Clinical Transformation

Overview

“Clinical transformation involves assessing and continually improving the way care is delivered at all levels in a care delivery organization. It occurs when an organization rejects existing practice patterns that deliver inefficient or less effective results and embraces a common goal of patient safety, clinical outcomes and quality care through process redesign and IT implementation.”*

Many organizations continue to rely on manual processes to analyze data and facilitate quality reporting. In addition, the most widespread method deployed for measuring clinical quality is the use of hand-collected data and chart reviews. Lack of internal IT resources is largely to blame for the lack of electronic means in capturing, collating and analyzing data. Having the necessary staff to improve the reporting capability is also a barrier. Most organizations need additional resources in order to report appropriately on quality measures. One of their key gaps to reporting on these measures isn’t a lack of knowledge about the meaningful use requirement or a lack of organizational commitment. Indeed, the problem is often that staff do not have the time to perform the functions necessary for reporting. This results in hospital executives lacking direct access to quality reports, or the intervention of specialized IT staff to develop reports.

Open Medical provides strategic consulting, business process optimization, application delivery, technical consulting and interim management services. Our team is comprised of experienced healthcare and IT professionals with the expertise necessary to successfully guide your organization through full clinical transformation.

Clinical healthcare transformation initiatives require extensive planning and time allocation for preparing and installing new processes and systems. The willingness and ability of your end users to accept, establish proficiency and ultimately fully integrate the new systems and processes into their clinical practices will define the organization’s success in achieving clinical transformation.

There are specific and predictable factors that influence acceptance and adoption of any new system or process. The iMethods clinical consulting team assists organizations in developing a systematic approach to assessing and addressing each factor thereby maximizing successful adoption.Open Medical’ clinical consultants have extensive experience in guiding and mentoring client organizations to develop the skills and tools required to support future adoption efforts as HIT requirements evolve.

Operational redesign presents tremendous challenges yet also offers great opportunities for improvement in the delivery of patient care. Clinical operational redesign is the application of process reformation and change management to healthcare.

To make operational redesign successful, relevant stakeholders first need to describe a clear vision and set goals for how the organization should look and function after the redesign is implemented. Clearly articulated and widely communicated vision and goals are necessary in order to create alignment among the constituencies within the organization and promote adoption of the changes to be implemented.

The Open Medical methodology is designed to take a complex operational redesign challenge and create operationally efficient solutions. The methodology involves documentation and analysis of current state workflows and design of future state workflows consistent with the goals of the organization and clinical best practices.

Everyone involved in healthcare wants to deliver high quality care. However, there is always opportunity to improve services and service delivery. Measureable quality improvement in healthcare services requires continuous, systematic action and may also involve significant operational change and behavioral transformation.

Quality improvement cannot be fully achieved if the clinical and non-clinical staff are not working together with a common goal. Our consultants integrate with your team to improve processes on a global scale, identifying solutions for clinical and non-clinical staff to work collectively to improve patient care.

Openmedical understands the challenges both you and your vendors face with meaningful use requirements. We develop and implement comprehensive strategies for your organization to successfully pass certification for each stage of meaningful use.

Using vendor-recommended best practices for meaningful use, our approach tests measurement capture solutions and monitor performance throughout attestation. We provide the best tools and resources available to make sure that your organization is meeting the correct requirements.

Our consultants are fully equipped to guide you through your meaningful use initiatives. From gap analysis and security risk assessment to patient portal implementation and audit preparation services, iMethods has the necessary experience to make your attestation a success.

With multiple delays for the implementation deadline, making ICD-10 a priority for your facility can easily get overlooked. iMethods is uniquely positioned to make ICD-10 a top priority and ensure that your system is ready.

Our experts work with your team to make sure your ICD-10 transition is seamless. We eliminate roadblocks to implementation by leading strategy meetings and providing implementation tools to help overcome barriers. We are experienced at assessing ICD-10 preparedness, detecting and prioritizing activities with significant impact and educating stakeholders.

Our network of consultants is ready to work directly with your team to implement new coding guidelines and ensure that your system is current and fluent within the new methodology and technology you need now.

Population health management is fundamental to the transformation of healthcare delivery. Healthcare reimbursement is changing, and hospitals, healthcare systems and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, not just those actively seeking healthcare.

The goal of population health management is to keep patients as healthy as possible. By gathering data and predicting outcomes of a group of individuals, healthcare organizations are able to provide better care. In turn, this will reduce the need for additional interventions such as emergency room visits and hospitalizations.

With the emphasis in providing healthcare shifting from volume to value, organizations that are focused on providing patient-focused healthcare will come out ahead. Our team of experts has a systematic approach for population health management to properly position our clients for the future.

From patient appointment scheduling to claim resolution, our team is highly skilled in designing a customized plan to simplify, prioritize and optimize the efficiency of your revenue cycle.

We have an extensive background in revenue cycle assessment and redesign, operational improvement, electronic health record optimization and project management. By applying an innovative improvement model that incorporates “best of practice” quality tools, we have achieved measurable results and provided sustainable benefits for our clients.

We review the entire revenue cycle, from beginning to end, focusing on improving workflow efficiency and effectiveness. Employing our unmatched methodology, we quickly diagnose revenue cycle issues, prioritize improvement opportunities and construct a realistic implementation and/or optimization plan.

Clinical cost reduction initiatives often leave physicians and staff members cold – clinicians on the front lines of care are more interested in clinical outcomes and wellness than bending the cost curve. iMethods believes that cost reduction is a natural outcome of clinical transformation through elimination of inefficient workflows, reduction of duplicative work and overall improvement in patient outcomes. The iMethods approach creates long-lasting cost reduction opportunities with a meaningful impact to clinicians as well as operational leaders.