Programs and Services Guide For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. VHA has a comprehensive and strategic approach that addresses all aspects of our members’ operations. We help members go beyond day-to-day operating efficiencies by creating and facilitating an environment where members learn from each other, share successes and best practices, collaborate and even form joint operations in unique and innovative ways to accelerate their successes. The VHA New England Region offers a focused portfolio of leading solutions customized to meet local needs. We invite you to take advantage of all that your membership offers. Thank you for your continued commitment to working with us to ensure the success of not-for-profit health care. For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. We look forward to working with you. 2 Stockholders and Partners Connecticut Day Kimball Hospital Putnam Greater Waterbury Health Network Waterbury The Charlotte Hungerford Hospital Torrington Western Connecticut Health Network Danbury Yale-New Haven Health System New Haven Maine Eastern Maine Healthcare Systems Brewer MaineGeneral Health Augusta MaineHealth Portland Mid Coast Health Services Brunswick Massachusetts Beth Israel Deaconess Medical Center Boston Dana-Farber Cancer Institute Boston Massachusetts Eye and Ear Infirmary Boston Mount Auburn Hospital Cambridge Partners HealthCare System Charlestown South Shore Health and Educational Corp. South Weymouth New Hampshire Mary Hitchcock Memorial Hospital Lebanon Southern New Hampshire Health System Nashua Wentworth-Douglass Hospital Dover Rhode Island Care New England Providence Lifespan Providence Vermont Rutland Regional Health Services Rutland The University of Vermont Health Network Burlington Hallmark Health System Medford Harrington Healthcare System Southbridge Heywood Healthcare Gardner For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 3 Clinical Performance Improvement Accelerate overall performance, improve patient outcomes and sustain financial improvements. VHA experts and solutions can help you take action to improve performance no matter where you are in your value-based journey. Accreditation Services All VHA members have access to our highly skilled and experienced accreditation team. Their expertise is available to provide individual support and education. The VHA New England Board of Directors made a strategic investment in Accreditation Services to help improve the performance of its regional members. The following services are included as a benefit of regional membership: Virtual System Survey: An offering unique to VHA The Joint Commission (TJC) recognizes participating members across the country as a virtual system. Members are assigned a common TJC account representative and TJC provides common team leaders during surveys. A continual feed of intelligence is provided through aggregated hospital survey findings, reports of TJC surveyor questions from actual surveys, and on-site support. ~~Estimated value: $20,400 per three-year cycle Mock surveys REGIONAL Mock surveys provide assessments of patient care and organizational functions and compliance with TJC standards through tracer methodology, education on standards and survey issues, written reports summarizing findings and recommendations specifically referencing TJC standards. We offer two mock surveys: two-day mock survey (about six to eight months from TJC anniversary) and pre-survey check (about 30 days from TJC anniversary). ~~Estimated value: – Two-day mock survey: $9,000 per survey – Pre-check survey: $4,500 per survey Education and Networking: VHA New England Accreditation Network meetings This service includes in-person network meetings held twice annually, VHA New England Accreditation Listserv, and Accreditation Educational Webinar Series presenting the latest hot TJC standards. ~~Estimated value: – In-person network and Listserv: $1,500 per person, per year – Educational webinar series: $1,800 per phone line, per year Ad hoc, ongoing member support The VHA New England and VHA Accreditation Services teams are available for questions and answers as needed. Nursing Leadership Excellence Series 4 This highly acclaimed vhatv satellite broadcast series focuses on critical issues and competencies for the nurse leader. An outstanding faculty presents educational programs that foster excellence in nursing. Participation is on a pay-per-view basis. REGIONAL Performance Improvement Services Bureau The VHA New England Performance Improvement (PI) Services Bureau advances member performance through a focused agenda of common improvement opportunities identified by supply and clinical data integration. The PI Services Bureau is piloted by several VHA New England Region members with funding support approved by the VHA New England Board of Directors. Members work together to share better practices and develop and implement plans of action. Teams are guided by a member steering committee that approves initiatives, sets goals and monitors progress. Initiatives are linked to the agenda of the Northeast Purchasing Coalition and leverage VHA IMPERATIV ® Advantage to maximize improvement. Population Health Organizational Assessment VHA’s