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Case Studies for Margin Improvement for Healthcare Solutions

Caldwell Butler & Associates | Heathcare Case Studies | ED, Surgery, Patient Flow, Admissions, Discharge

Waste Reduction/Cost Recovery

Just Four CBA 100 Day Workouts Deliver Over 1,200 Completed Changes, Some with 98% CFO Approval

Situation

As a winner of the 2011 Malcolm Baldrige National Quality Award, patient satisfaction is important to the Henry Ford Health System, a not-for-profi t corporation founded in 1915 by auto pioneer Henry Ford and consisting of hospitals, medical centers and the Henry Ford Medical Group of more…

Baldrige Award Winner Selects CBA to Maintain Highest Patient Satisfaction Ratings and Sees $1.8M in Implemented Savings to Boot

Situation

Hill Country Memorial is a non-tax-supported, 86-licensed bed facility, with a state-of-art ICU wing and a new surgical department, all delivering programs and services to the Fredericksburg, TX community. It employs nearly 700 staff.

Hill Country Memorial had won the 2014 Malcolm Baldrige National Quality Award…

Division of Henry Ford Health System Completes Over 860 Changes in Just Two CBA 100 Day Workouts

Situation

As a winner of the 2011 Malcolm Baldrige National Quality Award, patient satisfaction is important to the Henry Ford Health System, a not-for-profi t corporation founded in 1915 by auto pioneer Henry Ford and consisting of hospitals, medical centers and the Henry Ford Medical Group of more than 1,200…

CBA 100 Day Workouts Deliver 50% Reduction in Wait Times for Appointments and Strengthen Patient Engagement.

Situation

As a winner of the 2011 Malcolm Baldrige National Quality Award, patient satisfaction is important to the Henry Ford Health System, a not-for-profi t corporation founded in 1915 by auto pioneer Henry Ford and consisting of hospitals, medical centers and the Henry Ford Medical Group of more…

Agnesian Healthcare Nets $6.12M in CFOValidated Savings with CBA’s High Impact Margin Improvements and 100 Day Workouts

Situation

Agnesian Healthcare, an integrated, not-for-profit, community-based healthcare system, faced several key challenges, including:

  • Declining reimbursement rates.
  • Competing for patients with surrounding, well-known healthcare organizations.
  • Searching for ways to stem the erosion of operating margins and minimize or eliminate their budget gap.
  • Needing…

CBA’s Sustainable Approach Helps Olathe Medical Center Realize $8.7M in Savings, Then Complete Three More Workouts On Their Ow

Situation

Olathe Medical Center, an independent and locally owned system delivering a wide range of high-tech care in Olathe, Kansas, was looking for an action-oriented solution to help solve the following challenges:

  • Community was growing, giving Olathe an opportunity to grab outpatient market share and expand…

CBA’s Helps Net $5.4M in Completed Savings for Unionized, Hybrid Critical Access and Community Hospital

Situation

Heywood Hospital, is a non-profit, community hospital in Gardner, MA. Located about 90 minutes from Boston, this unique organization supports the rural community with both critical access care from one 25-bed hospital, as well as inpatient and outpatient services via its traditional, 100-bed community hospital and physician practices. They came…

CBA’s 100-Day Workouts and High Impact Margin Improvements Net Maricopa $77.9M in CFO-Validated Savings

Situation

Maricopa Integrated Health System (MIHS), a health care safety net for citizens of Maricopa County, AZ, faced fundamental challenges that made it diffi cult for them to be profi table, including:

  • Geographic/demographic challenges
    • Serve people of many races and nationalities, speaking different languages.

Providence Sacred Heart achieves strategic margin improvement by implmenting a Transformation Management System

Providence Sacred Heart achieves strategic margin improvement by implmenting a Transformation Management System

Providence Sacred Heart is a 628 bed, critical access hospital in Spokane, Washington. The senior leadership found themselves faced with a changing payer mix, declining reimbursements and admissions. Couple that with mounting bad debt and…

Monadnock Community Hospital Avoids Ruin with Margin Improvements

Since 1992, the State of New Hampshire and the state?s hospitals have engaged in what has been called ?an accounting sleight of hand? whereby the state taxed hospitals under something called the ?Medicare Enhancement Tax,? originally established to allow the state to qualify for federal matching funds. The state…

