Wednesday, March 13, 2019

Case Analysis of Sutton Health

CASE ANALYSIS OF SUTTER wellness 1 Case Analysis of Sutter wellness CASE ANALYSIS OF SUTTER health 2 Sutter wellness is a non-profit net impart that is make up by community- base wellness vex providers based in Northern calcium. This network introduced an interface that was aimed at enhancing r veritable(a)ue appeal of the facilities from the self-pay forbearing.This network identified that traditional payment touch transcription had limitations that hindered the effective lay in of receipts. What with the recession, health explosive charge organizations have seen an increase in the in baron to collect debt from the self-pay, the uninsured and down the stairsinsured patients. This has ca utilise a lot of struggle when it comes to the organizations to fulfil the operational margins and the profits.I find there are a snatch of reasons for the impertinently increase in patients debts, the most common are, silly accounting intrusts, lack of patient information and corre ct demographics. There is overbold governance that is designed to provide much coordinated care to give tongue to patients (Gleeson,2010). There are five geographic regions that reflects the health care admission fee to the customers of Northern California. Each of the five regions will have governance social organization and it will oversee many of the Sutter affiliated medical facilities and to a fault the infirmarys. In its effort to increase point of service assemblings and improve the overall gross roulette wheel Sutter health took steps to measure work victimisation a smattering of specific primary benchmarks, empowering PFS mental faculty to assume duty for all(prenominal) individual account they handle, hold in each registration is analyzed using a rules engine to identify problems before patients leave the registration desk and ensure PFS ply receive appropriate all-inclusive information to excel under the new dodge (Souza, McCarty, 2007).Obtaining the co rrect patient information plays a macroscopical part on non-collectable debt because patients are not able to be reached. These limitations were associated with express access to ideal information by the account representatives, ineffective functioning measures and fragmented centers of the service provision. The Sutter Health program developed a dodging that was comprised of solutions that were geared towards overcoming these limitations. I will be CASE ANALYSIS OF SUTTER HEALTH 3 discussing the new dodging that was created by Sutter Health.The key problems and issues, is that the United give ins healthcare remains is characterized by huge upkeep from collecting revenue enhancement from patients. This smudge is brought about by a health care insurance constitution which entails high deductible pay health plans and as well as higher co-payments plan. (Souza, McCarty, 2007). This situation has been make worse through the large proportion of the population not having healt hcare coverage. The traditional health care musical arrangement has had a hard eon meeting their target revenue collection.This is collectable to several problems that attached along with the traditional payment system. Unlike when relations with the payments through insurance claims still likewise dealing with the up- scarecrow payments that are needed by the hospital for payment of go before the patient could even receive the service (Souza, Mccarty, 2007). So this means that the patient services rung (PFS) has to have sleep with and accurate information about above give tongue to client. This presented a problem for the traditional payment system where much of the customer payment system was kneaded in the gage extirpate.This system also required that the PFS rung ask for m unrivaledy from self-pay patients, but the PFS were not given up to this under the traditional system. The PFS staff found it hard to live for the back end section to process customer informa tion and to provide a breakdown of the patients payment details. So this became a tedious task for hospital accounting departments as well as for patients that had to wait a lasting period before receiving services. The inefficiency of the traditional system not only resulted in low quality services, but also in low revenue collections.The system provides such(prenominal) a broad range of health care services, which include acute, sub- acute, home health, long term, outpatient care as well as physician delivery systems. These services are provided through an integrated health care delivery approach that gives the system the ability to deliver a full range of healthcare products and services. CASE ANALYSIS OF SUTTER HEALTH 4 Sutter also identified that PFS staff could not get ahold of real time information in operational and financial indicators such as capital collections and A/R (Souza, McCarty, 2007).So in the long run this meant that the managers and staff had to wait until th e end of the month in piece to identify the benchmarks. Sutter also recognize that the traditional system did not provide a means for analyzing selected data nor did it generate required detailed report on demand. This led to to a greater extent terms as the hospital had to rely on programmers to generate such reports. The front desk staff also lacked real time information which hindered their ability to serve the client without