organizational approach to population health gives hospitals the ability to assess their organization’s readiness to manage the health of a defined population. The assessment pinpoints an organization’s individual strengths and opportunities for improvement results provide a roadmap that identifies the elements an organization will need to develop and implement a population health model. Physician Strategies and Services A comprehensive set of solutions designed to assess a member’s physician alignment strategy, identify improvement options and implement an integration plan. Expert advisors help organizations better manage physician practices and adapt to new reimbursement models under payment reform. VHA Physician Strategies and Services include: ~~Physician acquisition and integration ~~Physician compensation ~~Physician integration readiness assessment ~~Practice operations optimization ~~Interim practice management REGIONAL We offer the capabilities to help your organization realize the benefits of solid physician integration. VHA Physician Downstream Analyzer Accurately measures a physician’s total financial performance across the continuum of care to determine where improvements can be made, then tracked to assure compliance. With the downstream analyzer, organizations can follow every patient’s business impact on all the different physicians inside the group and all the departments inside the hospital. Rapid Adoption Network™ (RAN) A Rapid Adoption Network helps members focus on designing improvements in clinical practices that work in their environments through a contextualist approach. Key stakeholders (managers, performance improvement staff members and frontline staff) participate in a VHA-facilitated Clinical Design Day, followed by ongoing coaching calls with a VHA New England team leader to focus on sustaining improvements and observing for understanding. ~~Estimated value: $5,250 per RAN project For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 5 VHA IMPERATIV® VHA IMPERATIV is a comprehensive performance improvement solution that drives clinical, operational and financial improvements. Available at no charge, the solution includes: Advisory services: Expert advisors partner with you to help identify and prioritize opportunities to accelerate performance improvements. Analytics: Integrates disparate sources of data and consolidates into intuitive and easy-to-use dashboards reveal opportunities to improve cost, quality and reimbursement. Knowledge resources: Members can access accredited educational programs and the VHA Leading Practice Blueprint® library with more than 200 blueprints covering topics such as care coordination, clinical management and quality, patient safety, patient experience, supply management, green health and population health management. Collaboration and networking: You build upon existing regional and national member networks and accelerate deployment of improvements and innovative solutions through peer-to-peer sharing. VHA IMPERATIV Advantage: A subscription-based offering, VHA IMPERATIV Advantage drills deeper into patient and physician-level data to identify unnecessary variations in your care and processes. Expert advisors provide industry-leading expertise to help engage hospital leaders and physicians on improvements across the organization. Supply Chain Improvement Budget impact report This report provides valid, price-related data and future forecasts for the supply and pharmacyrelated budgeting process. All pricing, including supplier list prices and Novation contract prices, as well as up-to-date specs, allow you to create accurate, real capital budgets with no hardware investment. Capital equipment contracts Novation’s capital asset services offer members capital budget savings and efficiencies, access to Novation’s extensive contract portfolios and lower costs through group buys. Contracting Focus on maximizing contract value. Contract price optimization Identifies savings opportunities by cross-referencing non-Novation items to Novation contracts and examining product standardization opportunities and NOVAPLUS® product substitutions. Also includes benchmarking of pricing, assistance with contract database development and tracking, creation of customized cost savings reports, and development of purchasing decisionmaking tools. Spend Essentials This application provides detailed insight into supply spend allowing analysis of spend by vendor, category and manufacturer at the facility or system level. Reports aid in standardization, identifying volume and price variances, forecasting prices and improving performance in specific areas. Efficient settlement 6 This new offering focuses on consistent validation and verification, highly accurate payment processing and maximization of payment terms. Non-acute Care Services Designed for ambulatory care, imaging centers, home health care, long-term care and pharmacies (retail or closed), the program helps these providers realize significant savings on a portfolio of products and services that meet their needs. NOVAPLUS Optimization Reports The reports provide hospitals with a review of spending and aligns transactions with potential savings opportunities