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Gamification in Revenue Management to Boost Cash Collection March 2, 2016 Adam Gobin , Director of Revenue Management, Emory Clinic and Melissa Crozier, Manager of Analytics and Process Improvement, Emory Clinic

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Page 1: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Gamification in Revenue Management to Boost Cash Collection

March 2, 2016 Adam Gobin , Director of Revenue Management, Emory Clinic

and

Melissa Crozier, Manager of Analytics and Process Improvement, Emory Clinic

Page 2: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Conflict of Interest Adam Gobin, MPH MBA and Melissa Crozier

Have no real or apparent conflicts of interest to report.

Page 3: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Agenda 1. Recognize areas for improvement.

2. Design a performance management program.

3. Identify measures for success, qualitative and quantitative metrics.

4. Introduce gamification.

5. Measure progress with leaderboards and project management tools.

Page 4: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Learning Objectives 1. Recognize the gamification techniques to improve revenue cycle metrics

2. Identify the four departmental focuses that make up accounts receivables core

3. Describe use of project management focus to ensure proper accountability and measure success

Page 5: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Value Step: Savings Financial/Business, Efficiency, Operational

7.9%

Increase in productivity

performance of AR staff

6 days

6.2% Increase in net

payments

Decrease in Net

days in AR

*Changes occurred from Aug 2015 through Dec 2015

60%

Decrease in average

view age of account

Page 6: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

emoryhealthcare.org

6

Emory University Hospital

•Founded in 1904

•579-bed adult,

tertiary care facility

•Staffed by 1,170

Emory SOM Faculty

•25,000 admissions

•137,000 outpatient

services

•Includes The Center

for Rehab Medicine Emory University

Hospital

Midtown

Emory University

Orthopaedics &

Spine

Emory Johns

Creek Hospital

Emory

Clinic

Emory Saint

Joseph’s

Hospital

Emory Specialty Associates

Wesley Woods Center

•Founded in 1908

•511-bed adult,

tertiary care facility

•Staffed by 1,080

Emory SOM Faculty

and 367 community

physicians

•21,000 admissions

•163,000 outpatient

services

•Founded in 2007

•120-bed adult,

Orthopaedics and

Spine specialty

hospital

•Extension of EUH’s

acute care services

•Founded in 2007

•Acquired in 2011 by

Emory

•110-bed acute

care facility

•2,500 admissions

•25,700 outpatient

services

•Founded in 1953

•1,600 clinical

providers

•2,500 employees

•2,200,000 patient

care visits

•80+ locations

•Founded in 1880

•Joint operating

company with Emory

in 2011

•410-bed acute care

facility

•Staffed by 750

physicians

•20,000 admissions

•Established in 2006

•400 clinical providers

•40 clinical locations

•620+ staff members

•Founded in 1954

•100-bed geriatric

specialty facility

•25-bed inpatient

hospice service

•250-bed skilled nursing

facility (Budd Terrace)

•201-unit residential

retirement facility

(Wesley Woods Towers)

Emory Clinic

Core Purpose: To Serve Humanity by Improving Health through integration of education, discovery, and health care.

Vision: To be recognized as a leading academic health system, differentiated by discovery; innovation; and compassionate, patient and family-centered care.

Emory Specialty

Associates

Emory Physician Group Practice

Page 7: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Overall performance inconsistency:

• Lacking performance metrics

• Lacking standardized workflows

Our goal: create an engaging and meaningful

performance program – based on future

trending industry best practices. The purpose

was to ultimately impact employee

performance and employee development

Challenges with Performance

Page 8: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Why Gamification?

• Definition of Gamification: The application of typical elements of game playing

(e.g., point scoring, competition with others, rules of play) to other areas of activity

• Gamification is the underlying core concept that helps us deliver best in class

performance standards and expectations that also result in increased employee

development and performance

Individual Performance Scorecards

Employee Rewards Program

Target Deliverables

Page 9: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Department Progression Timeline

Page 10: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Project Timeline

Page 11: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Performance Management Manager

Analytics/

Reporting

Training/

Quality

Our Department

Page 12: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Emory’s Performance Management Framework

Page 13: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Emory’s Performance Management Framework

Page 14: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Every employee is provided with a toolkit to help achieve

performance goals.

Employee Toolkit

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Employee Outcome Handbook

Employee Toolkit

Page 16: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Weekly Productivity

Employee Toolkit

Page 17: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Monthly Performance Scorecard

Employee Toolkit

Page 18: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Monthly Performance Scorecard

Employee Toolkit

Page 19: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Monthly Performance Scorecard

The Total Score section easily identifies an employees’ performance category for quarterly, bi-annual and annual evaluations.

Employee Toolkit

Page 20: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Monthly Performance Scorecard

Employee Toolkit

Page 21: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Monthly Leaderboards

Page 22: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Monthly Leaderboards

Page 23: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Monthly Leaderboards

Page 24: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Project Updates - Gamified

We use UpdateZen to gamify the way we

manage projects. Here are some of the

benefits: 1. Twitter-like approach to brief weekly updates on

projects

2. No large inbox to manage projects or project

updates anymore

3. Great way to acknowledge and recognize the

team!

4. Incredibly easy to implement

Page 25: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

An integral part of any program is an attached incentive plan. This is where

gamification comes into play! Employees are eligible to receive up to three

different badges each month if they meet specific criteria.

Exceeds Expectations: Employee must have a total score of 100% and

be nominated for recognition by their supervisor and manager.

Top Producer: Employee must have a productivity score of 100% and

have a high productivity metrics (i.e., 7.0). The top three employees of

each team will be awarded this badge.

Top Quality: Employee must have a quality score of 100% . The top

three employees of each team will be awarded this badge.

Employee Rewards Program

Page 26: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Results

REDUCTION IN DENIAL

TURNAROUND TIME

Page 27: Gamification in Revenue Management to Boost Cash Collection · 2017-07-20 · Gamification in Revenue Management to Boost Cash ... Conflict of Interest Adam Gobin, MPH MBA and Melissa

Value Step: Savings Financial/Business, Efficiency, Operational

7.9% 4 days

6.2%

*Changes occurred from Aug 2015 through Dec 2015

Emory continues to improve upon the newly established Performance Management program in order to

produce quality work product and increase efficiencies.

In 4 months, since go-live September 2015:

- 7.9% Increase in productivity performance

- 28.5% increase in our pre-certification productivity performance

- 0.6% increase in quality performance

- 4.1% increase in the quality of our clinical appeals work-product

- 3.5% increase in total performance

These increasing performance metrics are driving results in our AR metrics:

- 32 day reduction in average view age of accounts

- 6.2 % increase in net payments

- 6 day reduction in net days in AR