Alliance Programs and Services Offerings_rev1
- 1. The Alliance for Healthcare Transformation The Alliance for Healthcare Transformation Overview of the Alliance Programs and Services Offerings I. Population Health Systems The Affordable Care Act (ACA) became law in March 2010 and was upheld by the Supreme Court in June 2012. The ACA plan is on-going and cumulative. It mandates significant change in the financing and delivery of healthcare. Additionally, sequestration legislation further decreases payment to healthcare providers through 2023. This comes as the requirements for improving patient care delivery, population health while decreasing payments to providers of healthcare including hospitals, physician practices, ambulatory services, pharmaceuticals and medical devices. The Alliance Population Health Programs and Services: • Provide assessments and evaluations of existing patterns of patient care delivery and public health programs for population health systems as required by the ACA and other regulatory and accreditating bodies for the improvement of patient health status while decreasing the cost of care delivery. • The provision of workshops, conferences, symposia that deliver an in-depth understanding of healthcare reform (ACA) and its effects on healthcare through the lens of healthcare executives, frontline clinical and operations service providers. • Provide evidence-based best practices approaches for clinical, financial and operational interventions for healthcare and insurance providers to address the requirement to improve patient care, enhance health and the efficiency of care delivered. • Planning and implementation of clinical, operations and financial systems which improve the delivery of healthcare to populations across the continuum of patient care delivery. • The evaluation of successes for population health related to the implementation of best practices, clinical, operational and financial to validate the success of interventions as well as the return on investment. • The development of clinical and operations protocols for clinical and operations practices providers across the population systems of care delivery, including physician IPAs and ACOs.
- 2. II. Healthcare Information Technology/Electronic Medical Records The Alliance provides expertise and analytic tools that gain needed quality patient outcomes data to determine the successes of care delivery and efficiencies gained through the implementation of best practices across the continuum of patient care delivery. This includes the evaluation and implementation of electronic medical records systems and strategies for healthcare providers to insure the improvement of patient care outcomes and successes in their efficiency. Alliance HIT programs and services include the following: o Assessments of electronic medical records (EMRs) technology and recommendations related to findings of their effectiveness. o Evaluation of HIT systems and EMRs for clinical and patient requirements as related to compliance with federal, state and other regulations and mandates. o The evaluation of emergency department patient care tracking for quality and efficiency. o The assessment of ambulatory care patient information for quality and continuity across the care providers and services, and offering recommendations for improving such information capture and analysis. o The development of required electronic quality measures systems for patients with diagnoses of chronic diseases including, heart failure, diabetes, pneumonia, and other chronic diseases as required by regulating bodies such as CMS. o Electronic systems to track healthcare acquired diseases and document improvements made. Through implementation of best practices clinical and other best practices to meet CMS quality standards. o Provide information technology systems that integrate clinical and financial information for patient care services to document both healthcare quality and cost efficiency for identified programs and services implemented. o Develop and implement clinical information systems integration for patient care information across the continuum of patient care and patient satisfaction in a population health system.
- 3. III. Patient Safety Over ten years ago, the Institute of Medicine (IOM) issued its report ‘To Err is Human”. Developing a safer and higher quality system of care by decreasing the consequences of medical errors is essential. The IOM report found that up to 98,000 people die each year as a result of medical errors. Many medical errors are preventable and thus, patient safety has become of highest priority for healthcare providers: • The Alliance provides assessments for patient safety in all required areas designated by CMS and as a result of such assessments, recommendations for program and service improvements. • The Alliance and its clinical, research, operations and financial subject matter experts (SMEs) assist the healthcare provider environments in developing and sustaining a culture of patient safety and patient satisfaction. • Evaluations of patient safety areas of focus offer the opportunity to then provide recommendations for improving such patient safety. • Support recommendations through coaching patient care providers for implementation of recommended interventions. • Develop patient safety resources including infection control manual templates as well as policies and procedures that address and meet mandates of regulators such as CMS and the Joint Commission (JC). • Healthcare-Associated Infections (HAIs) are a leading cause of death in the United States and HAIs are estimated at 1.7 million every year. CMS has standards that healthcare providers must meet in order to prevent payment penalties. • The Alliance conducts assessments and evaluations of healthcare personnel practices to determine recommendations to be developed for decreasing HAIs. • Once understood, healthcare delivery personnel may receive education and training programs developed by Alliance SMEs to address and diminish HAIs in the healthcare delivery environment. • The development of critical patient safety resources such as infection control policies, procedures and manuals specific to the provider environment are services offered through the Alliance SMEs. • The conducting of clinical research in collaboration with the provider and federal agencies through grants and contract RFPs for which the Alliance can assist and support.
