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

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Yes
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Contains Competitive or Comparative Claims?:
Includes Return on investment (ROI), quantifiable cost of ownership, reimbursement, or meaningful use claim or reference?:
Include References to Market / Segment Share or Market / Segment Leadership?:
Include identifiable Patient Information / Data?:
If Customer Names are Used, are Necessary and Appropriate Permissions in Writing and on File?:
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Include Customer Testimonials?:
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N/A
Do the Proposed Materials Contain Images of GE Products?: NO
Do all Product Images Depict the Device(s) Being Promoted in the Piece?:
This is a Translation of a Previously Approved Piece in Which no Changes Have Been Made?:
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4. Introductions Amy Andrade, MBA Diana Whitney, FHFMA Theresa Quinn
Senior Director of Revenue Cycle Operations
Children’s Mercy Hospital and Clinics
Diana Whitney, FHFMA
Managing Consultant
GE Healthcare IT
Theresa Quinn
Director, Patient Financial Applications - IS
Louie Abila
Project Manager

5. A Little Bit About Children’s Mercy Hospital and Clinics
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.
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

6. 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 Hospital
Children's Mercy Hospitals and Clinics in Kansas City, MO is ranked nationally in 9 pediatric specialties

7. Why a New Billing System?

8. A New Billing System – Why?
Single Guarantor Statement
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 billing
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.

9. 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.

10. The Implementation
What drives success?

11. What Drives Success? Leadership A proven methodology Process re-design
Education
Smooth transition

12. 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

13. Project Management Proven Methodology Knowledge Transfer Scope Design
Build
Activate
Project Management
Knowledge Transfer

14. Changing Systems and Structures Mobilizing Commitment
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

15. 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.

16. 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

17. Why Children’s Mercy Chose GE
People
Process
Technology
David Haight’s “Three Legged Stool”

18. Why Children’s Mercy Chose GE Centricity™ Business – People
Collaborative partnership that pushed CMH outside their comfort zone and ensured they did not recreate the status quo
It’s all about the TEAM!

19. Why Children’s Mercy Chose GE Centricity Business – Process
Proven 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

20. Why Children’s Mercy Chose GE Centricity Business – Technology
Innovative 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

21. Technology - Interfaces You know you’re a Techie if you can read this
Cerner
McKesson
Lawson BI
Anes
Centricity
MFN
HIDI
PHIS
Compass
ADT Comp
Web Portal
Balancing GL
Charges
Refunds
ADT
NOTES
ADT
Forms
Charges 3M
Payments
Guar Portal
Web Cashiering
DRG CADJ
Bank payments
Refund
Acryness

22. Measuring Our Success

23. 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

24. Putting it all Together

25. The sweet smell of success
Successful interfaces
Successful knowledge transfer
Successful processes
Successful implementation

26. What’s next? Bundled Care Manager to support research billing?
ETM worklists?
DME billing out of CBO?

27. Questions?
Thank you!