Phase 1: Evaluation
Our consultation begins with an introductory conference call to the Client Hospital to understand the current environment and to assess how the Program operates.

Phase 2: On-site Visit
We typically spend several days on-site interviewing the stakeholders of the Program, including Hospitalists/Intensivists, Hospital Administration, members of the Medical Staff, financial associates, case managers, nurses, and all other physicians impacted by the program. We lead by listening and find it helpful to hear the perspective of every stakeholder involved.

Phase 3: Data Review and Analysis

• We review interview comments and analyze further information collected. This includes:

• Hospital statistics including ED, Hospitalist/Intensivist, Readmission Rates, Number of Consults/case and other data for analysis

• Coding, billing and collection data

• Length of Stay by MS DRG

• Job Descriptions

• Compensation Program

• Physician Staffing ratios

• Physician Scheduling

• Automated Systems in place

• Business Plan with Return on Investment analysis.

Phase 4: Recommendations
After analyzing the interview comments and thorough data review and analysis, our goal is to recommend the feasibility, proper design and necessary steps toward the establishment of potential solutions for the specialty being evaluated. Our recommendations are fair and equitable to all parties involved. The Client Hospital is provided a review of system operations, productivity, compensation and incentive programs with a business plan and return on investment analysis.

Our reports provide a detailed implementation plan with 30-60-90 day goals. HMR is available for 6 months after the consult to provide remote phone assistance to assure successful implementation. The client is able to implement the recommendations with confidence or may, on rare occasion, request our assistance through additional consultation services to assure successful implementation.

Detailed report includes:

• Examination and evaluation of all aspects of the current situation

• Recommended changes to enhance performance.

• A prediction of the potential impact of beginning or transitioning the program.

• Description of what would be required for the physicians and hospital to develop a state-of-the-art program.

• Findings from interviews of members of the Medical Staff and administrative leadership to identify political sensitivities, barriers and opportunities.

• Evaluation of hospital data to determine potential for volume and payor mix.

• Guidance regarding the financial model and assumptions necessary to demonstrate the Return on Investment of the program.

• Determination of adequate staffing, leadership and integration with Case Management and evaluation of billing and collection effectiveness.

• Recommendations for next steps for the 30-60-90 day plan.