Friday, October 2, 2009

Valley Health Selects McKesson Solution to Meet Changing Revenue Management Needs


I am not sure IF the local media outlets were aware of this or not?  But, I don’t recall reading about it, maybe I missed it?  Also, I was not able find anything in Valley Health's website as of today, October 2, 2009.

As a another concerned citizen within the community was very adamant that I understood that we’ll never see money exchange hands with donations from Valley Health, it’ll always be an in-kind donation … AND they cannot give the nurses a much needed pay-raise and pay their blue-collar (house-keeping) workers more respective wages?  Those individuals are the glue that holds the entire VH organization together along with the physician staff and for the VH officials not to make their wages more competitive is just a shame.

As a former employee shared with me, Valley Health will redo a perfectly fine floor just to add a little pretty design in it.  How about them resealing the entire parking lot?  I asked a nurse, what was wrong with parking lot?  She quickly replied, "I don’t know as it looked fine to me, but I can tell you one thing, we like to see some of the money that they spend around here go into our paychecks."  Why does Valley Health spend money on projects that do not seem justifiable to their employees?  Well the perception is that they make so money, they must spend it.  All one needs to do is review Valley Health's profits over recent years and you will be able to determine if that perception is true.

One could easily foresee this new revenue management system being two-fold, maybe it will stop Valley Health from taking individuals to court to garnish their wages and in some cases, forcing individuals into bankruptcy and to aid Valley Health getting more money up front.

Below is a copy of the official press release that appears on the McKesson website.

 
Valley Health Selects McKesson Solution to Meet Changing Revenue Management Needs
June 12, 2009

New system to enhance front-end of patient care experience

Valley Health System, based in Winchester, Va., has chosen McKesson’s Horizon Enterprise Revenue Management™ solution to help transform the front end of its revenue management cycle. The five-hospital health system plans to use the solution to streamline patient access, connect to key business partners and determine financial responsibility in advance of care delivery.


“About two years ago, we launched a clinical information technology transformation at Valley Health in an effort to address patient safety and improve care for patients,” said Joan Roscoe, vice president and chief information officer at Valley Health. “We realized, however, that patients were starting to have increased expectations on the financial side as well. They want to make more informed decisions about where they are going for health care services, and they want timely information about their financial obligations.”

Valley Health leaders recognized the need for a new enterprise revenue management model to adapt to changing realities, including the rise of consumer-directed healthcare. For example, Valley Health needed access management functions that would enable staff members to work with patients earlier in the cycle.

“With the new system, we will concentrate on process improvement on the front end of the patient experience with the registration, eligibility and scheduling,” Roscoe said. “Our goal is to have staff members collect co-pays, ask questions and talk with patients about their financial responsibilities up front. In doing so, we can better serve our patients and achieve cleaner claims and more accurate billing.”

With the implementation of Horizon Enterprise Revenue Management, Valley Health will move away from a financial system supported by a number of bolt-on technologies that require a large number of staff members to touch each claim. “We have a traditional patient accounting system, but because there are so many changes every year, we kept adding bolt-ons to the point that it has become disjointed and challenging to manage,” said Neal McKnight, corporate director of patient accounting. “With the new system, we have one centralized solution that is designed to work together with our clinical systems – making it possible to experience great efficiencies throughout the organization.”

With system deployment set to begin in 2010, Valley Health expects to realize a number of operational benefits once the solution is fully rolled out. Based on McKnight’s estimates, the number of patients scheduled through a centralized scheduling system should increase by 30 percent, creating greater staff efficiencies and better resource management. Finally, he expects to increase the number of clean claims by 20 percent while cutting paper use in half.

“With continued financial pressure and impending healthcare reform, the ability to adapt to changing needs is more critical than ever,” said Loren Buysman, senior vice president and general manager, Revenue Cycle, McKesson Provider Technologies. “We are pleased to partner with progressive providers such as Valley Health to deliver a solution that will support their success in enterprise revenue management well into the future.”

 About Valley Health 
Valley Health is a non-profit regional healthcare system serving a population of 450,000 in northwest Virginia and eastern West Virginia. Valley Health includes five hospitals: Winchester Medical Center, a 411-bed regional referral center, Warren Memorial Hospital in Front Royal, VA, Shenandoah Memorial Hospital in Woodstock, VA, Page Memorial Hospital in Luray, VA, and Hampshire Memorial Hospital in Romney, WV. Valley Health also manages War Memorial Hospital in Berkeley Springs, WV, and operates Urgent Care and Quick Care centers, a regional medical transport service, durable medical equipment stores, and a retail pharmacy.


 About McKesson 
McKesson Corporation, currently ranked 15th on the FORTUNE 500, is a healthcare services and information technology company dedicated to helping its customers deliver high-quality healthcare by reducing costs, streamlining processes, and improving the quality and safety of patient care. McKesson has been in continuous operation for more than 175 years, making it the longest-operating company in healthcare today. Over the course of its history, McKesson has grown by providing pharmaceutical and medical-surgical supply management across the spectrum of care; healthcare information technology for hospitals, physicians, homecare and payors; hospital and retail pharmacy automation; and services for manufacturers and payors designed to improve outcomes for patients. For more information, visit http://www.mckesson.com
 


Thursday, October 1, 2009

How "not-for-profit" Hospitals are suppose to operate

Not-for-profit hospitals (NFPs), have operated free from federal and state taxes because they have promised the government that they would operate as a charity provider of health care for the uninsured and that they would not engage in business "directly or indirectly, for the benefit of private interests." In reality, some NFPs do just the opposite:
  • Charging their uninsured patients significantly more than those who have Insurance, Medicare or Medicaid;
  • Pursuing the poor or uninsured relentlessly by aggressive and humiliating collection techniques;
  • Rampantly violating federal and state prohibition against profiteering by "private interests, " through either "connected" board members and/or physicians whose for-profit businesses are formed and subsidized by the "tax-free" organization.