available through our private label brand from a range of products. This includes anesthesia, diagnostic imaging, medical, orthopedics, respiratory and surgical. Novation portfolio Members achieve 3% to 7% price advantage over the market through a portfolio of more than 1,000 contracts representing nearly 90% of a hospital’s purchasing needs. Novation, VHA’s supply contracting company, manages nearly $40 billion in supply purchases annually and is committed to providing the lowest price, highest quality and the broadest portfolio for supplies in the industry. Optimized inventory management This service focuses on improving distribution and logistics performance, and reducing inventory levels, waste and carrying costs. Distribution and logistics evaluation and improvement Compares performance against inventory management benchmarks including turn rates, backorders, picking errors, slow-moving and dead stock, par inventory levels, days on hand, average usage, past-due purchase orders and more. The service improves and streamlines processes, reduces errors, reduces storage costs, cuts overall inventory program costs and enhances inventory delivery to end users. Pharmacy portfolio Through the pharmacy program, we have a deep expertise in pharmacy performance improvement—informed by industry-leading analytics and contracting. Members maximize the value of their pharmacy practices and position the pharmacy to serve as a strategic asset. The approaches below can help reduce costs, improve efficiencies, enhance outcomes and drive revenue and growth. GPO and Contract Portfolio: Get market best pricing through continuous RFP processes with an average savings of 1% to 3% on overall pharmacy purchases. Innovative Drug Shortage Contracting Strategy: Our aggressive and long-term strategy encourages the increased production of critical-access drugs and drugs in short supply. By proactively negotiating agreements with drug companies to manufacture agreed-upon quantities of the identified drugs, we help support the estimated needs of members. At-risk Contract: In some instances, we have agreed to compensate drug manufacturers if actual purchases by members fall below the estimated volume. Because these agreements provide predictable demand, drug manufacturers are able to invest and allocate their resources in the most effective ways. NOVAPLUS Pharmaceutical Program: The program provides access to private-label products and a comprehensive strategy for achieving standardization. It focuses on delivering quality products at the best prices. Failure to Supply Recovery Service: This service simplifies the collection of lost dollars by removing the administrative burden from participants. Novation’s dedicated staff work with suppliers to enforce contract terms and collect funds on behalf of the participant. For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 7 Pharmacy portfolio (cont.) Data and analytics support: Through our suite of solutions such as VHA PharmaLYNX™, we focus on driving savings through business intelligence, automating the value analysis process and improving local sourcing results. Additional focus is on efficient purchasing processes, best pricing and terms, optimal inventory management practices, maximized 340B programs and optimized wholesaler contracts and transitions. Pharmacy Supply Network: This network facilitates cost-effective medication use initiatives amongst a group or region of hospital pharmacy members. Key sources of savings include contract aggregation and opportunities using benchmarks. Pharmacy reports Use reports to compare purchased items to contract items; and review calculation of savings, if items are purchased on contract. Additional pharmacy reports track spend, identify savings opportunities, and manage the bottom line through rich, visual dashboards and exportable information. Procurement You can enhance cash flow using analytics and business intelligence to capture value from spend and contract management. Marketplace|Procure Our online procurement offers e-procurement, eliminates the need for manual purchase orders (PO), helps ensure contract compliance and provides PO and contract validation. Sourcing Our sourcing offerings focus on driving savings through business intelligence, automating the value analysis process and improving local sourcing results. Sourcing also helps with cleansing, attributing and proactively managing the item master. Local sourcing (Marketplace|Procure, aptitude™) Here are solutions that help identify and execute on high-impact initiatives and deliver unmatched results, bringing significant cost reduction and operational efficiencies to your supply chain operations. Supplier Diversity Borrow resources from Novation’s Supplier Diversity Toolkit to build and enhance your supplier diversity program. Track current spend with diverse suppliers both on and off contract. VHA DataLYNX™ Support your item master management process and increase operational efficiencies with this data management suite. The advisory services and analytics application help supply chain leaders better support standardization and value analysis efforts within their facilities. VHA PriceLYNX™ Take control and achieve supply chain success with the most innovative solution available. Now you will be able to negotiate more effectively with suppliers, manage categories more efficiently and maintain the lowest prices and biggest savings over time. VHA ValueLYNX™ Use this automated business intelligence solution that optimizes the value analysis process to increase visibility of initiatives and savings, better engage multidisciplinary teams, monitor and manage your process and demonstrate financial results. 