Children’s Mercy Hospital, Kansas City, MO - Implementing Combined Business Office (CBO), Pre-Sales Decision Making Through Successful Go-LiveThursday April 30, 2015

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The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE.

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©2015 General Electric Company – All rights reserved.

The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE.

DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE.

GE, the GE Monogram, Centricity, and imagination at work are trademarks of General Electric Company.

All other product names and logos are trademarks or registered trademarks of their respective companies.

General Electric Company, by and through its GE Healthcare division.

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Introductions

Amy Andrade, MBASenior Director of Revenue Cycle OperationsChildren’s Mercy Hospital and Clinics

Diana Whitney, FHFMAManaging ConsultantGE Healthcare IT

Theresa QuinnDirector, Patient Financial Applications - ISChildren’s Mercy Hospital and Clinics

Louie AbilaProject ManagerGE Healthcare IT

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A Little Bit About Children’s Mercy Hospital and Clinics

Organization Overview

Children’s Mercy Hospital provides comprehensive care for patients from birth to age 21. Children's Mercy consistently is ranked among the leading children's hospitals in the nation, and was the first hospital in Missouri or Kansas to earn the prestigious Magnet designation for excellence in patient care from the American Nurses Credentialing Center. 

Medical staff of more than 700 pediatric specialists

More than 40 pediatric specialties

Principle teaching hospital for The University of Kansas Medical Center

Home of the nation’s first Pediatric Emergency Medicine Fellowship

The largest Clinical Pharmacology program in North American and one of 13 designated Pediatric Pharmacology Research Units studying the safety of new medications for use by children

Children’s mission statement is focused on improving the health and well being of children by providing comprehensive, family-centered health care

and committing to the highest level of clinical and psychosocial care, and to research, academic and service excellence.

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Children’s Mercy Awards and Recognition

#6  in Pediatrics: Nephrology

#14 in Pediatrics: Orthopedics

#17 in Pediatrics: Cancer

#23 in Pediatrics: Neonatology

#30 in Pediatrics: Diabetes & Endocrinology

#32 in Pediatrics: Gastroenterology & GI Surgery

#38 in Pediatrics: Neurology & Neurosurgery

#38 in Pediatrics: Pulmonology

#40 in Pediatrics: Urology

Nationally Ranked HospitalChildren's Mercy Hospitals and Clinics in Kansas City, MO is ranked nationally in 9 pediatric specialties

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Why a New Billing System?

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A New Billing System – Why?

• Single Guarantor Statemento CMH families will benefit by receiving only one bill for both hospital and physician

charges. They will be able to make a single payment arrangement for all charges due.

• Transparent and reliable billingo Children’s Mercy will benefit from more accurate payments of hospital and physician

charges, as well as a transparent and reliable billing process with improved reporting capability.

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A New Billing System – Why?

• Strategic Goals, Shared Values• Demonstrate quality outcomes, improve performance

and deliver value through continuous improvement, teamwork and transparency.

• One Pass technology• A sophisticated and integrated billing system that

eliminates redundant tasks and manual work, improves quality, and reduces the time it takes to accurately bill for hospital and physician charges.

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The Implementation

What drives success?

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What Drives Success?

• Leadership

• A proven methodology

• Process re-design

• Education

• Smooth transition

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Leadership

• Help the team focus on what is important

• Empower the team to make decisions

• When needed, get all stakeholders in the room and make them stay there until issue is resolved

• Every now and then….talk someone off a ledge

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Proven Methodology

Project Management

Knowledge Transfer

Scope Design Build Activate

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Process Redesign

Leading Change

Changing Systems and Structures

Current State Transition State Future State

Mobilizing Commitment

Creating a Shared Need

Shaping a Vision

Making Change Last

Monitoring Progress

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Comprehensive Education Development

• Lead GE Educator involved during entire project, not just for end user training.

• Lead GE Educator also acted as Process Consultant.

• Managers of each area collaborated with design of training materials, and also led classes.

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Smooth Transition

• Dedicated Client Support (DCS) team rolled into some project activities

• DCS team participated in all phases of testing

• Key members of Implementation team fade away slowly – not a hard stop

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Why Children’s Mercy Chose GE

• People• Process• Technology

David Haight’s “Three Legged Stool”

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Why Children’s Mercy Chose GE Centricity™ Business – PeopleCollaborative partnership that pushed CMH outside their comfort zone and ensured they did not recreate the status quo

It’s all about the TEAM!

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Why Children’s Mercy Chose GE Centricity Business –ProcessProven best practices that will mitigate impact of implementation on bottom line and keep us on the right track

• System design in conjunction with GE-supplied Revenue Cycle Process Consultation.

• GE-supplied build Services.• Extensive testing – Prototype, Integration & Simulation• Progressive Education Solutions, aligned with Children’s

business requirements

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Why Children’s Mercy Chose GE Centricity Business –TechnologyInnovative software solution that replaces work arounds, duplications, and manual processes with manage-by-exception workflows.• Combined Business Office

• Transaction Editing System

• Financial Assistance Manager

• Business Intelligence

• Anesthesia Billing Module

• ADT (with Abstracting & Coding) and Charge Interfaces into Centricity Business

• Security

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Technology - InterfacesYou know you’re a Techie if you can read this

Centricity

3M

Web CashieringDRG CADJ

Bank paymentsRefund

BI

McKesson Lawson

HIDIPHIS

CompassADT CompWeb PortalBalancing

Acryness

Payments

Forms

GL

Refunds

Charges

ADTNOTES

MFN

Charges

ADT

Guar Portal

Anes

Cerner

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Measuring Our Success

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Measuring our Success

We are still working on Post Go Live metrics, Stay Tuned………!

• Denial numbers and dollars to quantify cleaner claims

• Denial codes by payor to analyze trends

• Gross and net revenue

• Days in A/R

• Revenue and collection percentages by payor, lines of business, and location

Putting it all Together

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The sweet smell of success

Successful interfaces

Successful knowledge transfer

Successful processes

Successful implementation

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What’s next?

Bundled Care Manager to support research billing?

ETM worklists?

DME billing out of CBO?

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Questions?

Thank you!