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Required Slide. SESSION CODE : BIC301. Healthcare Innovator Schumacher Group Utilizes Microsoft BI to Gain $30MM in Revenue . Patrick Bolin Vice President Hitachi Consulting Jonathan Cary Director, Business Intelligence Schumacher Group.
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Required Slide SESSION CODE: BIC301 Healthcare Innovator Schumacher Group Utilizes Microsoft BI to Gain $30MM in Revenue Patrick Bolin Vice President Hitachi Consulting Jonathan Cary Director, Business Intelligence Schumacher Group
Welcome to LouisianaLesson on Local Greetings from the Natives How to properly greet a Louisiana Native StatementResponse Bonjour Bonjour Comment Ca Va? Ca Va Bien Howsyourmomanem? Dey Fine
Over 160 hospitals2,000+ physicians and mid-levels700 Employees Treating three million patients per year Schumacher Group Today
$30 Million? Really? You’re KiddingWe’re Not Kidding and That’s $30M a Year Friend Understanding the Math – Terms to Understand • Patient Visits or Encounters – Describes an individual visit of a patient to the Emergency Room: One Broken Arm, Cold or H1N1 = One Encounter • Relative Value Unit (RVU) – Term used by Medicare to demonstrate relative degree of difficulty of a patient treatment. Measure of how much “work” is performed • Simple Laceration = 2.76 RVU • Heart Attack = 5.99 RVU • Collection Factor – Average $ Collected Per RVU
Schumacher Group – Business ChallengeUnderstanding the Problem The Environment • Regulation and Legislation are constant threats to the Emergency Medicine industry • Changes in federally-funded programs like Medicare and Medicaid can have immediate, serious impacts on Schumacher’s profitability The Result • Schumacher Group was looking at ways to lower costs, yet maintain quality • The company needed a flexible model where they could quickly ramp up capacity if new “opportunities” appeared
Two Martinis and some Bang Bang ShrimpThe Birth of a Solution Vision • CEO, Dr. William Schumacher, and CIO, Doug Menefee had a vision to shift Medical Coding from an onshore model to an offshore model • Dr. Schumacher wanted to create an environment where doctors and coders worked in concert as a self-managed workforce • Schumacher Group wanted to build stronger business partnerships by sharing information that helped their partners improve the quality of their work • One night, over a few Martinis and some Bang Bang Shrimp, Schumacher, Menefee and Hitachi team members birthed the idea that BI could pave the way
Details, Details, DetailsHow to Make It Happen Challenges • Cultural Barriers – Coders in India, Cajuns in Louisiana • Training – Creating intuitive systems that guide people appropriately • Variability – A chart is not a chart is not a chart. Hard rules don’t apply • Motivation – Nurturing vs. fear • Reducing Risk – Hitting the “sweet spot” • Cost – Using technology to provide the right solution at a reasonable cost • Realistic – Important that team members “buy in” to the realism of the solution • Role reversal – wanted to use the medical coders as feedback mechanism to doctor’s performance
The SolutionPeople, Process and Technology Come Together – With Great Results People • Identification of “Peer Groups” for Comparison Purposes • Similar treatments • Similar facilities • Similar insurers • Connecting Work Groups Logically • Doctors compared to other doctors • Coders compared to other coders • Auditors as mentors, not police • Leadership as coaches who understand and reinforce best practice • Partners who understand the mutual benefits of the program
The SolutionPeople, Process and Technology Come Together – With Great Results Process • Doctors and Coders Get Individual Feedback • Visual cues that point them towards anomalies • Metrics that show “real” peer comparisons • Collaboration tools that link to training and assistance • Auditors research and confirm • Examination of individual charts to review practices • Tools to research and identify patterns • Tracking to see patterns vs. anomalies • Leaders have the tools to see problem areas • Time-slicing identifies patterns of improvement • Metrics show those who are and are not improving • Audits confirm metrics so appropriate actions are taken
The SolutionPeople, Process and Technology Come Together – With Great Results Technology • Individual and Collaborative Feedback • Microsoft SharePoint 2007/Performance Point • Microsoft SQL Server Reporting Services 2008 • Microsoft Exchange/Outlook • Research and Analysis • Microsoft SQL Server Analysis Services 2008 • Microsoft SQL Server Reporting Services 2008 • Microsoft Office Excel • Microsoft SharePoint 2007/Performance Point • Self Service BI • Microsoft ProClarity • Microsoft Office Excel
Microsoft BI Creates Results Coder Management at Schumacher Group ** While it may appear otherwise, characters in this presentation are fictitious. They are NOT played by professional actors. Data has been manufactured for demonstration purposes and does not reflect actual patient or corporate information. Cast: Billy Wayne Dasgupta – Oklahoman by birth, relocated to India when his mom married Sunil – Billy Wayne’s Boss Dr. Schu – Dr. William Schumacher, founder and CEO of Schumacher Group JC – Jonathan Cary, BI Director at Schumacher Group Gwen Guillotte – VP of Revenue Management at Schumacher Group Patrick Bolin – VP, Microsoft BI, for Hitachi Consulting DEMO
ResultsGetting to $30 Million Baseline • RVU/Encounter: 3.22 • Collection Factor: $37/RVU Sustained Performance • New RVU/Encounter: 3.54 • Assumed Collection Factor: $37/RVU (Actually Higher) • Patients per Year: 3 Million (And Growing) RVU Improvement (3.54 – 3.22) x $37 per RVU x 3 Million Patients = $35.5 Million
ConclusionsIt’s not just about technology • Technology is an enabler • Changing behavior to create awareness and alignment provides value • Microsoft BI Technology is a unique enabler because it enables the convergence of Analytic and Collaborative content to create powerful business solutions • Getting to the real answer takes patience, discipline and vision!
