Need to roll out operational cost reductions?

(1)

Need to roll out

operational cost

reductions?

(2)

As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs while improving clinical outcomes. Selective outsourcing of operational services can help reduce costs and improve operational

efficiencies resulting in better clinical outcomes, improved patient satisfaction and enhanced employee satisfaction. Outsourcing can also help health care providers focus staff resources on core competencies like patient care.

VHA and Novation offer members outsourcing of operational services including food and nutrition, patient transport, housekeeping, laundry and linen services, pharmaceutical and hazardous waste management, document management including scanning, print shop and mailroom services, document shredding, and health care marketing services. Additionally, VHA and Novation offer members assistance with capital equipment planning, budgeting, purchasing, installing, maintaining and disposing as well as financial advisory services, real estate advisory services and master facility planning.

VHA has the right tools.

u

Operational support solutions

Asset disposition

Centurion Service Group, LLC (SVC977)

Asset maintenance services

Great American Insurance Group (U0929)

Mediserve (SVC836)

Capital and real estate advisory services

Lillibridge Healthcare Services, Inc. (SVC947)

Capital and technology informatics

MD Buyline, Inc. (SVC983)

Capital equipment sourcing and planning tools

Attainia, Inc. (SV40010)

Clinical equipment maintenance

GE Healthcare CompreCare (SVC833) Great American Insurance Group (U0929)

Mediserve (SVC836)

Sodexo Operations, LLC (SVC820) Universal Hospital Services (U0932)

Document and printer management

IKON Office Solutions, Inc. (SVC948) Xerox Corporation (SVC811)

Document destruction

Cintas Corporation (SVC966) Shred-it USA, Inc. (SVC927)

Elevator and escalator maintenance

KONE Corporation (U0818)

Otis Elevator Company (SVC960) ThyssenKrupp Elevator Corporation (SVC1000)

Environmental services

Crothall Services Group, Inc. (SVC827) Sodexo Operations, LLC (SVC820)

Equipment and technology planning

RTKL Associates, Inc. (SVC944)

Food and nutrition services

Morrison Management Specialists, Inc. (SVC826) Sodexo Operations, LLC (SVC820)

Hazardous waste management services

Clean Harbors Environmental Services, Inc. (SVC1011)

Stericycle (SVC1013)

Inventory control

RGIS, LLC (U0928)

(3)

“It’s really a partnership where the managers we have working at the hospital are considered part of

the staff, they’re integrated into everything we do, and as a result, it’s been a win-win between Union

Memorial, Crothall and Morrison.”

Neil MacDonald, vice president of operations, Union Memorial Hospital

“Sodexo eliminates the days when cold trays by the patient’s

bedside led to waste and disappointment, and it has been such

a satisfier for both patients and families — who can also order

from the menu and have meals at the bedside.

”

Robert Longo, chief executive officer,

Good Samaritan Health System

Language interpretation services

SpectraCorp Technologies Group, Inc. (IT173)

Laundry and linen services

Crothall Services Group (SVC827) Sodexo Operations, LLC (SVC820)

Managed print service and print shop

IKON Office Solutions, Inc. (SVC948)

Xerox (SVC811)

Market intelligence

Thomson Reuters (IT154)

Marketing services including social media,

Internet, Yellow Pages and direct mail

Berry Network (MIS019)

Operational benchmarking

Patient transport

Pharmaceutical waste management services

Clean Harbors Environmental Services, Inc. (SVC1011)

Stericycle (SVC1013)

Plant operations and maintenance management

Reusable Sharps containers and Sharps waste

management

Daniels Sharpsmart (MS01221)

Stericycle (MS01222)

Strategic planning and space utilization

RTKL Associates, Inc. (SVC944)

Uniform services

(4)

On average, the typical budget for services rivals that for medical supplies in the majority of hospitals today. As a result, many consider services as the next major area of focus for their revenue enhancement efforts. VHA can provide you with the top 10 areas to focus your cost reduction efforts – along with a review of your performance against national benchmarks and a plan on how to implement changes – to help you improve your cash flow.

