2008 QUEST Award Winners
Revenue Cycle Improvement
Efficiency Improvement
Patient Safety Improvement
Nursing Care Delivery Improvement
Revenue Cycle Improvement
Pattie A. Clay Regional Medical Center (Richmond, KY)
By using QuadraMed Revenue Cycle Solutions and reengineering billing processes, the 105-bed hospital in Richmond, Ky., boosted cash flow by 5.6 percent in 2007 and projects that collections will rise 6.3% in 2008. QuadraMed applications have helped the provider process payments faster and immediately review and qualify self-pay patients, if eligible, for charity care. The Pattie A. Clay facility also reduced days in accounts receivable (AR) from 53 days in 2006 to 48 days in 2007. As of April 2008, the facility had maintained AR days at 48.
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Efficiency Improvement
Princeton Healthcare System (Princeton, NJ)
Princeton Healthcare System realized outstanding efficiencies in the registration of inpatient, outpatient and emergency department (ED) patients by implementing several QuadraMed applications, including QuadraMed Registration, a comprehensive ADT system. As a result, patient satisfaction has improved dramatically, as measured by Press Ganey scores. For instance, outpatient registration scores rose from the 32nd percentile to the 90th percentile. The following changes demonstrate the dramatic improvement: length of the registration process decreased by 68 percent; patient wait times dropped 69 percent; days in AR decreased 30 percent; and cash collections increased 20 percent.
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Patient Safety Improvement
Riverview Hospital (Noblesville, IN)
Riverview Hospital customized a skin/wound assessment tool embedded in QuadraMed CPR to identify when pressure ulcers or bedsores are present on admission (POA). This POA indicator is vital to reimbursement because effective Oct. 1, 2008, the Centers for Medicare & Medicaid Services will not reimburse hospitals for the extra cost of treating eight conditions that patients acquire during their hospitalization, including bedsores. Since rolling out the tool, Riverview nurses have been able to track wounds more consistently and implement preventative care measures sooner.
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Nursing Care Delivery Improvement
Memorial Healthcare System (Frederick, MD)
Memorial Healthcare System implemented QuadraMed's AcuityPlus Emerge Methodology. As a tool for classification of patients and determination of their acuity at discharge, the AcuityPlus Emerge Methodology also generates a charge for patients treated in the emergency department. This procedure replaced a subjective determination of charges and aligns the charge with the patient's acuity. Frederick Memorial's ED has realized an increase in revenue since implementing this charging procedure; there are no missing charges and the level of charges is consistent.
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