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e COMPANY OVERVIEW e eTBA’s Philosophy To 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 healthcare systems across the country. HEALTHCARE SYSTEM EXECUTIVE INFORMATION TOOLS CLINICALLY EXPERIENCED OPERATIONS CONSULTANTS TBA EXECUTIVE SOLUTIONS EXTERNAL DATA FROM COMPARABLE HOSPITALS Representative Listing of Clients e Hospital Location General Health, Inc. St. Thomas Hospital St. Mary's Medical Center La Porte Hospital Freeman Hospital Children's National Medical Center Providence Hospital Welborn Baptist Hospital Chestnut Hill Hospital Santa Rosa Health Care Corporation Baptist Hospital Western Pennsylvania Hospital Baton Rouge General Medical Center Riverside Medical Center Duncan Regional Hospital Bishop Clarkson Memorial Hospital All Children's Hospital Orlando Regional Medical Center Vermilion Hospital St. Vincent's Hospital Rapides Regional Medical Center Providence Hospital Northeast Georgia Medical Center St. Joseph's Hospital Medical Center East Maury Regional Hospital Mercy Hospital Holmes Regional Medical Center Cape Coral Hospital Baptist Hospital West Virginia University Hospital Hermann Hospital Middle Tennessee Medical Center Boca Raton Community Hospital North Broward Hospital District University Medical Center South Florida Baptist Hospital Wuesthoff Memorial Hospital South Miami Hospital Lakeland Regional Medical Center Bethesda Memorial Hospital Memorial Medical Center Naples Community Hospital North Shore Medical Center St. Anthony's Hospital St. Francis Hospital Cedars Medical Center Good Samaritan Hospital Baton Rouge, LA Nashville, TN Evansville, IN La Porte, IN Joplin, MO Washington, DC Mobile, AL Evansville, IL Philadelphia, PA San Antonio, TX Nashville, TN Pittsburg, PA Baton Rouge, LA Kankakee, IL Duncan, OK Omaha, NE St. Petersburg, FL Orlando, FL Lafayette, LA Birmingham, AL Alexandria, LA Southfield, MI Gainsville, GA Atlanta, GA Birmingham, AL Columbia, TN Miami, FL Melbourne, FL Cape Coral, FL Miami, FL Morgantown, WV Houston, TX Murfreesboro, TN Boca Raton, FL Ft. Lauderdale, FL Jacksonville, FL Plant City, FL Rockledge, FL Miami, FL Lakeland, FL Boynton Beach, FL Jacksonville, FL Naples, FL Miami, FL St. Petersburg, FL Miami, FL Miami, FL West Palm Beach, FL # of beds 450 570 552 227 175 279 349 407 210 780 759 542 450 348 152 325 168 1019 56 340 399 462 338 336 283 275 530 528 174 513 376 908 288 394 1400 517 147 303 178 897 362 363 420 357 434 273 585 343 e Product Overview Diverse Systems Integration embodies the current trends in Healthcare Decision Support and Executive Information for applications and structural standardization. Applications are standardized by capturing data from diverse network platforms in a customized EIS data repository completely compliant with Microsoft and IBM database standards so that end users may analyze data in a Windows environment with a near zero learning curve. Structures such as charge masters, management cost allocation matrixes, fixedvariable costing models, and labor segments are standardized to provide proven cost and utilization management solutions. APPLICATION STANDARDIZATION & DIVERSE SYSTEM INTEGRATION Standard Clinical and Cost Management Systems Healthcare Information Network Industry Standard Benchmarks Standardized Costing System Product Cost Management Labor Segmentation Standard GL-Codes, Service Codes, Fixed/Variable, and Cost Allocation Matrixes Fixed Variable Cost Matrix Strategic Cost Modeling Cost Management Microsoft & IBM Standard Architecture Clinical Systems Integrator Industry Standard Open Architecture Executive Reporting Matrix Compliant with ODBC & SQL Industry Standards Health System EIS Data Repository Workstation Clinical Systems Repository 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 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. Charge Master Standardization Benefits e Quality Assurance Revenue Management Support Services Executive Information Management Utilization Management Healthcare Network Cost Management RESULT: Efficient and Profitable Provision of Quality Healthcare Services to Large, More Sophisticated Purchasers e Charge Master Standardization Unit and Product Cost Pricing Strategies Hospital Comparative Analysis Accounting and Financial Reporting Charge Master Clinical Coding and Reimbursement Structural Optimization RESULT: Efficient Net Income Preservation Through Cost and Revenue Management 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 Clinical Systems Integrator e Patient Accounting Product Cost Management A/R and Bad Debt Masters CLINICAL SYSTEMS INTEGRATOR ______________ Clinical Systems Clinical Decision Support Data 1. CSI DBMS 2. Charge Master DBMS Oracle-Based Coder Object Linking and Embedding e Clinical Systems Integration e What is Clinical Systems Integration? The ultimate goal of Clinical Systems Integration is to effectively analyze the cost/profitability of product lines, managed care contracts, departments, physicians, etc. The analysis of this information is dependent upon a system that contains not only clinical