8 Purchased services Achieve 15% average annual cost reductions through VHA’s purchased services and its wide selection of service and outsourcing agreements in seven key areas: asset and project management, clinical services, human resources, revenue management, information technology, telecommunications and support services. Supply chain optimization VHA consulting and embedded, integrated analytics provide a complete solution to reduce cost and improve operational performance. Our industry-leading business intelligence suite and advisory services bring unmatched value to procurement, price performance, data management and value analysis. ~~Holistic, systemwide improvement ~~Sourcing ~~Contracting ~~Procurement ~~Inventory management ~~Settlement Comprehensive, strategic assessments We offer a series of assessments to identify improvement opportunities for cost savings, efficient operations, utilization and quality outcomes. You can also assess organizational readiness for change and by considering your capabilities, processes and technology. Holistic, systemwide improvement Provides expertise to help with developing a structure that enables service excellence and implementing change management that supports increasing demands. Supply chain operations transformation Experience end-to-end supply chain operations transformation through expert guidance, mentoring and leadership to achieve best-practice performance levels. Enable the supply chain operations team to exceed organizational goals, objectives and service levels of internal and external customers. Transitional role placement We can help you fill a vacancy to ensure supply chain functions continue to run smoothly. If the position is director level or above, the interim professional will begin the process of transforming supply chain processes to improve your organization’s bottom line. For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 9 Collaborating to Accelerate Members’ Successes Dedicated Member Services team VHA members have access to a dedicated team of trusted advisors. ~~The market management subject matter expert champions resolution of complex member issues, provides local and national industry knowledge, and identifies member requirements and potential solutions to further members’ success. ~~The performance improvement advisor provides a conduit to VHA’s clinical resources, offers customized guidance for members’ performance improvement initiatives and delivers Accreditation Services support. ~~The sales executive proactively presents solutions that provide value to your business, integrating deep industry experience to provide insight on a wide range of solutions available to you from VHA. ~~The service specialist combines analytical skills and products knowledge to anticipate and proactively address member needs including price discrepancy resolution, standardized performance monitoring and development of quality business reviews. REGIONAL Legal workshop This one-day session features Novation’s legal counsel providing an in-depth analysis of legal and contractual issues associated with the acute care hospital environment, including the Affordable Care Act, national legislative developments, strategic contracting, confidentiality and indemnification. ~~Estimated value: $750 per person REGIONAL Northeast Purchasing Coalition (NPC) The NPC is a supply network through which members collaborate to improve clinical quality and decrease costs by maximizing purchasing strength. The NPC employs a robust structure involving physician advisors, clinicians, pharmacists and subject matter experts. Cumulative member savings and cost avoidance of nearly $75 million over three years is a result of collaboration through the NPC Revenue Cycle, ICD-10 and Recovery Audit Contractor Education Series This educational conference call series features industry subject matter experts and covers a broad range of revenue cycle topics. Session titles for 2014 included: CMS IPPS 2014 Final Rule: Best Practice Recommendations; Rice Memorial Hospital’s Journey to ICD-10 Readiness; Exploring the Dynamics of a 3-Legged Approach to an Integrated CDI Program; Managing Your Commercial Denials to Maximize Returns; Mastering the Chaos of the Audits; Chargemaster Coding Updates and Implementation for 2015. REGIONAL Superior Performance Indicators - Supply Chain This online program offers quarterly reporting of key performance indicators for executives and supply chain leaders. Indicators include: total supply cost per case mix adjusted discharge, drug cost per case mix adjusted discharge, total supply cost as a percentage of total operating expenses and total supply cost as a percentage of net operating revenue. In addition to real-time access to customized