Call 800.437.3293 or visit www.vha.com/cashflow.

Supply spend

Services spend

52%

48%

VHA offers a variety of Purchased Services

suppliers to meet members’ needs. Supplier

portfolios include:

• Clinical and Financial Solutions

• Information Technology and

Telecommunications Solutions

• Labor Management Solutions

• Operational Support Solutions

“We improved the quality

and efficiency of the print

center’s services and

expanded our document

management capabilities

— all while reducing costs

over $220,000 from the

previous year.”

Diane Waters, purchasing

manager for Pitt County

Memorial Hospital

Cintas and Shred-it, Novation suppliers for

document destruction services, collectively help

members save nearly 13 million trees per year and

more than 1.25 million cubic yards of landfill space

through their recycling programs.

(5)

Need a better way to

reduce the pressure

of clinical and

(6)

Clinical and financial solutions

As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs and seek new revenue streams while continuing to improve clinical outcomes. Selective outsourcing of clinical services can help reduce costs, generate new revenue and improve patient satisfaction. Optimizing processes and transactions across the entire revenue cycle helps drive increased reimbursements, improved cash flow and better regulatory compliance.

VHA and Novation offer members outsourcing of clinical services including behavioral health, wound care management, inpatient

and outpatient rehabilitation, anesthesia management and operating room services such as perfusion, surgical first assistants, clinical technicians, minimally-invasive surgical support and sterile processing management. VHA and Novation also offer a complete revenue cycle management portfolio including HIM, medical coding services, electronic payment solutions, clinical compliance management, accounts receivable services, document conversion and imaging services, chargemaster and strategic pricing services, self-pay and eligibility management solutions, and medical transcription services.

u

VHA has the right prescription.

Accounts payable audit and recovery

Business Strategies, Inc. (SVC962)

Anesthesia management and consulting

Premier Anesthesia (SVC1014)

Behavioral health and psychiatric services

Diamond Healthcare Corporation (SVC990)

Chargemaster and pricing services

PARA Healthcare Financial Services (SVC1001)

Document management and conversion

EDCO Group, Inc. (SVC981)

Financial advisory and acquisition services

Ponder & Co. (SVC946)

HIM software (encoding, etc.)

3M Health Information Systems (IT128)

ICD-10 services and consulting

3M Health Information Systems (IT128)

CARE Communications, Inc. (SVC972) Deloitte Consulting

United Audit Systems, Inc. (SVC931) VitalWare

Medical coding services

CARE Communications, Inc. (SVC972) United Audit Systems, Inc. (SVC931)

Medical device reprocessing

Ascent Healthcare Solutions, Inc. (SVC970) Hygia Health Services, Inc. (U0707)

Outsourced clinical services (OR, sterile

processing management, surgical support)

SpecialtyCare, Inc. (SVC939)

Patient billing and payment

(7)

“We have been able to complete charts quicker,

which has allowed us to drop patient bills

sooner. As a result, we’ve seen two days

reduced from accounts receivable.”

Deloris Farthing, RHIA, director, Health Information

Management, Hays Medical Center

“Our morbidity and mortality rates are significantly less than national benchmarks, which

speaks to the talent, skills and knowledge of SpecialtyCare’s perfusionists,”

Kourosh Baghelai, M.D., chief of cardiothoracic surgery, Lakeland HealthCare

Patient eligibility/verification and self pay

RelayHealth (SVC994)

P-cards and e-payables

Bank of America (SVC1006)

PNC Bank (SVC1007)

Perfusion services

SpecialtyCare, Inc. (SVC939)

Pharmacy repackaging

Safecor Health, LLC (U0814

RAC services and software

3M Health Information Systems (IT128) CARE Communications, Inc. (SVC972)

Rehabilitation services

Milestone Healthcare, Inc. (SVC941) RehabCare Group, Inc. (SVC843)

Revenue cycle management consulting services

Deloitte Consulting

Transcription services

CBay Systems and Services, Inc. (U0627) Spheris Operations, LLC/MedQuist (SVC850) Transcend Services, Inc. (SVC991)

