winter 2012 here’s what’s happening! winter2014winter2014 finance team – welcome to 2014! i...

3
Winter 2012 Here’s What’s Happening! W I N T E R 2 0 1 4 Finance Team – Welcome to 2014! I hope you had a wonderful holiday season and were fortunate to spend it with family and friends. As we are already a month into the New Year, I also hope you have been able to keep most of your New Year’s resolutions….so far. Of course with every New Year we can expect changes. Some changes we create and then there are other people’s changes we have to manage. The changes expected of our industry have never been greater or more significant to Maryland health care systems. It is estimated that 10% of the population consumes about 68% of all care resources. Given this fact, hospitals are being asked to think very differently about the role they play in delivering care and how they can help reduce the total cost of treating patients. Of course, with our unique hospital rate setting system Maryland hospitals will have a unique response. One of the reasons our system is so unique FSS Please congratulate Albert Zanger on his recent promotion to Manager Case Mix and Fred Herman in his new role of Director Research Compliance Congratulations to Megan Irwin for being one of the first people in the country to pass the Epic Research Certification exam! Way to go Megan! Moving in… A New Year Message from our Executive Vice President and Chief Financial Officer Happy New Year!! Baby news… Congratulations to Rachel Graves and her husband Derek on the birth of their son Mason Richard. Mason was born on December 20 th at 9:49pm weighing 7 lbs 3.6 ozs. Please welcome the following new hires: Ratina Burris – Decision Support Alex Cossu – Decision Support Alisha Mainor – Decision Support Marian Harvin – Financial Reporting Steve Kaminski Reimbursement Derrek Myers – Reimbursement Steve Price – Reimbursement Moving up… Vol 3, Page 1 Change is the law of life. And those who look only to the past or present are certain to miss the future . President John F. Kennedy You were noticed…

Upload: edwin-wiggins

Post on 26-Dec-2015

217 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Winter 2012 Here’s What’s Happening! WINTER2014WINTER2014 Finance Team – Welcome to 2014! I hope you had a wonderful holiday season and were fortunate

Winter 2012

Here’s What’s Happening! WINTER

2014

Finance Team –

Welcome to 2014! I hope you had a wonderful holiday season and were fortunate to spend it with family and friends. As we are already a month into the New Year, I also hope you have been able to keep most of your New Year’s resolutions….so far.

Of course with every New Year we can expect changes. Some changes we create and then there are other people’s changes we have to manage.

The changes expected of our industry have never been greater or more significant to Maryland health care systems. It is estimated that 10% of the population consumes about 68% of all care resources. Given this fact, hospitals are being asked to think very differently about the role they play in delivering care and how they can help reduce the total cost of treating patients.

Of course, with our unique hospital rate setting system Maryland hospitals will have a unique response. One of the reasons our system is so unique is the “all-payor” nature of the model. The Health Services Cost Review Commission (HSCRC) sets hospital rates for all payors… even Medicare. This rate setting model results from an agreement (“Waiver”) Maryland has with Medicare to exempt Maryland hospitals from the national reimbursement model.

See WELCOME 2014, page two

FSS

Please congratulate Albert Zanger on his recent promotion to Manager Case Mix and Fred Herman in his new role of Director Research Compliance

Congratulations to Megan Irwin for being one of the first people in the country to pass the Epic Research Certification exam! Way to go Megan!

Moving in…

A New Year Message from our Executive Vice President and Chief Financial Officer

Happy New Year!! Baby news…Congratulations to Rachel Graves and her husband Derek on the birth of their son Mason Richard. Mason was born on December 20th at 9:49pm weighing 7 lbs 3.6 ozs.

Please welcome the following new hires:

Ratina Burris – Decision Support Alex Cossu – Decision Support

Alisha Mainor – Decision SupportMarian Harvin – Financial ReportingSteve Kaminski – ReimbursementDerrek Myers – ReimbursementSteve Price – Reimbursement

Moving up…

Vol 3, Page 1

Change is the law of life. And those who look only to the past or present are certain to miss the future.

President John F. Kennedy

You were noticed…

Page 2: Winter 2012 Here’s What’s Happening! WINTER2014WINTER2014 Finance Team – Welcome to 2014! I hope you had a wonderful holiday season and were fortunate

Winter 2012

Here’s What’s Happening!

