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IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2 nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant Professor, Baylor College of Medicine & George Evans Principal Consultant, Sagacious Consultants (now part of Accenture)
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IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

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Page 1: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

IT Transformation: Revenue Cycle Insights from the CIO

Wednesday, March 2nd 2016

Alexander Izaguirre, Ph.D., M.B.A.

Assistant Professor, Baylor College of Medicine

&

George Evans

Principal Consultant, Sagacious Consultants (now part of Accenture)

Page 2: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Disclosure

Alexander Izaguirre, Ph.D., M.B.A.

• Former CIO of Baylor College of Medicine

• Current Associate Professor Baylor College of Medicine

George Evans

• Principal Consultant at Sagacious Consultants (now part of Accenture)

Page 3: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Agenda

• Context

• Pillars of the Project

• Sourcing and Recruiting

• Retention and High Performing Teams

• Service Delivery

• Challenges and Integration Points

• Summary and Outcomes

Page 4: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Learning Objectives

• Design a Hiring Process to Capture Highly Qualified Candidates

• Write Job Descriptions that Set Clear Duties and Growth Paths

• Develop an Organizational Structure that Maximizes Employee Performance

• Create a Project Governance Process to Appropriately Align Organizational

Mission and IT Resources

• Formulate a Project Management Process to Insure Targets are Met

Page 5: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Value of HealthIT STEPS

Health IT Value

STEPS™ Documented Examples

Satisfaction Patient; Provider;

Staff; Other

Improved customer satisfaction by 62% overall. Improvement in execution of

projects and response to requests has resulted in more rapid implementation of

optimizations and correction of issues. Greater visibility into status of

projects/requests.

Treatment/ Clinical

Safety; Quality of

Care; Efficiency

Ranking and prioritization of projects has led to better deployment of resources

and more effective resolution of issues. Improvement in processes has led to

increased efficiency in clinician workflow.

Electronic info/ Data

Evidence Based

Medicine; Data

Sharing/Reporting

Increased use of performance metrics to insure service levels are maintained.

Prevention/ Patient Edu.

Prevention; Patient

Education

Improved project execution has led to more rapid implementation of

optimizations and more streamlined patient workflows.

Savings/ Financial

Efficiency Savings;

Operational

Savings

Establishing clear expectations and delivery timeframes has resulted in a better

allocation of resource to initiatives. Staff time spent pursuing information has

been reduced. Ranking and prioritization has insured that available resources

are directed at the most critical tasks.

Page 6: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Human Capital – Foundation for the Pillars of the Project

Recruitment & Retention

Positive Culture & Increased Competence

IT Governance

Page 7: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Pillars of the Project

Recruitment and Retention

High Performing Team

Service Delivery

• Pull instead of Push

• Structured Interview Process

• Specific Skills for each level

• Defined Path and Objectives

for Growth

• Mentoring Course Catalog and

Operations Shadowing

• Service Level Agreements

• Structured Project

Request Process

• Utilization Management

of Team Members

Page 8: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Sourcing and Recruiting

• Active Recruiting Strategies

• Personalized Relationship and Outreach

• Structured Interview Process

• Well Defined Candidate Evaluation Forms and Processes

• Creative Compensation Packages

• Dedicated Recruiting/HR Resources

Page 9: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Sourcing and Recruiting

OTOIT Engagement

Handbook

Page 10: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Active Recruitment Tactics

Personalized Communication

Page 11: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Interview Structure

Page 12: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Salary Leveling

IT Analyst

Technical Analyst

Systems and Applications Specialist II

EMR Applications Analyst

Applications Analyst II

Senior Applications Systems Analyst

Senior Clinical Applications Analyst

Programmer/Systems Analyst II

Programmer Analyst

Maintenance Analyst Level 3

Maintenance Analyst Level 2

Maintenance Analyst Level 1

Maintenance Analyst - Equivalent Salaries

Salary Range

Page 13: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

High Performing Teams

• Identifying and Coaching Low Performers

• Structuring the Team to Align with Tasks or Type of Work

• Creating Levels and Clear Growth Paths

• Structured Forums and Paths for Feedback

• Clear Job and Role Expectations (Competencies and Skills)

Page 14: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

High Performance Teams

Page 15: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

High Performance Teams

Help Desk Support –

Access

Help Desk Support – Revenue

Page 16: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

High Performance Teams

Page 17: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

High Performance Teams

Page 18: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Service Delivery

• Project Intake and Scoping Process

• Project Governance Processes

• Service Level Agreements

• Capacity Management Tools

• Improvements in Ticket Management System

• Workload Distribution

• Increased IT/Ops Communication

Page 19: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Service Delivery

Page 20: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Service Delivery

Page 21: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Service Delivery

Page 22: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Challenges/Integration Points

• HR/Recruiting

o Job Posting

o Compensation Leveling/Packages

o Recruiting Bandwidth

o Job Expectations

• Operations Team

o Service Level Agreements

o Project Intake and Governance Process

o Communication and Collaboration

Page 23: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Summary

• Filled All Open Positions Qualified Candidates

• Service Delivery Levels Improved Overall by 68%

• Key Categories: Innovation and Competency Improved by Over 100%

• No Turnover Occurrences from Any Employee Hired During Sourcing Process

• Employee and Customer Satisfaction Levels Improved Significantly

• Baylor College of Medicine Awarded: One of the Best Places to

Work in Healthcare 2015

Page 24: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Summary – Final Outcome

Page 25: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Summary – Final Results

Page 26: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Value of HealthIT STEPS

Health IT Value

STEPS™ Documented Examples

Satisfaction Patient; Provider;

Staff; Other

Improved customer satisfaction by 62% overall. Improvement in execution of

projects and response to requests has resulted in more rapid implementation of

optimizations and correction of issues. Greater visibility into status of

projects/requests.

Treatment/ Clinical

Safety; Quality of

Care; Efficiency

Ranking and prioritization of projects has led to better deployment of resources

and more effective resolution of issues. Improvement in processes has led to

increased efficiency in clinician workflow.

Electronic info/ Data

Evidence Based

Medicine; Data

Sharing/Reporting

Increased use of performance metrics to insure service levels are maintained.

Prevention/ Patient Edu.

Prevention; Patient

Education

Improved project execution has led to more rapid implementation of

optimizations and more streamlined patient workflows.

Savings/ Financial

Efficiency Savings;

Operational

Savings

Establishing clear expectations and delivery timeframes has resulted in a better

allocation of resource to initiatives. Staff time spent pursuing information has

been reduced. Ranking and prioritization has insured that available resources

are directed at the most critical tasks.

Page 27: IT Transformation: Revenue Cycle Insights from the CIO · IT Transformation: Revenue Cycle Insights from the CIO Wednesday, March 2nd 2016 Alexander Izaguirre, Ph.D., M.B.A. Assistant

Discussion & Questions

For more information, please contact:

Alexander Izaguirre, Ph.D., M.B.A.

• Former CIO of Baylor College of Medicine

• Current Associate Professor Baylor College of Medicine

[email protected]

George Evans

• Principal Consultant at Sagacious Consultants (now part of Accenture)

[email protected]