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eTBA brings several areas of expertise together, delivering the missing link in healthcare executive information. Our firm integrates clinical operations expertise, diverse software proficiency, and external database sources to produce cost-effective executive information solutions. Our turnkey solutions, which bring about immediate and verifiable results, leverage the sizable investment made in existing systems. eTBA solutions have been tested and proven in major hospitals across the country.

eTBAEXECUTIVESOLUTIONS

EXTERNAL DATA FROM COMPARABLEHEALTHCARE SYSTEMS

CLINICALLYEXPERIENCEDOPERATIONSCONSULTANTS

HEALTHCARE SYSTEMEXECUTIVE INFORMATION TOOLS

eTBA’s Philosophy To

Solutions

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Standard GL-Codes, Service Codes, Fixed/Variable, and Cost Allocation Matrixes

Standardized Costing System

Industry Standard Benchmarks

Product Cost Management

LaborSegmentation

Fixed Variable Cost Matrix

Strategic Cost Modeling Cost Management

Clinical Systems Integrator

IndustryStandard Open Architecture

Microsoft & IBMStandard Architecture

Health System EIS Data Repository

Standard Clinical and Cost Management Systems

Workstation Clinical Systems Repository

ExecutiveReportingMatrix Compliant with ODBC & SQL Industry Standards

Healthcare Information Network

Applications Standardization & Diverse System Integration

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CLINICAL SYSTEMS

INTEGRATOR

ClinicalSystems

PatientAccounting

A/R and Bad Debt Masters

Clinical DecisionSupport Data

Product CostManagement

STANDARD QUERY LANGUAGE

OPEN DATABASE CONNECTIVITY

Microsoft Windows Open Services Architecture (WOSA), ODBC, & SQL Industry Standards

Clinical Systems Integrator

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PRODUCT COSTMANAGEMENT______________

1. General Ledger DBMS2. Charge Master DBMS

Other Remote Systems

GeneralLedger

Clinical DecisionSupport System

PCM ExecutiveReporting Module

StandardizedCharge Master

Object Linkingand Embedding

Product Cost Management

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COSTMANAGEMENT

UTILIZATION MANAGEMENT

PROCEDURE REVENUE AND USAGE DATA

100%PROCEDURE LEVEL

MATCH

PROCEDURECOSTING & UTILIZATIONDATABASE

PROCEDURE

PRICINGDATABASE

CHARGEMASTERCODER

Database Overview

REVENUE MANAGEMENT

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COSTMANAGEMENT

UTILIZATION MANAGEMENT

100%PROCEDURE LEVEL

MATCH

PROCEDURECOSTING & UTILIZATIONDATABASE

CHARGEMASTERCODER

REVENUE MANAGEMENT

PROCEDURE

PRICING

DATABASE

• Standard Cost Flow Engines

• Comprehensive Report Audits

• Design of Homogeneous Labor Segments

• Quantitative Fixed/Variable Cost Analysis

• Standardization of Cost Management Engines

• Analysis of Cost Segments within Procedure Costing Database

• Comparison of Hospital RVUs to Industry Standard RVUs

• Standardization of Clinical Product Lines

• Treatment Profile Development through Multi Hospital Analysis

• Customized Drill-down in Procedure Comparative Database

• RESULT: Statistically Valid Clinical Treatment Profiles

• Standard Procedure Comparative Database

• Comparative Database Review

• Charge Master Redesign

• Net Revenue Realization and Revenue Monitoring

• RESULT: Optimal Charge Master Structure and Income Realization

Database Overview

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100%PROCEDURE LEVEL

MATCH

PROCEDURECOSTING &

UTILIZATIONDATABASE

PROCEDURE

PRICINGDATABASE

OUTPUT

CHARGEMASTERCODER

Database Overview (Input/Output)

• Data only accepted where common eTBA systems, methodologies, and definitions are in place• Data integrity assured because common systems have been proven over several years and many

clients• Data is real world versus hypothetical should be

INPUT

• Ability to extract data by hospital groups such as region, hospital type, and/or organization• Ability to produce homogeneous data samples by department, DRG, product line, procedure, etc.• Ability to identify areas where performance is sub-par in relation to other comparable hospitals and then

address internally. In cooperative hospital groups, identification may present the opportunity to investigate top performing hospitals to learn of operational differences.

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ProductCostManagement

LaborSegmentation

Fixed/VariableCostAnalysis

StrategicCostModeling

DepartmentCostManagement

Trendstar Decision Support Software

RVUDevelopment

Cost Management Products

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ProductCost

Management

Unique Cost Flow Process

SophisticatedAudit Report

Production andInterpretation

Reconciliation ofFinancial Statementsto Product Costing

System

RESULT: Efficient Cost /Revenue Flow and Audit

CompleteDepartmental Revenue

Reconciliation

Production of Executive Report Package

to Increase System Credibility

Cost Management Products

e Cost Management Products

RESULT: Quantitative Fixed/Variable Percentages

Labor Segmentation And

Fixed/VariableCost

Analysis

Foundation: Homogeneous

Labor Segments

Use of OperationallyCorrect Labor Equations

Ensures ModelCredibility

Utilization of Actual Data as Baseline

Automated Linkto PCM Engine

e Cost Management Products

PAYROLL SYSTEM

LABOR SEGMENTATION

IXED/VARIABLE COST ANALYSIS

F

Advanced Data Bases Which Allow for Immediate Isolation and Quantification of Macro-Level Labor Segments for Cost Reduction

RESULT:

Sophisticated Fixed/Variable Percentages Support both Short and Long Range Variable Cost Modeling Based on Relevant Ranges of Volume

RESULT:

e LaborCost Management

LABOR POOL

LABOR SEGMENTATION

CORE NON-CORE

OVERTIME

POLICY DRIVENVARIABLE

MINIMUM ORTARGET

CORE

Conversion of fixed hours to variable hoursIncreased productivity over timeConversion of core to minimum coreConversion of premium pay FTE's to standard pay

VARIABLELABORPOOL

RESULT: Greater Labor Variability

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RESULT: Profit Maximization

StrategicCost

Modeling

Contract Negotiation

LaborSegmentAnalysis

TargetedUtilization

Management

CostReduction

Measurement

StrategicPlanning