WINTER

2014

FSS

Vol 3, Page 2

WELCOME 2014, continued from page one

After nearly a year long process, the HSCRC has developed a revised agreement with Medicare. The new waiver is a significant departure from the old agreement which simply focused on measuring the change in cost of care for inpatient services. The new Waiver will measure the “value” Maryland hospitals contribute to the health care needs of the population.

Value is created when needed services are provided at an efficient cost and at a high quality. While this concept seems straight forward, it will require some new thinking and actions by hospitals and physicians. One of the goals of the new Waiver is to get health care providers to ask new questions about their patients care such as:

1. Are there options to treat patients other than expensive inpatient hospital care.

2. Can that care be provided on an outpatient basis?

3. Should we consider alternative non-hospital facilities to provide care?

4. How do we increase the consistency of the care for those that do need to access hospital services?

This approach to delivering care represents a fundamental shift in how we think about our communities and our patients.

In anticipation of these changes to our industry we have reshaped the Medical System’s Strategic Plan. There are now nine key strategies:

1. Develop Population Health Capabilities

Develop the ability to manage and coordinate the care of select patient populations

2. Provide Access to Ambulatory Care

Develop an affordable and price competitive network of UMMS ambulatory care facilities

3. Enhance Clinical Integration

Create greater clinical, economic and structural alignment with our physician partners to achieve shared goals

4. Leverage Market Leading Clinical Programs

Differentiate System hospital clinical programs through formal clinical networks focused on coordinated care, patient experience, quality and a well-recognized brand

5. Maintain and Increase Scale and Geographic Reach

Expand our Maryland footprint through new relationships supported by less capital intensive investments (e.g. ambulatory care, physician network, TeleHealth, management services contracts)

6. Support a Workforce Dedicated to a Culture of Excellence

Ensure that the current UMMS workforce and pipeline of future talent:

- Are committed to delivering the best patient experience

- Have the appropriate education, skills and competencies

7. Invest in Advanced Information Technology

To support clinical integration, efficient operations and safe, effective patient care

8. Improve Cost Structure Efficiency

Focus on improving cost efficiency and affordability through process standardization and innovation to improve productivity.

See WELCOME 2014, page three

Page 3: Winter 2012 Here’s What’s Happening! WINTER2014WINTER2014 Finance Team – Welcome to 2014! I hope you had a wonderful holiday season and were fortunate

Winter 2012

Here’s What’s Happening!

WINTER

2014

FSS

Establish a defined criterion for the competencies, knowledge and skills that are required to successfully accomplish the work for which RRAS is responsible

Implement a system that is consistent across all RRAS functions

Develop career paths for employees that take combined individual interests with departmental needs and organizational strategy

Create a factually based feedback system for employees and managers that is ongoing, mutually beneficial, and accounts for current accomplishments, required performance standards, anticipated opportunities and future goals

Give the right combination of ownership and support for accomplishing career aspirations

Provide tools to measure progress

Every RRAS employee has to complete the IDP “tool”, an electronic form that offers a personalized look into the employee’s proficiency level progression using data from Competency & Function Profiles (both created by the entire RRAS team). The tool allows employees and managers a means for answering the age old question “How am I doing?” in a concrete consistent format (same for all employees). We are tracking our progress toward the completion of the IDP tool with the IDP Grand Prix, a fun and motivating race charted on a window in the RRAS department. Feel free to stop by and monitor our progress!

WELCOME 2014, continued from page two

9. Increase Philanthropy

Due to constrained operating margins and limits to debt capacity, Philanthropy will remain a crucial source of funds for strategic investments

I am truly excited about our future and I am positive we will succeed in this new health care world. I believe our industry will evolve significantly over the next three to five years and UMMS will be a leader in that evolution!

The continued support, service and dedication you provide to our hospitals will be critical to our success.

I wish to thank you for all you do to make UMMS a strong organization and a critical part of our Maryland Community.

Sincerely,

Henry J. Franey Executive Vice President & Chief Financial Officer – UMMS

There’s AnotherGrand PrixGoing On!

The Reimbursement and Revenue Advisory Services (RRAS) group has been working on a new pilot program called the Talent Enrichment Program (“TEP”). This program is RRAS’ next step in the evolution of the Knowledge Development Program (“KDP”), originally started by Financial Reporting. TEP has been in the works for 18 months and is finally coming together. A key component of TEP is the Individual Development Plan or IDP. In a nutshell, the objectives of the IDP include some of the following:

Thank you to those who contributed to this newsletter. I was not able to print everything in this edition but will include other items of interest in our spring letter.

Vol 3, Page 3