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September 21, 2019 Strategies to Drive Operational Efficiency Advancing the Business of Oncology Tackling Bill Lag A Case Study Dinesh Kapur, MD Eastern Connecticut Hematology & Oncology Associates Why is financial viability so


  1. September 21, 2019 Strategies to Drive Operational Efficiency Advancing the Business of Oncology

  2. Tackling Bill Lag A Case Study Dinesh Kapur, MD Eastern Connecticut Hematology & Oncology Associates

  3. Why is financial viability so challenging in community oncology? Consolidation Payer Requirements Physician Recruitment & Competition & Staffing

  4. Tactics for Improving Financial Performance Best Practice Culture Continuous Performance End to End Collaboration Monitoring & Change Management

  5. Tackling Bill Lag The Problem Challenges Our Approach Results 20+ average bill lag days Negative effects on cash flow Increased risk of timely filing Highlighted operational inefficiencies

  6. Tackling Bill Lag The Problem Challenges Our Approach Results 3rd Point Driven by clinical & non-clinical teams Workflow dependencies knowledge gap Missing data-driven insights to define root cause Required effective change management & buy-in

  7. Tackling Bill Lag The Problem Challenges Our Approach Results 3rd Point Communicated the “why” behind the initiative Collaborated to define & train on end-to-end best practice workflows Used data to drive decisions & create accountability measures Implemented bi-weekly retros to focus on continuous improvement

  8. Tackling Bill Lag The Problem Challenges Our Approach Results 3rd Point

  9. Our Results

  10. Our Results 87% decrease year over year

  11. Financial Performance: A Work in Progress

  12. Hospitalization Charge Capture A Case Study Susan Green Frailley Chief Administrative Officer, Tennessee Oncology Christy L. Schneider Clinic Systems Informatics Specialist, Tennessee Oncology

  13. Tennessee Oncology Founded in 1976 ● One of the largest physician-owned oncology practices in the country ● Nationally recognized for improving patient outcomes through clinical ● trial research and innovative treatments

  14. • The Challenge Today’s • Our Solution & Approach Agenda • Best Practices for Success • Our Results

  15. • Complications with technology access • Calls to patients in the hospital The Challenge • Delays in hospital follow-ups Hospital Charge Process • Delays in charge capture • Provider engagement

  16. Our Solution & Approach Hospital List in OncoEMR

  17. Best Practices for Success Find a Provider Champion and Pilot Customize the Charge List Rollout Providers by Rounding Hospital Provide One-on-One Training Assign Each Provider a Designee Educate Staff on Visibility in OncoEMR

  18. Our Results QUARTERLY HOSPITAL E&M CHARGE VOLUME TREND 13% charge volume increase ● More efficient hospital follow-ups ● Improved system access ● Accessible hospitalized patients & ● history view Effortless charge capture ● Increased revenue ●

  19. Questions

  20. Thank you!

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