information, but also accurate financial (revenue and expense) data. The lack of accurate and audited financial data within a clinical system is the most common reason for its limited use or non-use. Clinical System Patient Accounting eTBA's Clinical Systems Integrator (CSI) executes a consistent, automated flow of appropriate patient accounting and clinical data from diverse feeder systems that exist within the Healthcare Information Network (HIN) into CSI's unique Relational Database Management Engine. CSI's data standardization protocol then delivers output data to Decision Support nodes throughout the HIN. e PCM ERM: Executive Reporting Module If you already are a current PCM user, eTBA offers the PCM Executive Reporting Module. ERM will make sure your current version of PCM is running optimally, will allow you to diagnose your data sources if financial variances are out of the norm, and will provide you and your decision making executives with a monthly set of Executive Information Reports. ERM is a fully relational Database Management System (DBMS), which provides Object Linking and Embedding (OLE) capabilities. Thus, the executive user can analyze ERM data in other spreadsheet and/or database management systems. Each report pack compares the hospital's financials to both G/L Based and Clinical Decision Support Data in order to verify the integrity of your cost. It also provides detailed cost/profit information by department, as well as detailed fixed variable cost composition. e PCM: A Part of the Engine The Product Cost Management system supports any approach for the allocation of cost into departments and procedures, including RCCs, RVUs, standards and global statistics. Client hospitals with PCM will rest assured that an efficient process will continue to provide accurate product costing information. Diverse Systems Integration Industry Standard RVU Database Product Cost Management Standard Charge Master Structure Procedure Costing Database Labor Segmentation Fixed Variable Analysis Strategic Cost Modeling Cost Management Charge Master Standardization Procedure Clinical Utilization Database Quality, Utilization Analysis Procedure Pricing Database Comparative Database Review HCFA Medicare Claims Database Strategic Price Modeling Revenue Enhancement, Competitive Pricing Revenue Monitoring Systems e Cost Management Products Along with PCM, a suite of other cost management products are available from eTBA. Each product was developed as an independent module offering immediate and multiple benefits to client hospitals. Additionally, each module can be integrated through a common Charge Master Standardization engine to provide intra-hospital comparative and benchmarking capabilities unmatched in the healthcare industry today. OSI takes the guess work out of cost management. Product Cost Management Labor Segmentation Fixed/ Variable Cost Analysis Strategic Cost Modeling Healthcare System's Executive Information Tools RVU Development Department Cost Management e Hospital Location General Health, Inc. St. Thomas Hospital St. Mary's Medical Center La Porte Hospital Freeman Hospital Children's National Medical Center Providence Hospital Welborn Baptist Hospital Chestnut Hill Hospital Santa Rosa Health Care Corporation Baptist Hospital Western Pennsylvania Hospital Baton Rouge General Medical Center Riverside Medical Center Duncan Regional Hospital Bishop Clarkson Memorial Hospital All Children's Hospital Orlando Regional Medical Center Vermilion Hospital St. Vincent's Hospital Rapides Regional Medical Center Providence Hospital Northeast Georgia Medical Center St. Joseph's Hospital Medical Center East Maury Regional Hospital Mercy Hospital Holmes Regional Medical Center Cape Coral Hospital Baptist Hospital West Virginia University Hospital Hermann Hospital Middle Tennessee Medical Center Boca Raton Community Hospital North Broward Hospital District University Medical Center South Florida Baptist Hospital Wuesthoff Memorial Hospital South Miami Hospital Lakeland Regional Medical Center Bethesda Memorial Hospital Memorial Medical Center Naples Community Hospital North Shore Medical Center St. Anthony's Hospital St. Francis Hospital Cedars Medical Center Good Samaritan Hospital Baton Rouge, LA Nashville, TN Evansville, IN La Porte, IN Joplin, MO Washington, DC Mobile, AL Evansville, IL Philadelphia, PA San Antonio, TX Nashville, TN Pittsburg, PA Baton Rouge, LA Kankakee, IL Duncan, OK Omaha, NE St. Petersburg, FL Orlando, FL Lafayette, LA Birmingham, AL Alexandria, LA Southfield, MI Gainsville, GA Atlanta, GA Birmingham, AL Columbia, TN Miami, FL Melbourne, FL Cape Coral, FL Miami, FL Morgantown, WV Houston, TX Murfreesboro, TN Boca Raton, FL Ft. Lauderdale, FL Jacksonville, FL Plant City, FL Rockledge, FL Miami, FL Lakeland, FL Boynton Beach, FL Jacksonville, FL Naples, FL Miami, FL St. Petersburg, FL Miami, FL Miami, FL West Palm Beach, FL # of Beds 450 570 552 227 175 279 349 407 210 780 759 542 450 348 152 325 168 1019 56 340 399 462 338 336 283 275 530 528 174 513 376 908 288 394 1400 517 147 303 178 897 362 363 420 357 434 273 585 343