Using the NIATx 5x5 Presentation Model Telling Your Story Using the NIATx 5x5 Presentation Model So you’ve done a change project and now you need to tell others what your team did and what you learned. The NIATx 5x5 is a tool to help you do just that.

What is a 5x5? Five minutes to present five Power Point slides which tell your story of your change project. FIVE key points presented in FIVE minutes which tell the story of your change project. Title Slide 1. Aim (Plan) 2. Change (Do) 3. Results (Study) 4. Next Steps (Act) 5. Impact (Lessons Learned, etc. )

Print your 5x5 and make it a STORYBOARD (mounted on 30” x 40” foam core)

Sample 5x5 Presentation APT Foundation You may use this as a template for creating your own 5x5.

APT Foundation in Deliberate Growth Mode – Access Matters Becoming Proficient at Fee for Service Billing New Haven, CT

It Takes A Village… IT Staff Practice Management A/R Staff

Front Door Staff APT Foundation Leadership

1. AIM (Plan) Improve 1st Party collections (people who pay out of pocket) Proactively manage the entire revenue cycle (i.e. bill and collect for services delivered, with constant data informing the process) Improve 3rd Party Authorizations

2. Change (Do) Took financial management out of the back room Inserted a friendly payment request into the check-in process “Are you prepared to make a payment today?” Educated clinicians regarding client finances as a clinical issue and engaged them to problem solve with clients around financial issues Met with clients and offered amnesty from past due balances Established a team approach to collections; engaged clinicians in collections process as apposed to only to the business managers Created a revenue cycle team to oversee a circular process vs. a linear process

3. Results – 1st Party Collections Average 1st Party collections Weekly cash increase of 85% Annual cash increase: $510,952

3. Results – 3rd Party Collections 2% monthly increase in collection amount $160,817 annual revenue increase

4. Next Steps Conduct a review of 1st party clients to look for opportunities for increased collections as a result of health care reform (i.e. 18-20 year olds will now be covered under Medicaid) Less stringent financial criteria for Medicaid increases client eligibility Staff will assist clients in application process Regular staff education around increased opportunity for Medicaid benefits and other emerging coverage options

5. Impact Clients reported feeling more engaged and secure Collection process is less punitive, so more clients come forward to discuss financial issues Continued decrease in grant revenue as the primary revenue source Multi-disciplinary cohesion around financial issues and patient care Improved financial performance Obtained licenses for every service type at every location for maximum future flexibility

Sample Storyboard