consulting the back end staff.It also meant that the front desk staff could not monitor the patients progress (Souza, McCarty, 2007). Another challenge was that the PFS members were not charge enough to be held accountable for each patients accounts they dealt with and it reduced the hail of duty among the staff. These are some of the key challenges that the Sutter system were meant to address. The solutions that were employed by Sutter Health was an attempt to overcome the challenges stated above. Sutter Health implemented certain changes in the fore mentioned system that would make their operation more effectual.The strategies identified by the Sutter program entailed transferring most of the back end tasking to the front desk providing accurate and complete information to managers and upfront staff providing more effective writ of execution evaluation and integrating all data elements within the system (Souza, McCarty, 2007). Allowing front desk staff to handle much of the payment process was deemed to have an effect on the efficiency of the process. Various solutions were employed to ensure that this is achieved.One of these solutions entailed using benchmarks to measure performance by the Patient Service Staff (PFS). Sutter identified a handful of primary benchmarks which included Un bill A/R days, Gross A/R days, Major A/R days, Cash Collection, Billed A/R days, and CASE ANALYSIS OF SUTTER HEALTH 5 percentage of A/R over 90, 180, 360 days (Souza, McCarty, 2007). This benchmark introduced shorter periods with which staff performances could be rated. This move was seasonably especially when onsidering that the industry has changed and things happen in terms of hrs and days but not months. Another solution involved empowering the PFS members to have full certificate of indebtedness over the accounts they are dealing with. This move was meant to increase a perceive of responsibility and accountability as each individual members will be responsible for his or her own account (Souza, McCarty, 2007). This also gave the PFS members more impropriety to act as they saw fit and this improved the speed and efficient of service delivery by these staff members.The program also provided the PFS members with tools, that enabled them to alter their accounts, sort out their accounting using various means and seen their performances based on the achievement of the target. PFS and other accountant representatives were presented with individual dash matures that helped in the introduce of their progress in mee ting targets. This also helped in enforcing the benchmarks set by this program. Sutters health program also introduced a front end collecting system as means of overcoming the mentioned problems.The pint of access collecting system introduced an opportunity for the health care facilities to reduce claims and denials. Though this system the patient records are analyzed before the patient leaves the registration desk. This enables the front desk staff to identify problems such as bad debt, patient or invalid patient type early enough and take the infallible corrective action. The Sutter health program also embarked on a comprehensive training program that was designed to support the existing PFS members and the registration staff. This gave staff the necessary competence to deal with the tools provided by this system.The training program also eliminated the need to hire formally educated staff to operate the system that would CASE ANALSIS OF SUTTER HEALTH 6 demand more than the $10-$ 20 an hour paid to current registration and PFS staff. For example, registration staff who were not used to asking patients for money were trained in effective communication skills. The training was also designed to introduce autonomy and effectiveness which acted as a motivator to the employee.The Sutter system allows staff to act with more independence which has made them active in owning the system. Autonomy is a critical element that enables workers to work effectively and deliver the best when it comes to their ability. The efficiency of the system has also made the work of the staff easier, acting as a further do factor for the staff. Another solution involved getting patients on board with this program. The POS collection system is not only beneficial to hospitals but also to the health care customers as well. (Souza, McCarty, 2007).This system provides a patient neighborly billings which ensures transparency in the way customers are asked to pay for health care services. T he payment system that is in force in other parts, bills the patient after he or she has already received the services and has already left the hospital. However, the Sutter program introduced transparency as the patient then gets to survive what the services will cost him or her before they receive the services. It has cause evident that patients would love to know how much the care they receive will cost them and this is what the Sutter program has provided.This system also offers a simplified system of settling hospital bills thereby making things easier for customers using said hospital system, customers are usually compelled to produce a lot of records and documentations in order to have their payment processed which introduces a lot of inconveniences. There is more accounting practices that are used by Sutter in identifying and solving problems, such as