outsourcing in healthcare best practices in process presentation to health technet december 14, 2001...

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OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP [email protected] Copyright 2001, All rights reserved

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Page 1: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

OUTSOURCING in HEALTHCARE

Best Practices in Process

Presentation to Health TechNet

December 14, 2001

James H. Wilkins, JrShaw Pittman, LLP

[email protected]

Copyright 2001, All rights reserved

Page 2: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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What is Outsourcing?

Infrastructure

Applications development

ASPs

Back office operations

Networks

Other services

Page 3: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Using the Right Process

Objectives of the process

• perform a comprehensive and disciplined evaluation of outsourcing

• maximize the benefits of competition

Page 4: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Suggested Steps

Form the team

Develop the right infrastructure

Identify your objectives

Avoid the traps

Evaluate the vendors by using a “term sheet”

Page 5: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Form the Team

Senior management team Evaluation team Class of service teams - - to perform detailed reviews and

provide input and assistance to the evaluation team Support teams Due Diligence Negotiation

Page 6: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Develop the Right Infrastructure

Understand existing operations

Modeling tools

Performance measures

Measure against objectives

Relationship management capabilities

Page 7: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Identify Your Objectives Objectives should be user focused

Write them down what are the drivers? look at all perspectives identify tensions

Gain consensus

Modify as appropriate

Use them! tell the vendors evaluation criteria

Page 8: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Avoiding the Traps

Top-down selling by the vendors

Imposing unnecessary secrecy

Failing to follow a disciplined process

Setting unrealistic schedule or goals

Page 9: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Avoiding the Traps (cont’d)

Sole source negotiation

Ignoring any aspect of the relationship

– define scope with precision

– do not evaluate and negotiate piecemeal

– do not delay due diligence

Not understanding pricing

Page 10: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Term Sheet

What to include:

Scope Quality Pricing Transition

Term and termination Key employees Service level credits

In other words, everything.

Page 11: OUTSOURCING in HEALTHCARE Best Practices in Process Presentation to Health TechNet December 14, 2001 James H. Wilkins, Jr Shaw Pittman, LLP james.wilkins@shawpittman.com

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Selected Issues

Termination for material breach -- the right standard? Service level credits Transition assistance Regulatory compliance Disaster recovery