Certain NFPs, and their subsidiaries who employ the same business model, have amassed and hoarded billions of dollars in cash and marketable securities that otherwise would have been available to provide charity care to those who were contemplated by the tax exemption. Moreover, enormous property and revenues have been isolated from taxation, the effect of which has bestowed upon the NFPs greater liquidity than that possessed by most state and local governments.

Lawsuits have been filed against NFPs asking the Court simply to require the Defendants to honor their obligation to provide charity care to those who need it, and to cease the cronyism to favored board members or physicians whose businesses are being unlawfully subsidized by the perverse business practices summarized above.

Source: Not-For-Profit Hospitals Class Action Litigation Press Release


Endangered species?

Endangered Species?  "Not-For-Profit" hospitals face tax-exemption challenge:  How can you maintain your organization's tax exempt status?  One Way is to participate in the debate over how to measure charity care and community benefits

Healthcare Financial Management
September 2004
By Lisa Simonson Maiuro, Helen Schneider, Nicole Bellows

In February 2004, the Illinois Department of Revenue revoked the tax-exempt status of Provena Covenant Medical Center, a Catholic-affiliated not-for profit hospital in Urbana, because local tax authorities determined that it was not a charitable institution--a decision that the February 19 Wall Street Journal described as an "unusual move that is sending shock waves across the hospital industry." Not-for-profits across the country may be wondering, "Am I next?


For the remainder of this article, follow this link: 
http://findarticles.com/p/articles/mi_m3257/is_9_58/ai_n6210271 target="_blank"

Tuesday, September 29, 2009

Luractive Salaries of the NON-PROFIT's in and around 22601

There is a perception that working for a NON-PROFIT organization/institution has lucrative salaries.  There will be in-depth research conducted on this and the findings will be shared in the near future to negate or support this perception.

If you have any NON-PROFIT that should be included, please leave a comment with a list of the NON-PROFIT's that you want to be included in this research project.

OR

Contact me @ the following: The1nOnlyPIBB(at)gmail(dot)com

Winchester's TOP 50 employers 1st-Qtr-2009

Rank
Employer
Ownership
# of Employees
1
Valley Health System
Private
1000+
2
Rubbermaid Commercial Prod LLC
Private
500-999
3
Winchester City Public Schools
Local Gov't
500-999
4
Shenandoah University
Private
500-999
5
Wal Mart
Private
500-999
6
City of Winchester
Local Gov't
500-999
7
Martin's Food Market
Private
250-499
8
Trex Company Inc & Subsid
Private
250-499
9
U.S. Department of Defense
Fed Gov't
250-499
10
Osullivan Films Inc
Private
250-499
11
Grafton School, Inc.
Private
250-499
12
Midwesco Filter Resources
Private
100-249
13
National Fruit Product Company
Private
100-249
14
Red Lobster & The Olive Garden
Private
100-249
15
Federal Mogul Products
Private
100-249
16
The Home Depot
Private
100-249
17
Blue Ridge Hospice Inc
Private
100-249
18
Manpower Temporary Service
Private
100-249
19
U.S. Federal Bureau of Investigation
Fed Gov't
100-249
20
The Henkel Harris Company, Inc.
Private
100-249
21
American Woodmark Corporation
Private
100-249
22
World Wide Personnel Services
Private
100-249
23
Lowes' Home Centers, Inc.
Private
100-249
24
Postal Service
Fed Gov't
100-249
25
Evergreen Health & Rehabilitation
Private
100-249
26
Selma Medical Association
Private
100-249
27
Food Lion
Private
100-249
28
J.C. Penney Corporation, Inc
Private
100-249
29
Kohl's Department Stores
Private
100-249
30
Ashworth Brothers
Private
100-249
31
American Background Info Svcs
Private
100-249
32
Axiom Staffing Group
Private
100-249
33
Cracker Barrel Old Country Store
Private
100-249
34
Kelly Services, Inc.
Private
100-249
35
Winchester Evening Star
Private
100-249
36
Kingsdown
Private
100-249
37
Long John Silvers
Private
100-249
38
Abh Services Inc 
Private
100-249
39
Target Corp
Private
100-249
40
Premium of North Carolina Inc
Private
100-249
41
Sears Roebuck & Company, Inc.
Private
100-249
42
Onsite Engineering & Mana Inc
Private
100-249
43
BB & T Corp
Private
100-249
44
Custom Personnel Inc
Private
100-249
45
McDonald's
Private
50-99
46
McDonald's
Private
50-99
47
Best Western Inn
Private
50-99
48
Flying J, Inc.
Private
50-99
49
Yount Hyde & Barbour P C
Private
50-99
50
Chick-Fil-A
Private
50-99

   Source: VEC