Wound care management and consulting

Diversified Clinical Services, Inc. (SVC919)

(8)

With the first wave of Baby Boomers entering

Medicare in 2011, expenditures for post-acute

services (excluding home health) are projected

to increase 113% from 2007 to 2021.*

Supply spend Services spend

52%

48%

*MedPAC Data Book, June 2009; does not include Home Health or Medicare Advantage

Call 800.437.3293 or visit www.vha.com/cashflow.

portfolios include:

•

Clinical and Financial Solutions

•

Information Technology and

•

Labor Management Solutions

•

Operational Support Solutions

“Sentara had not previously

tried reprocessing, but I

saw it as one way to help

us achieve our financial

goals, while also doing

our part to protect the

environment.”

Jean Potter, former

standardization/utilization

manager, Sentara Healthcare

(9)

Managing information

is the key to

operational

efficiency.

(10)

As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs while maintaining or improving clinical outcomes. Information technology and telecommunications play a vital role in helping providers improve operational efficiencies and manage information in every area of patient care, reimbursement and compliance. From wireless devices and personal computers to enterprise-wide IT systems and electronic medical records management, information technology and telecommunications services streamline processes, improve communication, provide

immediate access to patient data, and assist with more accurate and timely claims submissions – leading to improved cash flow. VHA and Novation are committed to helping members reduce costs, increase revenues, improve outcomes and increase overall effectiveness through the use of technology. Our contract portfolio includes the following telecommunications, IT infrastructure and IT applications contracts:

VHA has your tech support.

u

Information technology and telecommunications solutions

Asset tracking (RFID)

Aeroscout (U0815)

Ekahau, Inc. (U0816)

TeleTracking Technologies, Inc. (SVC984)

Bed tracking/patient flow

TeleTracking Technologies, Inc. (SVC984)

Community health needs assessment (Web based)

Healthy Communities Institute (SVC1009)

Data management solution services

GHX (U01047X)

Directory and operator assistance

SpectraCorp Technologies Group, Inc. (IT173)

Document conversion and storage

EDCO Group, Inc. (SVC981)

Document management and imaging software

IKON Office Solutions, Inc. (SVC948) Xerox (SVC811)

Electronic medical records

athenahealth, Inc. (SVC1004) Greenway Medical Technologies, Inc. (IT195) NextGen Healthcare Information Systems, Inc. (IT196)

Enterprise software integration

CDW Government, LLC (IT178)

ePlus Technology, Inc. (IT132) Insight Public Sector, Inc. (IT194) MoreDirect, Inc./PC Connection (U0919) Paragon Development Systems (SVC1003)

Equipment leasing

ePlus Group (IT132A)

IT hardware, software and accessories

CDW Government, LLC (IT178)

Information technology consulting

(11)

“Our applications run faster and perform better … enabling

us to implement a network solution that will help our

clinicians provide rapid, quality patient care.”

Eric Mynster, IT operations manager,

Mercy Memorial Hospital System

“A critical factor in providing better patient care is putting the right information in the hands of

the right clinician at the right time. In a short period of time, our clinicians have made significant

improvements in clinical quality and patient safety.”

Bill Moore, chief information officer, Parrish Medical Center

Mobile patient data delivery

Non-acute revenue cycle

athenahealth, Inc. (SVC1004)

Physician practice management

athenahealth, Inc. (SVC1004) Greenway Medical Technologies, Inc. (IT195) NextGen Healthcare Information Systems, Inc. (IT196)

Telecom audit

Business Strategy, Inc. (SVC962)

Telesoft Corporation (U1043)

Telecom communications systems

CDW Government, LLC (IT178

Virtual conferencing

CDW Government, LLC (IT178) ePlus Technology, Inc. (IT132) Insight Public Sector, Inc. (IT194) MoreDirect, Inc./PC Connection (U0919) Paragon Development Systems (SVC1003)

SpectraCorp (IT173)

Wireless

AT&T Wireless (IT141) Sprint, Nextel (IT158) Verizon Wireless (SV0070)

Wireline telecommunications

AT&T (IT193)

(12)

Call 800.437.3293 or visit www.vha.com/cashflow.

