Enterprise Solutions Look
“I’m the
FaxCert
Server”
“I’m the
FaxCert
Server”
“I’m the
Database
Server”
“I’m the
Storage
Server“I’m the Web
Services Virtual
Machine” “Uh Oh – I just
010011’d
myself, someb
ody get me a
towel!”
“I’m
good!”
237. The Trace Enterprise Solution
• Capacity gain with multiple Trace servers
• The ability to scale as Trace grows
• Minimize and potentially eliminate
unscheduled downtime for all Trace
applications
• Maximize performance by utilizing existing
technology investments
• Enable future cloud based redundancy options
241. Who Is Support Services
Trace Support Services is comprised of
Account Specialists, Product Specialists
and Technical Specialists with
expertise in all Trace products and
knowledge of your specific
environment and needs.
242. Our Goal
To be the very best support organization in the
healthcare software industry.
• High value on genuine relationships with our
customers.
• High value on responsiveness.
• High value on ROI – ensuring our products bring
real value to your organization.
• High value on trustworthiness – we want to be a
company that you can trust to do the right thing.
243. Contacting Customer Support
8 AM-8 PM EDT
(Mon-Fri)
Available 24x7x365
Phone:
877-864-2378
Email:
Support@twsg.com
TellUs!
(Right from trace)
244. Support Process
Account Specialist Product Specialist
Technical Specialist
Implementation and
Support Engineering
You
Account Specialist – Your first contact for any issues
Product Specialist – Cross functional team to manage your needs
Technical Specialist – Your technical server team
Implementation and Support Engineering – Dedicated to setup, security and code
support
245. 2012
• We closed over 19,000 Cases,
80% of which were closed in less than 1 hour.
• The average wait time for a Trace support
agent was 40 seconds or less.
• Created several new roles for our support
team to better serve your needs.
246. 2013
• Close 90% of cases in less than 1 hour
• Continuous improvement of server monitoring
• Cut down average queue wait time
• Continue to put together focused teams of
dedicated people to raise the bar on our level
of support
• Provide you with more self service options
248. Today’s Customer Portal
• Download help documents
• Request training
• Submit a support case
• Submit new users
249. A Note About Self Service
Our goal is to provide you as many opportunities
as possible to get the information, access and
support that you need, as efficiently as possible
in order to make trace successful in your
organization.
257. Thank You!
I want to hear your ideas
on how we can continue
to improve your support
experience. Email me at
ben.obrien@twsg.com
with thoughts or ideas.
THANK YOU!
258. Final Wrap-Up
• Surveys
• Boxed Lunches
• Rides to Airport
• Rides to Corporate Office
• Room Key is Parking Pass
Editor's Notes
Worked at TWSG for over 12 yearsStarted out as a developer Managed the Technical team Now I manage the Architecture and the Infrastructure Team
“I’ll help you understand H.A. by talking about Truck Tires” Why does the semi truck have so many tires? - Load - Resiliency (a tire goes flat, blows out) - Continuity (the other tires pick up the slack)
“Let’s take that analogy and extend that to Trace”
At the beginning you might have PFS and Scheduling as part of your Charter for Trace and all is well. Over time OR Scheduling, ED, Bed Control, Case Management, Customer Service, Radiology….Q: How many of you have gone through a Trace server replacement? Over time the Trace “sprawl” can overwhelm the resources that Trace started with
Who has ever met the “Database Administrator” Who has ever met the Virtualization guy or gal? Who has ever met the someone on the “Storage Team” (Arrays)
Worked at TWSG for over 12 yearsStarted out as a developer Managed the Technical team Now I manage the Architecture and the Infrastructure Team