Reaching Organizational Excellence: A Proven Process for Medical Groups

ABSTRACT: Today numerous health systems find themselves managing complex medical groups, among which the most complex are the Service Lines. Physicians whose specialties are within the Service Lines (Cardiovascular, Orthopedics, Oncology or Women’s Services) find that their clinical work is performed in the hospital settings, yet their governance and decision-making processes often are made within the medical group structure. Frequently, this structure creates misalignment and competing interest, resulting in internal conflict for a health system.   In this white paper, you will find the steps to overcome these struggles while gaining knowledge from first-hand experiences with a Cardiovascular medical group, which is outlined in a case study highlighting how RoundTable was able to combat these concerns and solidify solutions for a successful outcome.   PROBLEM STATEMENT: Structure within complex medical groups is competing with that found in parent health systems.  With specific specialty service lines needing its own governance and organizational processes, they are struggling with the development and [...]

2020-10-25T20:36:23-04:00March 25th, 2020|Uncategorized|

RCM Lessons Learned from Mimi Howie

  How is the RoundTable approach to RCM different than its competitors? Leveraging our depth of RCM and IT experience, RTSS customizes solutions based on our client’s needs. This includes people, process, and technology. We tailor these three integrated approaches to drive sustainable improvements in any area of your Revenue Cycle. With over 25 years of Revenue Cycle experience, our consultants have worked in prestigious & financially successful medical systems affording us the opportunity to learn from the best and pay it forward. Over the years we have learned what works and what doesn’t, thus creating our own catalog of Best Practices. As an RCM partner, we share these Best Practice solutions with our clients and offer elbow to elbow support to drive change and deliver exceptional results.  What have been some of the challenges to implementing a robust RCM operation in health systems and hospitals today? While there are many challenges to share, a long-standing obstacle [...]

2020-03-06T14:53:54-05:00March 6th, 2020|Healthcare IT, Revenue Cycle|

Service Line Management Structure Defining Steps: Challenging The Status Quo

Multi-hospital health systems are commonplace today. In fact, 69.7% of all U.S. hospitals are part of a system.  Furthermore, 91.6% of all hospital discharges occurred in a multi-hospital system according to the AHRQ Compendium of US Health Systems-2017.  Many of these systems stretch the U.S. -- some may be regional in nature crossing state lines while a smaller percentage dominate a single state.  The complexity of a multi-hospital system is staggering.  The countless medical groups of all subspecialties, the sheer number of leaders, the variety of delivery methods/ clinical protocols, and regional nuances, drive variation in cost and quality across the spectrum.  In an effort to minimize the variety and delivery of the same standards in exceptional care, and to hold the similar cost structure; the most successful multi-hospital health systems have adopted a Service Line Management philosophy.  Simply put, Service Line Management within a health system, organizes around clinical disease states for all hospitals, across all [...]

2020-02-25T10:33:48-05:00February 25th, 2020|Uncategorized|

Lessons Learned: Diagnostic Laboratory

RoundTable’s team of experienced and talented consultants are our frontline ambassadors sharing their expertise with our clients, and in turn, offering the best lessons learned from each unique partnership project.  In the series, Lessons Learned, we will dive deep into the reflections of the experiences of some of our recent ventures.  We will provide our thoughts on processes, communications, challenges, impacts and recommendations in order to give our audiences more industry insights - with the goal of achieving future healthcare successes. In this first issue, we review several lessons learned on how laboratories must capture all available revenue and at a lower cost, even with continued reimbursement compression, due to PAMA (Protecting Access to Medicare Act) and payor contractual reductions. Top Five Diagnostic Laboratory Lessons Learned on How to Accomplish This Include: 1. Automation is key to obtain accurate and timely information to create, transmit and receive payment for clean claims and reduce costs. 2. Alerts and [...]

2020-10-25T20:39:59-04:00December 9th, 2019|Access, Revenue Cycle|

What is Revenue Integrity Anyway?

What is Revenue Integrity? According to the National Association of Healthcare Revenue Integrity, “the basis of revenue integrity is to prevent the recurrence of issues that can cause revenue leakage and/or compliance risks through effective, efficient, replicable processes and internal controls across the continuum of patient care, supported by the appropriate documentation and the application of sound financial practices that are able to withstand audits at any point in time.” But people often think about Revenue Integrity quite differently from this “cut-and-dried” definition. In fact, it’s become something of a hot topic. Some people think it’s simply a department that maintains the Chargemaster. Others view it as a more robust cross-functional team with insight and knowledge of the entire revenue cycle. As subject matter experts, they can identify and resolve gaps that cause revenue leakage. Here, at RoundTable Strategic Solutions, we view Revenue Integrity as a program, strategy and department focused on eliminating revenue leakage and maximizing [...]

