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eTBA’s Philosophy To e Solutions eTBA brings several areas of expertise together, delivering the missing link in healthcare executive information. Our firm integrates clinical operations expertise, diverse software proficiency, and external database sources to produce cost-effective executive information solutions. Our turnkey solutions, which bring about immediate and verifiable results, leverage the sizable investment made in existing systems. eTBA solutions have been tested and proven in major hospitals across the country. HEALTHCARE SYSTEM EXECUTIVE INFORMATION TOOLS CLINICALLY EXPERIENCED OPERATIONS CONSULTANTS eTBA EXECUTIVE SOLUTIONS EXTERNAL DATA FROM COMPARABLE HEALTHCARE SYSTEMS Applications Standardization & Diverse System Integration e Standard Clinical and Cost Management Systems Healthcare Information Network Industry Standard Benchmarks Product Cost Management Standardized Costing System Standard GL-Codes, Service Codes, Fixed/Variable, and Cost Allocation Matrixes Labor Fixed Variable Segmentation Cost Matrix Strategic Cost Modeling Cost Management Clinical Systems Integrator Microsoft & IBM Standard Architecture Executive Reporting Matrix Compliant with ODBC & SQL Industry Standards Health System EIS Data Repository Industry Standard Open Architecture Workstation Clinical Systems Repository Clinical Systems Integrator e Patient Accounting Product Cost Management STANDARD QUERY LANGUAGE A/R and Bad Debt Masters CLINICAL SYSTEMS INTEGRATOR Microsoft Windows Open Services Architecture (WOSA), ODBC, & SQL Industry Standards Clinical Systems Clinical Decision Support Data OPEN DATABASE CONNECTIVITY Product Cost Management e General Ledger PCM Executive Reporting Module Standardized Charge Master Other Remote Systems PRODUCT COST MANAGEMENT ______________ 1. General Ledger DBMS 2. Charge Master DBMS Clinical Decision Support System Object Linking and Embedding e Database Overview PROCEDURE REVENUE AND USAGE DATA CHARGE MASTER CODER PROCEDURE COSTING & UTILIZATION DATABASE 100% PROCEDURE LEVEL MATCH PROCEDURE PRICING DATABASE REVENUE MANAGEMENT COST MANAGEMENT UTILIZATION MANAGEMENT e Database Overview CHARGE MASTER CODER PROCEDURE COSTING & UTILIZATION DATABASE PROCEDURE 100% PROCEDURE LEVEL MATCH PRICING DATABASE REVENUE MANAGEMENT COST MANAGEMENT • Standard Cost Flow Engines • Comprehensive Report Audits • Design of Homogeneous Labor Segments • Quantitative Fixed/Variable Cost Analysis • Standardization of Cost Management Engines • Analysis of Cost Segments within Procedure Costing Database • Comparison of Hospital RVUs to Industry Standard RVUs UTILIZATION MANAGEMENT • Standardization of Clinical Product Lines • Treatment Profile Development through Multi Hospital Analysis • Customized Drilldown in Procedure Comparative Database • RESULT: Statistically Valid Clinical Treatment Profiles • Standard Procedure Comparative Database • Comparative Database Review • Charge Master Redesign • Net Revenue Realization and Revenue Monitoring • RESULT: Optimal Charge Master Structure and Income Realization Database Overview (Input/Output) e INPUT • Data only accepted where common eTBA systems, methodologies, and definitions are in place • Data integrity assured because common systems have been proven over several years and many clients • Data is real world versus hypothetical should be CHARGE MASTER CODER PROCEDURE COSTING & UTILIZATION DATABASE 100% PROCEDURE LEVEL MATCH PROCEDURE PRICING DATABASE OUTPUT • Ability to extract data by hospital groups such as region, hospital type, and/or organization • Ability to produce homogeneous data samples by department, DRG, product line, procedure, etc. • Ability to identify areas where performance is sub-par in relation to other comparable hospitals and then address internally. In cooperative hospital groups, identification may present the opportunity to investigate top performing hospitals to learn of operational differences. Cost Management Products e Product Cost Management Labor Segmentation Fixed/ Variable Cost Analysis Strategic Cost Modeling Trendstar Decision Support Software RVU Development Department Cost Management e Cost Management Products Sophisticated Audit Report Production and Interpretation Reconciliation of Financial Statements to Product Costing System Unique Cost Flow Process Complete Departmental Revenue Reconciliation Product Cost Management RESULT: Efficient Cost / Revenue Flow and Audit Production of Executive Report Package to Increase System Credibility Cost Management Products e Use of Operationally Correct Labor Equations Ensures Model Credibility Foundation: Homogeneous Labor Segments Utilization of Actual Data as Baseline Labor Segmentation And Fixed/Variable Cost Analysis RESULT: Quantitative Fixed/Variable Percentages Automated Link to PCM Engine Cost Management Products e PAYROLL SYSTEM F LABOR SEGMENTATION RESULT: Advanced Data Bases Which Allow for Immediate Isolation and Quantification of Macro-Level Labor Segments for Cost Reduction IXED/VARIABLE COST ANALYSIS RESULT: Sophisticated Fixed/Variable Percentages Support both Short and Long Range Variable Cost Modeling Based on Relevant Ranges of Volume Labor Cost Management e LABOR POOL LABOR SEGMENTATION CORE NON-CORE OVERTIME POLICY DRIVEN VARIABLE MINIMUM OR TARGET CORE Conversion of fixed hours to variable hours Increased productivity over time Conversion of core to minimum core Conversion of premium pay FTE's to standard pay VARIABLE LABOR POOL RESULT: Greater Labor Variability e Strategic Planning Targeted Utilization Management Contract Negotiation Labor Segment Analysis Strategic Cost Modeling RESULT: Profit Maximization Cost Reduction Measurement