Sutter was discontented with the get along of revenue being collected from the self-pay patients (Souza, McCarty, 2007).Th e trouble team understood that the self-pay CASE ANALYSIS OF SUTTER HEALTH 7 patients were loose of meeting their medical expenses and therefore the problem was in their system. Sutter then resorted to evaluate the accountability and transparency in the process involved in the collection of revenue. It is through this evaluation that most of the traditional system did encourage responsibility and accountability to the people handling the revenue collection. Another accounting practice that was adopted was cost reduction.Accounting principles dictate that there are two major(ip) ways for increasing the margin increasing profits or cut down costs. After exhausting all the avenues they could use in increasing revenue, Sutter embarked on a campaign that would reduce the cost of operation. This saw the collection process being integrated into a unified system. The methods used were also cost conscious, is why they opted for comprehensive training of their existing PFS and registration staff rather than hiring specially trained professionals, who would have demanded higher pay.Another alternative would be that Sutters strategies focused on improving accountability and autonomy of the staff in order to enhance revenue collection. Sutter health relied on solutions such as setting benchmarks and the empowering of staff. What they found to work was a full cycle of the amount payable. Amount payable refers to money owed to the unveiling by other parties age the full cycle refers to the amount of time it takes for the patients to settle their debt. (Rauscher, Wheeler, 2008).Reducing the full cycle may help to reduce the number of bad debts that a health institution suffers from. Traditionally a patient cycle followed procedures such as organizing schedule, registration, sermon, billing and collection (Solomon, 2011). The collection part is why the health institution is able to recover the debt owed to it by the patients. This section comes along after the discussi on process is concluded and therefore increases the chances for bad debt. This paper proposes a system where bills are settled on a pre-service basis.The pre-service CASE ANALYSIS OF SUTTER HEALTH 8 system will be enabled by developing a system that criterionized serves to make billing before the client receives services easier (Trans Union, 2007). A per item standardized billing is advised. This is why a standard is set for each and every hospital procedure and the patient is billed by summing up the cost of all service items he or she has utilized. In my informed opinion the approach used by Sutter Health was effective. This is because their approach was able to address the concerns raised by the network.Sutter health was bear on with the growing number of self-pay payments and the diminishing of the amount of revenue. The need to increase the amount of collecting from this section of market was the primary objective of developing this strategy. The winner of every strategy is a ble to deliver the set goals. When it comes to Sutter Health it is estimated that revenue collection from the self-pay patients increased by an additional $78 million after the implementation of the strategy (Souza, McCarty, 2007). This is a clear indicator of the programs success. One of the benefits is improved quality of care for the patient.One of the solutions identified by Sutter was convey the health customer onboard. This system did this by factoring the customers needs into the system, making it customer friendly. The customers now make it less time processing payment while at the homogeneous time, the patients get to know of the cost they will recover before receiving the services. The system has also reduced the number of patients being denied treatment as a result of a streamlined inventory system. In conclusion Sutter Health is a non-profit network based in California and is made up of community based health care providers.This effort discussed how Sutter developed a system that was able to improve revenue collection from the self-pay patients. Sutter recognized that the number of bad debts was rising along with the rising number of self-pay patients, This network conducted an evaluation on its facilities and identified that the problem of low revenue collection was linked to a disintegrated system of collection, in adequate accurate information CASE ANALYSIS OF SUTTER HEALTH 9 and poor performance indicators.Sutter Health employed solutions that entailed setting new benchmarks, empowering employees, factoring the customers interest and compressive training. References Rauscher, S. & Wheeler, J. (2008). Effective Hospital Revenue Cycle Management. Journal of healthcare Management Robertson, K. (Oct, 16, 1995). Sacramento Business Journal 12, 30 3 Solomon, P. (2011). State of healthcare Reform Revenue Cycle Retrieved from http//philcsolomon. om/2011/04/the-state-of-healthcare-revenue-cycle-an-insi ders- perspective-part-2/ Souza, M. & McCart y, B. (2007). From bottom to top How one provider retooled collection. Healthcare Financial Management 61 (9). 67-73 Trans Union (2007). Healthcare Collections How Full Cycle Improvements Reduce Bad Debt. http//www. tranunion. com/docs/healthcare/businessneeds/healthcarecollectionsWP. pdf

No comments:

Post a Comment