Jim Schwamb, BayCare Health System
Thomas Yoesle, Orlando Health
Jose Rivera, Orlando Health

Formed 2004 with support of PwC

Dynamic survey of industry KPIs

Membership Requirements

Purpose:
◦ One billion in net revenue
◦ Operating CBO
◦ Able to identify and report representative KPIs
◦ Share valid KPIs on annual basis
◦ Share responses to challenges
◦ Share best practice approaches

No benchmarking tool that was valid
◦ Ability to collect and share data annually
◦ Ability to discuss/agree on KPI definitions
◦ Ability to revise KPI definitions as our industry shifts

No tool that was specific to large CBOs

Need to network
◦ Without distractions

Need to improve performance
◦ Share successes and “non-successes”

Twenty-four CBOs

In Florida
◦
◦
◦
◦


BayCare
Lee Memorial
Orlando Health
Shands
Other states represented (NE, MN, KY, MO, VA,
PA, CO, OK, LA, TN, IA, NC, GA, IL, TX, and Al).







Review of annual KPI Survey
◦ Time to discuss KPI definition/interpretation changes
5010 & ICD-10 readiness
Patient Access quality issues
◦ Policy & Procedure discussion
◦ Regulatory requirements & how we have addressed them
Biometrics for patient ID
Time of service estimates & solutions
Who has implemented what vendor? How was the
implementation?
Vendor discussion
Who are you using?
For what?
How is the performance?
What KPI’s define success for the vendor?

Predictive analytics for charity and form 990H


Employee turnover & retention strategies



Carrot vs. Stick? Automation is key!
Selling Bad Debt


What I.T. infrastructure can handle an ACO model?
Productivity enhancers


What training programs are being used/outsourced?
What incentive program structures are effective?
Accountable Care preparedness


What BI systems are being used for predictive analytics?
What does the market look like across the country?
Round table discussion

Each System Reports The Following:
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
Services billed (i.e. hospital, physician, homecare)
Systems Software Used
Cost to Collect (Total, CBO, PAS, HIM)
First Bill Pass Yield
Net A/R Days
DNFB & Hold Days
Collection % by Payer
Bad Debt & Charity Write-offs
Uninsured and Prompt Pay Discounts
Denials
Upfront Cash Collection to gross revenue (ER & other)
FTEs per 1000 claims (by function)
Salary Survey







Things are not going to get any easier
Medicare and Medicaid spending cuts
Technology changing rapidly
Larger Health Systems
Standardization more difficult
Our patients are changing
New healthcare models




CBOs with the most outsourcing have the
higher cost to collect (FTEs aren’t bad)
Training and managing quality of registrars is
key
Assertive upfront cash collection translates to
lower A/R days
The annual meeting has had many wins
◦
◦
◦
◦
Learning new approaches
Networking
Seeing different shops
“best two day meeting I have ever attended”