trending reports that show each organization’s indicators over time, participating hospitals receive quarterly, unblinded regional organization comparison sorted by bed-size and performance trending. ~~Estimated value: $395 per year, per hospital 10 REGIONAL Superior Performance Indicators—Value Based Purchasing Members receive detail quarterly reporting of clinical process of care, patient experience of care and outcomes data to provide a more timely view of performance than available through public reporting. A unique benchmarking report of VHA members in the New England region is provided. ~~Estimated value: $395 per year, per hospital Supply Chain Education Series Whether you seek strategic approaches to improve your organization’s results or training and development opportunities for your staff, tune in to our programs throughout the year. Educationally focused supply chain broadcasts provide new information and skills for you and your staff. To watch past programs, visit www.vha.com/ supplychainvideos. VHA Affinity Groups These group meetings provide an opportunity to network with and learn from other health care organization executives who experience similar issues and challenges. Learning occurs through special events and sharing of best practices. ~~CEO Affinity Group ~~CFO Affinity Group ~~CNO Affinity Group ~~COO Affinity Group ~~HR Executive Affinity Group ~~Managed Care Executives Affinity Group ~~Perioperative Executive Affinity Group ~~Supply Chain Executive Affinity Group VHA Navigating to Excellence Forum Consistent with VHA’s mission to deliver expert guidance and solutions that drive exceptional performance for members. Forum participants gain insights that can lead to elevated performance for their health care organization. General sessions, breakout sessions and networking opportunities give attendees an active, visible role in discussions as well as chances to learn from recognized experts who share leading practices in clinical quality, supply chain improvement and operational excellence. REGIONAL VHA New England Nurse Executive Network The Nurse Executive Network provides a forum for nursing leaders to collaborate with peers on relevant issues. Events include two, noon to noon, in-person meetings per year. ~~Estimated value: $1,080 per person, per year REGIONAL VHA New England Pharmacy Leaders Network Pharmacy leaders come together through this network for personal and professional development. Participants work with colleagues and engage subject matter experts to improve care and decrease costs. Events include a one-day session, two webinar sessions and a two-day retreat. ~~Estimated value: $1,090 per person, per year REGIONAL VHA New England Supply Chain Leaders Network Supply chain leaders meet to network, develop skills, and explore ways to increase efficiency in supply chain operations. Events include a one-day session, two webinar sessions and a two-day retreat. ~~Estimated value: $970 per person, per year For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 11 Service Line Performance Optimization ~~Governance and structure for Our expert dedicated resources, informed by integrated, comparative data analytics and unique knowledge, help members quickly achieve and sustain the highest value of patient-centric care across the continuum. Our solutions help drive value along the care continuum with physician alignment, cost improvement, optimal operations and quality outcomes, profitability and growth. ~~Supply and service cost improvement ~~Optimal operations and quality ~~Effective, aligned physician structure ~~Profitability and revenue growth Effective, aligned physician structure competitive leadership We help your organization better align and partner with physicians to develop mutually beneficial goals that contribute to the delivery of lower-cost, high-quality, patient-centered care. Co-management We offer service line model development that focuses on leadership and oversight of clinical and administrative operations in partnership with a health system. Gainsharing services This service establishes and administers a program that shares a percentage of cost savings with participating physicians by using the industry’s first Office of Inspector General-approved model. Pay for performance You can establish and administer a model that shares performance bonuses resulting from improvements in quality, efficiency, satisfaction, experience and overall service line performance. Physician practice optimization Experience how you can maximize physician practices through review of specialty and primary care mix and capacity. Also address improvements in efficiency of practice operations. Program reinvestment We help you develop reinvestment strategies to reward clinical groups that participate in cost improvement efforts. Governance and structure for competitive leadership Our experts help you establish a governance and management model with organizational alignment across settings to support a culture of accountability and empowerment. Change management Use assessment and recommendations on your organization’s ability to make and sustain clinical, operational and financial improvements, while focusing on culture, infrastructure and results. Clinical Quality Value Analysis™ Achieve performance improvement by applying this results-oriented clinical and financial improvement infrastructure that drives multidisciplinary decision making. Oversight and management structure We offer expert resources to design an effective physician, service line and executive leadership structure. VHA ValueLYNX Shift your focus from value of products to value of care to control your value analysis process, achieve greater operational efficiencies and track realized savings. VHA ValueLYNX helps you gain visibility, demonstrate financial results and engage multidisciplinary teams. 