COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

 

DATE:

July 17, 2006

BOARD MEETING DATE:

August 15, 2006

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Nancy J. Steiger, Chief Executive Officer, San Mateo Medical Center

SUBJECT:

Addendum to the Advisory Board Membership Agreement

 

RECOMMENDATION:

Adopt a resolution authorizing an Addendum to the Advisory Board Membership Agreement adding the Revenue Cycle Compass Program, increasing the maximum amount by $194,700, bringing the total obligation to $238,500; extending the term to August 14, 2007; and adding language regarding Non-Discrimination and Other Requirements and Compliance with Contractor Employee Jury Service Ordinance to the original Agreement.

 

VISION ALIGNMENT:

Commitment: Responsive, effective and collaborative government

Goal 5: Government decisions are based on careful consideration of future impact, rather than temporary relief or immediate gain.

This program will assist all levels of management within the Medical Center

in solving contemporary issues and to develop strategic solutions to the

problems faced by many of SMMC’s peers. The program will help facilitate the

development of mid-level managers through the use of on-line informational tools

and creative problem solving techniques.

Performance Measure(s):

Measure

FY 2006-07
Projected

Increase in net Patient Revenue

$500,000

 

BACKGROUND:

On April 10, 2006, the Chief Executive Officer of SMMC approved an Agreement with the Advisory Board Company for membership to the Nursing Executive Center Program. The term of the membership is May 25, 2006 to May 24, 2007, with a maximum amount of $18,000. On June 6, 2006, the Purchasing Agent approved Change Order 1 to the Agreement, adding membership to the Health Care Advisory Board. Change Order 1 increased the maximum amount of the Agreement by $24,900, from $18,900 to $43,800. The term of the membership to the Healthcare Advisory Board is June 6, 2006 through June 5, 2007.

 

DISCUSSION:

The Revenue Cycle Compass Program will provide access to MedFinance web-based reporting and business intelligence solution, on-site training sessions with end users, and access to best practice research and tools to help San Mateo Medical Center (SMMC) improve revenue cycle performance.

Currently SMMC staff relies on multiple reports generated from the billing system to analyze and evaluate the status of accounts receivable. The current billing system does not have the current technology in which elements required to problem solve are available in one location. The Compass program consolidates all the elements necessary to evaluate accounts receivable at the fingertips of management and staff using web based technology. The Compass program will assist SMMC management and staff in analyzing root causes of denials, identifying at-risk accounts, developing collector work lists, evaluating the causes of bad debt, eliminating bottle-necks impacting unbilled AR, evaluating payer performance, screening for missing charges, evaluating employee performance, and benchmarking SMMC’s performance to the industry. All this information will be in one place at management’s and staff’s desktops via the web.

The benefits to SMMC are: improvement in performance measurements, capture of revenues that otherwise may have been lost or written-off, shift time and resources from laborious data collection and presentation preparation to analysis, intervention, and process improvement, development of problem-solving and decision-making capabilities, establishment of manager and staff accountability by tracking performance against key measurements and reporting results as well as notifying management of critical variances between results and key measurements, reduction of time for staff to access critical information thus improving staff productivity and efficiency, allowing “apples to apples” staff performance comparison to each other and to industry standards which allows management to identify staff training needs of the organization.

The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.

 

FISCAL IMPACT:

The maximum amount of the Agreement with the Advisory Board for the three programs is $238,500. The term of the Agreement is May 25, 2006 to August 14, 2007. Funds are included in SMMC’s tentatively adopted Budget for FY2006-07. Contract obligations for FY07-08 will be appropriated in future budget requests.