For Hospitals

Why choose Health Systems Management Network, Inc. to help your organization?

Hospitals face many different needs and issues in today's fast-paced healthcare environment. If you have faced or are facing any of the following issues, HSMN can help you as they have successfully helped your peers in these same areas. We are multifaceted in that HSMN has worked with small clients and clients with multiple hospital locations. Let us help you.

Financial Performance of your hospital indicates a decline in revenue, especially under OPPS.

Your hospital is trying to determine why the Case Mix for its inpatients is down.

Your hospital's margins are declining and you want to know what specific areas are driving the cost of care.

The Medical Staff are still referring patients to the hospital without appropriate Diagnoses and you are facing many denials by third-party payors.

In general, you have seen an increase in the number of denials by your third-party payors.

The Medical Staff is unhappy with the performance of Medical Records. Patient information isn't available on a timely basis for care.

The medical staff is finding that they have too many systems, both automated and manual, to record or find patient data.
The clinical nursing staff has complained that they are spending too much time with CYA documentation and the hospital needs more direct patient care nursing.
After inpatient and outpatient encounters, the medical staff finds it difficult to get information to the referring sources in a timely way.

Your hospital is concerned about medical staff compliance with documentation and wonder what the best approach is for educating the medical staff.

You are concerned that accounts receivable are on the rise and do not know the cause and want it fixed immediately.

The hospital is concerned about its cash flow and needs an infusion of cash; it wants a Cash Acceleration Program.

You are trying to decide what you should do about an "Electronic Patient Record." How do you do it and do you involve the medical staff in determining the need?

The hospital needs interim management for Admitting/Registration, Medical Records, and Patient Financial Services. These departments need to be rebuilt and leadership needs to be found that will move these key departments in "excellent Performers."

Analysis of the data integrity shows that parts of the IS system are overriding other parts, causing the big problems with coding and billing.

You suspect that despite recent changes to the Chargemaster, there are still issues related to claims submission and the integrity of the Chargemaster.

The entire clinical staff is up in arms because there is so much redundancy in the clinical documentation process. Where do you start to eliminate the inefficiencies?

Key hospital departments are in need of performance improvement plans, especially those that have the most direct impact on hospital Revenue.

Patient Access (admitting/registration)
Medical Records/Health Information
Patient Financial Services (billing, collection and follow-up)

Financial Assessment

The performance of each of the key areas of financial services is in question. How can improvements be made rapidly?

Health Systems Management Network is celebrating 20 years of advising CEO’s and CFO’s on the Physician Practices that their hospitals have acquired or seek to acquire. Our firm has provided Practice Evaluation and Comprehensive Financial Practice Management Services to hospitals and health care organizations that either want to acquire or have acquired Physician Practices.

All too often a Practice acquisition doesn’t deliver on the expectations everyone had going into the agreement. Therefore, evaluations of the physician practice status have become an essential tool in growing those relationships. But, evaluations are only meaningful when the efforts are made on behalf of each party with a focus on both the strategic goals of the organization and the career/financial goals of the provider. Too often the Practice Evaluation has been myopically focused only on financial audits rather than strengths, weaknesses and potential growth areas.

Our evaluations are comprehensive, reviewing every aspect of practice operations as well as the potential for growth. Our recent activities for a group of physicians and hospital owned clinics resulted in a thirty five percent improvement in all major indicators. More importantly, the evaluation helped the “Organization” have a better appreciation of the value of the practitioners to the hospital. For some others, the evaluations served to confirm that the relationship between the organization and Physician Practice were no longer satisfactory to either party.

CMS is constantly experimenting with new formulae that reinforce “good behaviors” in the treatment of patients by physicians. HSMN can help provide your medical staff with the tools they need to comply with any new scenario.