12 Optimal operations and quality We offer resources to optimize operations and quality for improved efficiencies and reimbursement. Appropriate use Our resources use criteria-based decisions to identify high financial impact accounts at risk for denials and future audits by establishing proactive screening process to prevent regulatory and compliance issues. Clinical improvements Build a culture of continuous improvement in processes and outcomes. Sustain gains using Lean training, basic performance improvement (PI) training and PI team leader and facilitator training workshops. Labor resource optimization See how to directly improve labor and benefit costs by eliminating inefficiencies, improving staffing and pay practices and ensuring peak productivity. Quality documentation improvement Use a multidisciplinary approach to improve coding and documentation, resulting in revenue enhancement and more accurately reported information. Utilization and throughput improvement You can gain more efficient patient throughput, appropriate bed utilization, reduced readmission rates, effective case management and optimal use of ancillary services across multiple clinical areas. Workflow optimization Apply lean Six Sigma methods for improving patient throughput, productivity, room utilization, patient and staff scheduling and staff mix in the emergency department, operating room, cath lab, electrophysiology lab and interventional radiology. Supply and service cost improvement We help you improve supply and service costs per case by effectively managing price, utilization and value. National contracting Maximize best-in-class Novation supply and service contracts for the highest price performance and most favorable terms and conditions. Physician preference cards management A VHA advisor helps you identify methods for creation and maintenance of preference cards, assist staff in revising preference cards to attain maximum efficiency and minimal waste, and develop ongoing process to maintain accuracy. Physician preference items—custom pricing Use custom-pricing agreements that include physician engagement and negotiations to obtain the best possible price for the items physicians want to use. You leverage Novation’s national expertise of products and suppliers. Physician preference items—utilization Our tools hep you apply criteria-based decisions to reduce variation and improve resource utilization to achieve the highest cost improvement per case. For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 13 Supply and service cost improvement (cont.) VHA PriceLYNX Use our analytics and advisory services for physician preference benchmarking, savings opportunity identification and supply price management. VHA Physician PreferenceLYNX™ Analytics and advisory services that identify improvements in pricing, utilization, efficiency and outcomes at the physician and patient level. Includes internal, regional and national benchmark comparisons. Profitability and revenue growth Access our services that drive program development for profitability and growth along the continuum. Alliances and partnerships Develop relationships and partnerships with post-acute providers, community organizations, payers and other referral sources to support growth and seamless delivery of clinical services across the care continuum. Market and clinical program assessment Understand current and future trends in service areas, assess technology and capacity, plan for future resource needs, and identify ways to achieve market differentiation through new and enhanced clinical program development. Physician recruitment and retention We help you determine the adequacy and capability of the available physician specialty mix, determine recruitment opportunities and support retention methodologies. Risk readiness structure You can evaluate risk vehicle adequacy and IT capability to manage risk, utilization and required operational tools. Medication Management Optimization Deep expertise in pharmacy performance improvement informed by industry leading analytics and contracting help members maximize the value of their pharmacy practice and position the pharmacy to serve as a strategic asset. Our approach helps reduce costs, improve efficiencies, enhance outcomes and drive revenue and growth. ~~Efficient procurement and asset management ~~Safe, cost-effective medication use system Efficient procurement and asset management ~~Optimal practice model ~~Systemwide medication management leadership These programs and services focuses on efficient purchasing processes, best pricing and terms, optimal inventory management practices, maximized 340B programs and optimized wholesaler contracts and transitions. 