Are you finding it difficult to undertake the rigorous effort of operational transformation required in today's health care industry? The maze of complicated clinical and financial operations can leave you with more questions than answers. Our team of clinical operations experts has vast experience working in the following health care environment:
- Inpatient acute hospitals
- Emergency Departments
- Behavioral health facilities
- Skilled nursing facilities
- Outpatient medical centers
- Federally Qualified Health Centers (FQHC)
- Rural Health Clinics (RHC)
- Independent physician practice associations
The key areas we focus on include:
- Behavioral health - Market demand analysis, revenue improvement, psychiatric hospital/units operational assessments, feasibility and planning for behavioral health specialty programs, integration of primary care/behavioral health, and emergency department specialty care for behavioral health patients.
- Care management, care coordination, and care transitions - Care management program development in the hospital, outpatient, and community settings.
- Risk management, medical record documentation and compliance, Minimum Data Set (MDS) compliance, and denial management.
- Ambulatory care redesign - Clinical practice transformation towards patient-centered care, including the medical home model. Integrated service models for primary care, behavioral health, oral health, and care management. Strategic planning for service enhancement to meet community needs based on community health needs assessment data.
- Operations assessments - A deep dive into health care operations to determine areas of inefficiency and/or noncompliance. Gap analysis and action-oriented work plans are developed and monitored to drive improvements.
- EHR/HIT selection and optimization for clinical documentation and quality reporting.
- Long-term post-acute care - Interim long-term care administration, business planning for the care continuum, and expert witness services.
We have specialized expertise in the California PRIME and Medi-Cal 2020 program associated with increasing access and quality of care for Medi-Cal patients in safety net, county, and district hospitals.
Does your healthcare organization have a plan to develop continuum of care models that include incentive pilots such as whole person care, population health management, behavioral health and primary care service integration? Are you leaving money on the table with limited participation in pay for performance initiatives? Not easy questions to answer. Contact us today and we will partner with you to help develop the right plans and programs for your health care organization.
Featured Thought Leader
Bonni R. Brownlee, MHA, CPHQ, PCMH CCEBonni Brownlee is a career health care management professional with over 25 years of experience in health program/systems design, strategic planning, clinical operations, performance improvement, change management, and integration of health information technology. Over the past 15 years, she has focused primarily on health care quality, applying quality improvement principles to a variety of health care settings and projects. Bonni currently works on clinical practice transformation, leading regional and national initiatives in support of clinical practices’ adoption of the patient-centered medical home (PCMH) model of care.
HFS Consultants joins Wipfli
HFS Consultants, out of Oakland, CA, has joined Wipfli’s team of professionals. As part of this merger, more than 70 HFS professionals have joined Wipfli's Health Care Practice. The combination with HFS Consultants presents Wipfli with opportunities to expand our physical presence in the western U.S. and to provide an even greater breadth and depth of services and resources to our clients in the ever-changing health care industry.