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PROJECT EXAMPLES
Examples of the breadth of CoreStrata Consulting capabilities:
Physician and Staff Commitment and Morale
Facilitated the development of strategies and tools to increase levels
of commitment and morale in both physicians and staff. Information was
gathered through benchmarking, focus groups, and individual interviews
with both high and low performing groups. Implementation was achieved
through specific recommendations to senior leadership and development
of education resource materials for physicians and staff. Significant
improvement was achieved in both physician and staff commitment and
morale related ratings received on successive organizational feedback
surveys.
HIPAA Compliance
In depth analysis of organizational
compliance with HIPAA regulations, areas of potential exposure to
sanctions, and implementation of corrective procedures along with staff
instruction/coordination. Overview of requirements, establishment of a
HIPAA-safe office computer system, provide a customized checklist for
staff involved in health information disclosure, evaluating/preparing
authorization forms, and establishing a policy for obtaining,
documenting and retaining both signed and revoked authorizations.
Acute Back Pain Management
Facilitated development of
revised treatment algorithms for acute back pain patients seen in the
Emergency Department. Guidelines included primary utilization of oral
instead of intravenous medications to provide effective pain control
and allow appropriate discharge to home or skilled nursing facility
instead of inpatient admission. Appropriate imaging and oral pain
control provided reductions for inpatient admissions and associated
expense.
Breast Care Improvement
Facilitated improvements in
mammography screening and timely breast diagnosis processes. Analysis
of existing processes, patient appointment histories, and outcome
volumes to identify and address process issues as well as resource and
staffing requirements. Significant reductions achieved in screening
appointment access and diagnosis timeframes.
Electronic Health Records
System selection,
implementation, template design, and record conversion. Staff
instruction, standardization, and integration with electronic
prescribing and billing. Medicare Modernization Act of 2003 compliance
considerations and reimbursement.
Stark II/Phase II Regulations
Analysis of financial
arrangements with DHS providers to ensure CMS guidelines are met.
Review of regulations with professional staff to clarify all areas,
checklist to assure compliance, and future update of impending Phase
III regulations.
Lipid Lowering and Statin Treatment for Diabetes and Coronary Artery Disease
Facilitated review and streamlining of processes for identifying
appropriate potential patients, physician review of patient charts and
clinical information, and initiation of required prescriptions via
mailed letters instead of physician office appointments. Process
redesign and implementation of technology solutions allowed expansion
of the program, improved performance reporting, and reduced
requirements for administrative staffing and associated expense.
Material Management Restructure
Planned and implemented
restructure of Material Management operations to improve efficiency and
effectiveness with reduced salary expense. Functions and
responsibilities were redistributed among buyers and office staff to
provide better allocation of work activities and better coverage of all
activities through specialization and cross training.
Supply Charging Systems
Facilitated the planning and
implementation of revised organizational procedures to improve the
efficiency and effectiveness of capturing supply utilization and
patient billing. Procedure based charging procedures provided labor
reductions and associated savings in supply processing, nursing
documentation, charge processing activities, patient billing
activities, improved accountability, and provided needed supply
utilization data for practice pattern analysis and clinical pathway
development.
Oximetry
Facilitated planning and implementation of
revised oxygen saturation monitoring procedures to improve the
efficiency and effectiveness and appropriate utilization of this
technology with associated costs reductions. Revised procedures
included standardized indications for use, criteria for discontinuance,
and guidelines for monitoring frequency, and equipment and supply
utilization.
Support Services Reengineering
Facilitated analysis,
recommendations, and implementation of restructured hospital support
service work processes, including conducting and assessing benchmark
comparisons of other institutions, outsourcing, decentralization,
integrating multiple services, quantifying achievable efficiencies, and
establishing performance objectives. Hospital support functions
included: supply, linen, housekeeping, maintenance, and food service.
Administration expectations were met through planning and
implementation of a patient center care team structure with unit based
positions completing multi-function tasks. The care team structure
reduced overall hospital staffing levels and associated salary expense.
Cardiac Catheter Lab
Facilitated planning and
implementation of revised cardiac catheter lab procedures to improve
the efficiency and effectiveness in set up and accountability functions
with associated costs reductions. Revised procedures included
standardized and procedure based supply and equipment utilization and
patient charging procedures.
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