Supply spend

Services spend

52%

48%

Members have a combined spend of $1 billion

on VHA information technology and telecom

contracts.

“It would have cost us at least

$1 million over five years

to continue down the road

we were previously on, and

that’s with no replication

of our data. Now we’re

spending much less with

data replication and a

one-time cost per image.”

Alberto Kywi, vice president and

chief information officer, Cottage

Health System

portfolios include:

•

(13)

Do your staffing

needs require

(14)

VHA can help STAT.

As competition increases for reimbursement dollars, health care providers are more pressured than ever to reduce costs while improving clinical outcomes and HCAHPS. Proper staffing at all levels in the organization is a critical component of improving overall performance including clinical outcomes, patient satisfaction and employee satisfaction. However, management of staffing can be a challenge, and many health care organizations contract with multiple staffing agencies which prevents them from achieving best pricing.

VHA and Novation offer members a variety of staffing and human resource solutions on contract. From physician staffing, nurse staffing, allied health staffing and pharmacy staffing to IT staffing, administrative staffing and executive-level recruitment, members have access to industry-leading staffing and services companies, including the three largest in the industry. Additionally, VHA and Novation offer time and attendance software and relocation and storage services which assist human resource professionals with recruiting top talent and managing day-to-day operations and reporting.

u

Labor management solutions

Accounting and financial staffing

Spherion Staffing, LLC (SVC974)

The Mergis Group (SVC974)

Administrative and clerical staffing

Spherion Staffing, LLC (SVC974) Today’s Office (SVC974)

Allied staffing

Club Staffing (SVC942)

Cross Country Staffing (SVC1005) Resources on Call (SVC942)

Billing and collections staffing

Spherion Staffing, LLC (SVC974)

CRNA staffing

Jackson & Coker (SVC999) LocumTenens.com (SVC999)

Employee satisfaction survey & consulting services

Morehead Associates (U0925)

Executive recruitment services

Furst Group (U0933)

Witt/Kieffer, Ford, Hadelman, Lloyd Corp (SVC876)

IT staffing services

Parker Healthcare IT (SVC999) Spherion Staffing, LLC (SVC974)

Technisource (SVC974)

Learning management systems

Mzinga (U0923)

PerforMax3, Inc. (U0820)

Nurse practitioner & physician assistant staffing

Advanced Practice (SVC999)

Nurse staffing

AMN Healthcare, Inc. (SVC942) Cross Country Staffing (SVC1005)

Pharmacy staffing

Jackson Pharmacy Professionals (SVC999)

Physician staffing (locum tenens)

Jackson & Coker (SVC999) LocumTenens.com (SVC999)

(15)

“With one radiologist, I couldn’t keep up with a robust

schedule. By having an efficient locums radiologist who

reads exams in a timely, quality manner, patients didn’t

have to wait as long for appointments and results, and

we were able to increase our patient numbers to where

we wanted them to be. And with exam results in the

system sooner, we can bill for them sooner as well.

”

Connie Deardorff, breast health program manager,

Athens Regional Medical Center

Relocation services

Allied Van Lines, Inc. (SV0030) Armstrong Relocation Company (SV0040) Atlas Van Lines, Inc. (SV0060) Cartus Corporation (U0817)

Therapy staffing

Jackson Therapy Partners (SVC999)

Travel nurse staffing

AMN Healthcare, Inc. (SVC942) Cross Country Staffing (SVC1005) Travel Nurse Solutions (SVC999)

Vendor management services

AMN Healthcare, Inc. (SVC942) Cross Country Staffing (SVC1005)

According to a new research study published in the New England Journal of Medicine, when

nurse staffing levels fell below target levels in a large hospital, more patients died. “Hospitals

need to know what their nursing needs are for their patients, and they need to bring staffing

into line,” says Jack Needleman, professor of health services at the School of Public Health of

the University of California Los Angeles.

(16)

Call 800.437.3293 or visit www.vha.com/cashflow.

Supply spend

Services spend

52%

48%

portfolios include:

•