340B compliance and program optimization This program delivers an implementation plan and/or evaluation of existing 340B policies, procedures and performance to assure compliance and optimal value. 14 Efficient procurement and asset management (cont.) Purchasing, inventory management and contract optimization You achieve best possible drug acquisition costs and asset management through more effective pharmaceutical supply chain practices. Pharmacy Supply Network The network facilitates cost-effective medication use initiatives amongst a group or region of hospital pharmacy members. Key sources of savings include contract aggregation and utilization opportunities using benchmarks. VHA PharmaLYNX Gain control of your pharmaceutical supply chain, level prices and increase your cash flow. With this single business intelligence tool, you will gain more than just price benchmarking insight—you will be able to confidently monitor and manage pricing across your entire system, down to the drug level. Wholesaler conversion supply cost improvement This project manages a pharmaceutical wholesaler conversion. Optimal practice model Our models focus on ensuring a well-staffed clinical pharmacy practice, integration with patient care teams across the continuum, plans for staff development and proper technology to support the practice. Leadership, staffing and practice model effectiveness We help you develop a plan to optimize leadership structure, practice model and staff utilization (staffing benchmarks, skill mix, productivity, alignment with key service lines). Leadership transition support We deliver expert mentoring to an internal interim manager during a period of leadership transition. Our support provides project management and operational guidance with senior executives. Safe, cost-effective medication use system This system focuses on formulary management and drug use policies, leading practice drug use protocols, accurate and efficient medication preparation and distribution, antimicrobial stewardship and medication safety. Antimicrobial Stewardship program This program offers an operational plan and structure to reduce cost and improve quality of antimicrobial use in the organization. Automation assessment Our advisors work with members to identify opportunities for improved efficiency and safety through a global assessment of current automated dispensing technology. Drug utilization and formulary review This review develops implementable or implemented strategies to reduce drug expense and improve clinical outcomes. Pharmacy and Therapeutics Committee Identifies strategies that improve the effectiveness of the Pharmacy and Therapeutics Committee structure, function and decision-making processes to improve safety, cost and outcomes. For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 15 Systemwide medication management leadership VHA services focus on maximizing efficiencies and economies of scale, care coordination across acute and ambulatory settings, reimbursement management, regulatory and accreditation compliance, use of leading technologies and use of performance metrics and analytics. Pharmacy and medication management We deliver a comprehensive operational plan with tactics to reduce costs, improve efficiency, optimize revenue and improve outcomes. This helps position the pharmacy and medication process for success in a value-based care environment. Pharmacy revenue cycle charge master assessment The assessment helps update billing codes and charge master to assure accuracy and compliance with current regulations. It also helps recapture lost revenue opportunities through improved billing and coding procedures. Retail pharmacy assessment This assessment produces a plan for improved profitability and productivity of an existing pharmacy or a feasibility study for a new venture. The plan may also include employee prescription benefit design. Risk mitigation, regulatory compliance, safety assessment Here you will see assessment of key medication management risks, including drug diversion prevention, regulatory compliance and medication use safety. System-level improvement We see you through development of a strategic plan and structure that drives organizational efficiencies, reduces costs and improves quality by leveraging system purchasing power and economies of scale. Comprehensive Cost and Margin Improvement VHA integrates cost reduction initiatives, operational improvements and behavioral changes using proven methods that guide health care organizations to achieve and sustain significant financial improvement. Labor resource optimization Advisors use an interdisciplinary approach that improves labor costs, staffing, scheduling and work quality while increasing employee satisfaction. Operational and process improvement Data-driven methods are used to examine patient care from admission to discharge, then experienced clinical consultants recommend strategies to create physician buy in and involvement using a performance-based approach with guided implementation. Supply cost improvement Consultants use vast contracting