United Health Services, Inc. (UHS) Case Study: How a Focus on Utilization Management Spurred A Hospital-Wide Performance Improvement Project & Realized $7.3M in Revenue Enhancement
““I have seen firsthand and heard secondhand the value of CI’s approach. Open, candid, fair, and action oriented. I like how your team sought to understand and then attacked the issues with balance, but with an eye always on our objectives.” Dave MacDougall Senior Vice President, System Chief Financial Officer UHS
In mid-2017, the leaders at UHS noticed that both their Observation (OBS) Length of Stay (LOS) and OBS rate were rapidly escalating. The OBS LOS was > 31 hours compared to national benchmarks between 18-24 hours and the OBS rate was 36%. Cause for alarm was warranted since correct status determination (OBS versus Inpatient) at a hospital’s points of entry is crucial to patient satisfaction, patient outcomes, and safeguarding regulatory compliance, which help to achieve a hospital’s financial goals.
Read more to learn how the CI team stepped in to assess clinical, financial and operational improvement opportunities from an enterprise-wide perspective at UHS. Download Case Study
“Clinical Intelligence brings a level of expertise with clinical and financial analytics that I can trust. Their approach is ‘We can make that happen’ and they consistently go above and beyond to deliver.” Alvin Hoover, KDMC CEO
King’s Daughters Medical Center (KDMC), located in Brookhaven, Mississippi, is a nonprofit 99-licensed-bed hospital serving a five-county region of more than 100,000 people. In addition to declining margins and lack of reliable information, the organization had two different EHR’s, an inexperienced director of clinic operations and low physician engagement in practice performance.
Read more to learn how the CI team stepped in to assess clinical, financial and operational improvement opportunities from an enterprise-wide perspective and by doing so return KDMC to profitability. Download Case Study
United Health Services: To Build or To Buy
“There was a lot of discussion around build or buy, but in the short-run, it was most efficient for UHS to leverage ClinView®. With the rate of change, we could not wait for perfection in developing our own and it would have been costly.” Nancy Rongo, RN UHS Vice President, Chief Quality Officer
United Health Services, Inc. (UHS) is a not-for-profit, community health system located in New York State. UHS was in need of a unified data warehouse solution and began a “build vs. buy” discussion. After exploring the time needed to invest in their own data warehouse versus outsourcing, UHS determined that they could not wait given the rate of change in the industry.
Read how CI’s business intelligence solution, ClinView®, was implemented and helped UHS realize an annualized recurring benefit of $3.4M. Download Case Study
Summit Health: A Study in Case Management
“The CI team was collaborative, partnership-focused and open. They delivered on what they said they were going to and were very professional and supportive of us. They continue to be a resource for our team.” David A. Hoffman, MBA, DO, VP, Chief Clinical Officer Summit Health
Located in south-central Pennsylvania, Summit Health is the parent organization to a network of non-profit healthcare providers. In early 2015, Summit Health recognized a need to improve their fragmented and “siloed” case management department which was duplicating efforts and generating waste.
Read how CI partnered with Summit Health to revamp their entire case management department and began to leverage data to improve care. Download Case Study