Revenue Cycle Management

Revenue Cycle Management Feature Story

True Believer

A multispeciality early adopter implements a multidisciplinary charge-capture solution and streamlines continuity of care.

Paperless medicine has been touted as the vision of many progressive healthcare provider organizations since the late 1990s. The notion that paper and its associated administrative tasks — printing, collection, data entry, filing and storage to name but a few — play a large role in the inefficiencies plaguing healthcare is easy to believe, but harder to address. While Lahey Clinic is now undergoing the implementation of an electronic medical record (EMR) system, our journey into paperless medicine started some eight years ago when we realized that our approach to coding and billing, based on the paper encounter form, was inefficient and needed improvement.

 

Clean Beds, Less-Crowded

State-of-the-art bed tracking leads to shorter ED waits and faster turn-arounds.

At New York Methodist Hospital (NYM), an uncoordinated system for bed turnover at patient discharge caused overcrowding in the emergency department (ED) and became a serious issue. As many as 25 patients might be kept waiting in the ED during high-volume periods, which created numerous challenges for the Brooklyn, N.Y.-based hospital. The ED received 65,295 patients in 2007; however, the ED was at risk of losing revenue from turning patients away because it was at operating capacity. Hospital administrators often overstaffed their environmental and patient-transport teams because they couldn’t accurately predict their needs. And, due to the overcrowded conditions and long waits, patient satisfaction also suffered.

 

The Two-way Solution

Leveraging CPOE technology can improve caregiver communications and increase patient safety.

It’s hard to pick up a newspaper without reading about medication errors — they happen every day. In its well-publicized 2006 report "Preventing Medication Errors," the Institute of Medicine (IOM) estimated that 1.5 million Americans are harmed every year by medication errors, with the true number being even higher. Further, the committee noted the staggering financial costs associated with these errors, "Assuming 400,000 of these events [medication errors] each year — a conservative estimate — the total annual cost would be $3.5 billion …."

   

The Evidence-based Advantage

The proper use of EBM in CPOE can enhance physician decision-making and improve patient outcomes.

n 2001, the senior administration at NorthBay Healthcare Group decided to convert from a paper-based healthcare system to one that, as much as possible, was completely electronic. One of the foundation principles in the strategic plan was to make the choice between "best of breed" and an "integrated health record." We chose the latter and invited nine to 10 vendors to submit proposals. The steering committee reviewed each and weeded out the interfaced electronic health record systems (EHR) from the truly integrated EHRs, and, after much due diligence, chose one for installation.

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The Speed To Know

The convergence of biomedical devices and IT for the ED may lead to improved patient care.

Nowhere in healthcare is the dilemma of rising costs coupled with rising pressure to deliver quality care more pronounced than in the emergency department (ED).

   

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