experience, industry-leading tools, proven methods and physician alignment to provide significant cost improvement from the operating room to the patient floor. Revenue Cycle Management A program that offers revenue cycle consulting and technology services to help with everything from ICD-10 conversion to revenue growth by leveraging relationships with industry leaders such as Deloitte Consulting, 3M and VitalWare. ~~ICD-10 Documentation and Implementation services ~~ICD-10 Education, Training and Coding Support 16 ~~ICD-10 Readiness Services ~~Revenue Cycle Transformation Services Regional Programs and Contracts In addition to the VHA and Novation portfolios, the VHA New England Region creates valuable contracts to meet the unique needs of local members through our regional contract portfolio. Courier Services Medical Liability Management Skycom Courier Express delivery and logistics services including on-demand deliveries, routine and scheduled deliveries Medical Risk Management Process-driven educational programs and systematic solutions for hospitals and physician groups to improve patient safety and reduce malpractice losses E&M Coding Physician Education MediSync—Healthcare Solutions Physician-to-physician evaluation and management coding education and tools for owned physician practices Electronic Payment Solutions Bank of America and PNC Bank Electronic payment solutions: purchasing cards and ePayables programs Energy Consumption Savings American Energy Assets Optimization of energy assets through proprietary technology to reduce costs and energy consumption Energy Procurement and Expense Management Hospital Energy Services Energy procurement and strategies for building energy budget stability Energy Utility Auditing Services Eric Ryan Corporation Billing history accuracy review and recovery of over payment from utilities with no-risk, shared-savings model Patient Communications Solutions NotifyMD Communication services for acute-care hospitals and owned practices Pharmacy Healthcare Solutions RecoveRX™ Turn-key program to recover replacement or obtain co-pay assistance from pharmacy assistance programs for facility’s uninsured and under-insured patients Pharmacy Remote Order Entry Cardinal Health Prescription e-source is a full-service solution for pharmacy remote order entry and verification Satisfaction Services Press Ganey Associates Surveys and reports to measure patient, employee and physician satisfaction Sleep and Balance Center Services Persante Creates revenue opportunities by filling new or existing sleep center beds, reducing cancellations, improving insurance verification and establishing new balance center referrals For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 17 VHA New England Staff List Paul Hess Senior Vice President and Executive Officer 781.794.6501 phess@vha.com Liz Petti Executive Assistant 781.794.6512 epetti@vha.com Patricia Rouleau Manager, Operations 781.794.6540 prouleau@vha.com Market Management Mary Cellini Administrative Assistant 781.794.6528 mcellini@vha.com David Greenberg Director, Operational Improvement Services 972.868.7454 dgreenbe@vha.com Jim Mahan Vice President, Regional Operations 781.794.6504 jmahan@vha.com Jim Witherell Senior Director, Market Management 781.794.6507 jwithere@vha.com Northeast Purchasing Coalition Linda Bolland Implementation Manager, Pharmacy 972.830.6362 lbolland@vha.com Linda Goode Administrative Assistant 781.794.6545 lgoode@vha.com 18 Paula Jurewicz, MS, RN Clinical Director 203.688.1510 Leanne Todisco Vice President, Supply Chain Operations 781.794.6535 ltodisco@vha.com Dan Warmuth Senior Director, Supply Networks 972.830.6903 dwarmuth@vha.com Performance Improvement and Business Development Alida Hecht Manager, Performance Improvement 781.794.6554 ahecht@vha.com Jane McCarthy, MS, RN, CPHQ Senior Director, Performance Improvement 781.794.6515 jmccarth@vha.com LeeMichael McLean Director, Business Development and Networks 781.794.6577 lmclean@vha.com Theresa Schmidt, BSN, MS, RN, CPHQ Director, Performance Improvement 781.794.6571 tschmidt@vha.com Laural Whitmore Vice President, Business Development and Performance Improvement 781.794.6586 lwhitmor@vha.com Kathy Yue Senior Analyst 781.794.6502 kyue@vha.com Sales and Service Kathy Galullo, RN District Sales Vice President 972.868.7432 kgalullo@vha.com Lori Helm Sales Executive 781.794.6520 lhelm@vha.com Tracie Lightfoot Member Service Specialist II 972.868.7419 tlightfo@vha.com Vin Matozzo Member Specialist II 972.868.7405 vmatozzo@vha.com Nancy Miller Member Service Specialist III 972.830.7805 nmiller@vha.com Mark Somerville Sales Executive 603.703.8755 msomervi@vha.com Nancy Swierczynski, BSN Strategic Account Executive 781.794.6513 nswiercz@vha.com Melissa Szabo Account Executive 972.868.7426 mszabo@vha.com Bisrat Tedla Member Service Specialist I 972.830.2950 btedla@vha.com Kyna Widermyre Member Service Specialist I 972.868.7410 kwidermy@vha.com For additional information on any VHA service or for support, contact the VHA New England office at 781.794.6500. 19 A wholly owned subsidiary of VHA Inc. VHA New England Region 350 Granite St Suite 2304 Braintree MA 02184 Tel. 781.794.6500 www.vha.com ©2015 VHA Inc. All rights reserved.