|
 |
|
Cathy Idema, BS, MPH, CHC
President and CEO
Health Systems Management Network
| Education: |
Bachelor of Science in Nursing; University
of Michigan
Master’s in Public Health; University of Michigan |
| Experience: |
As president of Health Systems Management
Network, Inc. (HSMN), Ms. Idema directs a health care
management consulting practice which has as its focus
the support of the hospital’s revenue stream through operational
assessments of the documentation process, coding, charge
systems and the utilization of hospital resources. She
has led operations assessments and redesign engagements
in Admitting/Registration, Medical Records, Patient Accounts,
Case Management, Quality Improvement and Information Systems
in large academic medical centers. The common theme in
many of these projects has been the improvement in the
collection, documentation, coding and billing of clinical
data to support patient care and the revenue stream. In
addition, Ms. Idema has led a number of projects at large
academic medical centers (such as Massachusetts General,
Columbia Presbyterian, Hospital for Special Surgery, Beth
Israel, Boston Medical Center, and University of Chicago)
in which the engagement, education and support of the
Medical staff around documentation of care were critical
deliverables.
Ms. Idema has experience and knowledge of a variety of
payer regulations and reimbursement methodologies and
their relationship to quality clinical and demographic
data. As a result of her operations management experience,
she brings to engagements a deep understanding of the
points of disconnect in the collection and flow of data
critical to the revenue stream.
Most recently, Ms. Idema has led a number of projects
assisting hospitals to prepare for outpatient prospective
payment system (APGs or APCs). Success under outpatient
PPS requires significant improvement in the collection,
management, coding and reporting of clinical and demographic
data. Design and management of patient flows, particularly
as it relates to the determination and collection of co-pay
are critical. Also, Ms. Idema has designed workflows and
tools that bring together the billing of the ProFee with
the technical fee processes that are currently under scrutiny
by the OIG. |
|
Experience (other):
|
Prior to her consulting career, Ms.
Idema began her clinical and management experience at
the University of Michigan Medical Center, followed by
a post as the Director of Emergency Services and Ambulatory
Care at a large municipal facility in New York City and
then the same position at the Columbia Presbyterian Medical
Center, which included responsibility for the Ambulatory
Network Corporation. As a part of these management roles,
Ms. Idema designed new registration and coding practices
for technical and professional fee billing. In addition,
Ms. Idema developed and implemented performance indicators
for managing the quality of staff performance.
Ms. Idema is on the faculty at the Columbia University
School of Public Health and has published both clinical
and public health articles and books. Ms. Idema has recently
been a featured speaker at a number of national seminars
and at regional HFMA meetings. |
| |
|
|
|
