HFMA Case Study Contest

Cardinal Health

When Covenant Health System was looking at ways to lower costs and enhance the quality of care, it turned to Cardinal Health to help with the transition. Today, clinical pharmacists are part of the care team on the hospital floor. And this decentralization of the hospital pharmacy has dramatically lowered drug spend while improving quality at the same time.

Mede Analytics

In the face of growing patient financial obligations, tighter regulations and rising unemployment, Wheaton Franciscan Healthcare implemented MedeAnalytics’ Revenue Cycle Intelligence to intelligently manage accounts receivable (AR) while also gaining confidence in its data and reducing AR aging.

Optum

Gwinnett Hospital System partnered with Optum™ to boost coding productivity, improve revenue, and prepare for ICD-10 through computer-assisted coding (CAC).

PMMC

Bethesda utilized PMMC Estimator PRO with Optum’s eligibility system to provide accurate and efficient patient estimates. After implementation, Bethesda experienced growth in cash collection in every department by at least 235% and up to 276%.

Somnia Anesthesia

A 250-bed acute care hospital in New Mexico realized it needed to improve the facility’s anesthesia services. Somnia’s managed partnership produced immediate results: hospital administrators embraced a quality improvement program that featured physician-designed quality metrics in real time with access to benchmark data the community-based hospital needed; stability was introduced to a team-oriented approach to care; and increased level of clinical excellence and customer satisfaction.

SSI

Faced with impending regulatory changes, specifically 5010 and ICD-10, High Point upgrades to SSI’s ClaimSmart Suite® to systemically improve billing and claims processes and enhancing reporting capabilities. The new upgrade provided the organization with intuitive dashboards to immediately review staff productivity, payer volumes, payer trends, and payer responses.

Team Health

In an effort to improve its anesthesia program, Legacy Good Samaritan Medical Center transitioned it from an all-physician model to a medically directed anesthesia care team (ACT) model to help them reach their goals. By allowing faster room turnover and “flipping” rooms, the ACT model has reduced the inefficiency common to many operating rooms and in turn makes surgeons far more efficient.

VHA

Memorial Hermann Healthcare System had the strategic insight to anticipate the effects of health care reform and realize that a consulting partnership with VHA would help them achieve their vision to be the best of the best among the nation’s health care systems.