2019-11-14T15:54:43-05:00November 14th, 2019|Revenue Cycle, Revenue Integrity|

Professional Transitions: From Clinical Operations to Healthcare IT and Why it Works

At the heart of every RoundTable consulting project is the drive to make existing and incoming technologies better support the people and processes of the healthcare organizations that we serve. Whether assessing an EHR upgrade or a Revenue Cycle system conversion, our consultants expect to complete each project leaving end-users and executives greater satisfied with the tools that they use each day. To consistently achieve these outcomes, RoundTable has consciously built consulting teams with healthcare IT professionals that have previous operations experience within the departments they support. During a recent Epic inpatient financial conversion, we engaged a Hospital Billing Analyst Consultant who had been a Business Office Supervisor prior to her Epic consulting career. This ensured healthcare cash operations workflow expertise and allowed her to understand and optimally communicate end-user processes while working on the client’s conversion. We also engaged a Project Manager Consultant who had previously been an OR Business Manager for a Cerner Operating-Room module [...]

2019-08-07T17:24:48-04:00August 7th, 2019|Healthcare IT, Recruitment, Resource Management, Team Members|

The Right Candidate Yields Client Success

RoundTable’s ability to maintain its outstanding level of client satisfaction and a 99% loyalty rate with our candidates and consultants rests on the ability to find the most qualified and credentialed person who can have the greatest impact for our healthcare partners. Here’s a closer look into how we bring our clients’ success through our recruitment process… STEP ONE:  Assessing the need Our clients hiring challenges: A robust assessment of our clients’ needs provides the initial framework for ensuring the candidate will make a good match. We consider our clients pain points and the specific hard and soft skills to remediate them: Outside of the job descriptions, what do you need this person to accomplish? Specific experience and qualifications/certifications What other important qualities must they possess? What our client offers to attract the top talent (intangibles): In order to attract the best talent, our employers need to identify and communicate the intangible appeal of working with them.  [...]

Learn From Our Leaders: Q&A With Lauren Rosenthal, Director of Recruitment and Delivery

Relationship Building & Management is Key to Talent Acquisition: 8 Qs with Lauren Rosenthal, Director of Recruitment and Delivery "Recruiting the right person is something you enjoy, not just a job. It’s about getting to really know a person and build a relationship with them,” says Lauren Rosenthal, Director of Recruitment and Delivery for RoundTable Strategic Solutions.  With more than 13 years of healthcare recruitment experience, Lauren is driven towards understanding and addressing the multi-faceted and evolving challenges facing healthcare delivery systems. She leverages in-depth knowledge of healthcare clinical, revenue cycle, and support operations and application tools to identify Consultants and Interim Leaders who are equipped to positively impact clients’ operational and financial performance and clinical outcomes. According to a survey from the American Staffing Association, healthcare industry positions held eight of the top 10 spots of the most difficult occupations to fill. Recruiters in the healthcare IT and management industry are experiencing that challenge with the [...]

2019-05-13T12:24:33-04:00May 13th, 2019|Recruitment, Resource Management, Team Members|

Revenue Cycle: Addressing the Talent Gap While Improving Performance

Over the last three years, healthcare systems (hospitals + medical groups), specifically within the Revenue Cycle function, have seen a dramatic shift in the standard for Talent and Performance.  Reimbursement changes, consumer demands / expectations, the breakdown of silos and the centralization of key functions has demanded more sophisticated and higher quality talent who can deliver top notch results – financial, operational and cultural performance.  Many health systems throughout the country, and more specifically in smaller but competitive markets, have struggled to fill key Revenue Cycle leadership roles with the right level of talent. TALENT. RoundTable’s interim leaders (industry top talent) have lived inside the four walls of a healthcare system for the majority of their careers, leading successful and high performing teams and functions (both Hospital & Ambulatory), and now leverage their strong background and experience to assist organizations in filling Interim Revenue Cycle Leadership roles while also improving performance, centralizing / standardizing key functions, developing [...]

2018-10-26T09:36:36-04:00October 26th, 2018|Interim Healthcare Executives, Revenue Cycle|

Learn From Our Leaders: Q&A With Kyle Swarts

How and why did you decide to enter this career path? Well, it actually just fell into my lap. Before I got into healthcare, I was in banking and finance. I met a gentleman in 2007 who was seeking a regional Vice President of Sales – someone he could groom and mentor to help learn the business. I took the position with his healthcare IT company working with payers, and I just fell in love with the industry. It’s intricate; there’s a lot of moving parts and pieces; there’s the financial aspect; there’s the patient and consumer aspect; there’s the care coordination aspect; there’s the quality aspect. And from there it’s just continued to give me additional opportunities. I’ve met some great people along the way, as well as great mentors who continue to provide support, insight and act as a “Big Brother” while continuing to help me learn and grow. How do you think IT leadership [...]

2019-07-17T13:27:42-04:00July 30th, 2018|Team Members|
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