Clients & Engagements

Project Highlights

Enterprise Strategy--Critical Issue Planning

  • Conduct high-level analysis to identify trends and pinpoint challenges.
  • Apply critical issue analysis to improve operating efficiency.
  • Develop operational plan to minimize challenges.

Case Study: 450-Bed Community Hospital with Teaching Affiliation

After concluding a strategic and master facility planning process, the hospital’s plans to rebuild its oldest wings, add a new Cancer Center, and improve parking were put on hold due to the continuing concerns with the economy.  Fortunately, a major focus of the planning process was a critical issue analysis which highlighted trends that would have a significant impact on demand, utilization and resource requirements.

With construction planning off the table, the hospital’s efforts were dedicated to implementing plans to improve patient throughout, enhance performance quality and patient safety.  Priorities included:

  • Bed urgency and poor ED throughout are being addressed with a focused approach to LOS management by case type and enhanced care coordination for older patients.
  • A new Geriatric Medicine Program will provide primary care and consultative services, continuity and coordination to improve senior health care services and reduce unnecessary hospital admissions.

In mid-2012, the hospital is reconsidering building plans with construction beginning in 2013.  They are revising projections and revisiting strategy to optimize the hospital’s position in the current environment.

Service Line Strategy

  • Evaluate options to grow the business now and over the next two to three years.
  • Use a multidisciplinary approach to business development.
  • Evaluate the environment, including the competition and service line trends.
  • Pull together data from disparate sources and data systems to compare with financial and performance benchmarks.
  • Identify areas to increase uniformity, reduce costs, increase productivity, and enhance quality.

Case Study:  500-Bed Community Hospital
With a large primary stroke center, a neuroscience unit, a wide range of neuroscience specialists and excellent neuroscience technology, this hospital had all the necessary components of a neuroscience center of excellence.  To integrate the service line components and establish priorities, medical staff leadership and key administrators worked together to establish a detailed and actionable neuroscience strategic plan.  Specifics included:

  • Plans for the growth of eight neuroscience services including targets for implementation and achievement.
  • Financial performance targets.
  • Development of evidence-based medical protocols and nursing procedures.
  • Internal and external marketing plans.

Community Health Needs Assessment

  • Identify and prioritize your community’s key health needs.
  • Collaborate with community organizations to provide a continuum of services to address priority needs.
  • Align community benefit planning with strategic initiatives.

Case Study:  Multi-Site Integrated Health System

Identifying and addressing community health needs and priorities is a major focus for this urban/suburban hospital system as it prepares its response to the new IRS rules. Working with a collaborative community advisory board, they conducted a community health needs assessment (CHNA) to determine the unmet needs of the communities and hospital utilization created a compelling case for refocusing the system’s community benefit activities, improving the health of area residents while reducing inappropriate utilization. 

Understanding system-wide competencies, community health priorities and existing financial commitments helped refocus community benefit programs on identified clinical priorities that align with strategic initiatives.  Key aspects included:

  • A community health index focusing attention on at-risk populations within the service area.
  • Review of utilization data to assess major areas of need in the community.
  • Focus groups and surveys to identify key populations’ health needs, priorities, and preferences.
  • Evaluation of current programs, their cost and impact on addressing community need and reducing health care costs.

The CHNA strategies allowed them to cost effectively:

  • Develop high quality needed services with very little upfront financial investment.
  • Expand the medical staff through strategic alliances.
  • Enhance community collaborations to provide patient care services and treatment in the most appropriate and lowest acuity settings.
  • Improve the system hospitals’ images with consumers, community agencies and area physicians through more effective communication and outreach.
An unanticipated benefit of the CHNA is the financial savings that has accrued to the hospital system and the community as a result of provider collaborations. Outcomes in the areas of improved health, enhanced quality and reduced cost resulted.