- 4. IV. Financial /Healthcare Delivery Systems Given the challenges of healthcare delivery in a health reform (ACA) environment, the Alliance has the expertise to support analysis, recommendations and implementation of systems for cost efficiency and revenue enhancement. Services of the Alliance include: • Organizational evaluations to review to evaluate efficiency and effectiveness of financial operations and personnel practices. • Compensation Comparative studies for determination and appropriateness of finance personnel. • Financial close optimization assessments. • Provide advisory services to the healthcare provider organization’s C-Suite. • Revenue Cycle management (RCM) optimizer assessments, recommendations and implementation plans for: § Meaningful Use § ICD 10 § Population health values based services and models such as bundled pricing § Outsource of collections • Supply chain evaluations, recommendations and program implementations for medical, administrative supplies and medical devices. • Subject matter expertise consults, advisory, recommendations and plan development in the financial arena including: § Selling, general and administrative expense maximization § Offered intelligence in best practices for resource allocation § Coaching for expense management techniques to diminish resource actions implementation § Cradle to grave expense management approaches and techniques § Evaluation of revenue streams for national insurer contracts with managed care/risk approaches and GPOs § Revenue cycle management and receivables evaluation § Negotiation of risk-based contracts between providers and insurers
- 5. V. Monetizing Healthcare Assets Providing healthcare organizations assistance in monetizing healthcare facility assets for the purpose of the evaluation of medical facility assets, creating a method to acquire capital quickly and efficiently without the loss of functional control, and selling of the asset. The Alliance SMEs can provide the following services to healthcare organizations: • Assist Hospitals, physician practices and other healthcare organizations in evaluating their owned real estate holdings for receipt of needed capital to best support the critical needs of the organization. • National medical Real Estate Investment Trusts (REITs) identified to acquire healthcare facilities to expand portfolios for their clients. • Identify Medical REITs having substantial funds for the acquisition of healthcare real estate. • Coordinate Medical REITs the value of owned healthcare facilities for long-term lease agreements. • The Alliance SMEs will identify the most favorable REIT to determine value of the facility and process for the purchase of the facility completion. • The Alliance SMEs transaction process is ‘off market’ to insure confidentiality of the transaction. • The Alliance SMEs have extensive experience to support the process and involve REITs on a national scale with a national reach to identify assets for evaluation. • The Alliance SMEs is to determine with the healthcare facility owners the best fit medical REIT to purchase the facility as well as the expertise in valuing the healthcare real estate for the benefit of the healthcare organization.
- 6. VI. International Health The Alliance has been providing healthcare services to organizations and governments on an international scale and in public and private projects and developments. The Alliance SMEs have provided services in many countries, including the partial listing below: • Saudi Arabia • China • Costa Rica • Turkey • Brazil • UAE • Jordan • Poland • India Services include: • Development of pre and post acquisition staffing plans for new hospital facilities • Coordinate Telehealth services for second opinions • Conduct assessments for population-based services interventions • Provide evaluations for HAIs and patient safety programs and services • Develop education and training programs in various basic healthcare practices in-person and on-line • Gain understanding culturally relevant practices and modifying services delivered to address such practices • Conduct evaluation and implementation plans for electronic information systems for population health services. • Develop and implement business plans for healthcare services within hospital environments and in the prehospital medical services areas • Conduct feasibility analyses for information technology and health promotion programs and services