Central Vermont Medical Center Faces Financial Challenges

Central Vermont Medical Center, a locally owned and operated, not-for-profit medical system with 130 acute care beds, was facing the prospect of a reduction in force of 30 FTE stemming from reductions in admissions and declining reimbursement. Rather than continuing to rely on benchmarks, Lean-Six Sigma or slash and…

Fairfield Medical Center Looks for Fast-Paced Method to Achieve Operating Margin Goals

Fairfield Medical Center, a 220 bed not-for-profit medical system located in the Midwest had been facing escalating margin pressures and set a goal of improving their operating margin by $10 million by year's end. Years earlier, Fairfield had embarked on a quality journey and made substantial investments in their…

Yavapai Regional Medical Center Prepares for Healthcare Reform

Yavapai Regional Medical Center, a locally owned and operated not-for-profit medical system located in the Southwest, encompasses two campuses with a total of 200+ acute beds. The leadership team elected to embark on the goal of preparing for healthcare reform with an emphasis on preserving their operating margin. Senior…

Deaconess Health System At Risk for Losing $750K Due to Compliance Challenges

Deaconess' Needs

  • Improve CMS Measure Compliance
  • Decrease time to implement changes
  • Improve team analysis capabilities
  • Stabilize compliance results
  • Sustain 100% compliance

Deaconess Health System struggled with maintaining consistent compliance of 17 CMS core measures. In spite of significant investment…

Western Maryland Health System Facing Financial Issues

Caldwell Butler & Associates (CBA) implemented an on-site mentoring and apprenticing program for selected members of WMHS staff. Leaders and managers received training in the 100 Day Workout Methodology and support from Lean-Six Sigma Blackbelts for the purpose of optimizing patient flow and capacity. Each cycle of the 100…

River Region Faced Unfavorable Management Care Contract

River Region Medical Center, a multi-hospital system located in Vicksburg, Mississippi, faced significant cost issues resulting from aggressive renegotiation from their largest payor. In addition, the Emergency Department found patients were frequently "Leaving Without Treatment" (LWOTs) and ED patient satisfaction fell below the 5th percentile. River Region's senior management…

West Jefferson Medical Center Proactively Improves Cost Position

Caldwell Butler & Associates (CBA) implemented an on-site mentoring and apprenticing program for selected members of WJMC staff. Leaders and managers received training in the 100 Day Workout Methodology for the purpose of identifying waste and developing effective strategies for waste recovery. Each cycle of the 100 Day Workout…

Yuma Regional Medical Center Prepares for the Future

YRMC, a 400 bed hospital system located in the Yuma, Arizona, market was enjoying solid operating margins but knew that pending pressures were mounting. In spite of its strong market position, YRMC's senior management wanted to be proactive in strengthening their current quality program to ensure YRMC's continual success.…

ED

Good Samaritan searches for solution to ED overcrowding after best practices, ED redesign, and consulting fail to produce results

Good Samaritan Hospital, a 300 bed acute care hospital located in Lebanon, PA was facing an over crowded emergency department (ED) but was determined to reduce wait times and improve patient flow throughout its facility. Good Samaritan embarked on an initial strategy of implementing best practices in the ED.…

Morton Plant realizes over $4 Million in ED flow improvement while increasing patient satisfaction 56 percent

Morton Plant Hospital, a 687 bed facility located in Clearwater, Florida, and winner of all categories of the Top 100, as well as, the Florida Quality Award, was facing serious overcrowding in the Emergency Department. The ED was frequently on diversion and an alarming number of patients were “Leaving…

Surgery

Havasu Regional Medical Center Needed Increased Throughput in the OR

Havasu Regional Medical Center is located in a resort-retirement community that creates significant fluctuations in their volume. Primarily, the volume increases during the winter months when the community is heavily visited by retirees desiring warmer climates. The leadership team was under growing pressure to maintain operating margins and recognized…

Yakima Valley Memorial Hospital Realizes $1 million and Dramatically Improves Surgery Flow

Yakima Valley Memorial Hospital, a 300-bed facility located in Yakima Valley, Washington, was facing serious productivity challenges in its perioperative service. The organization exhibited excessive variation in surgical flow, including late first case start times, slow room turnover and lengthy delays in the Pre-Surgical Testing Clinic (PST). This was…

Southeast Alabama Medical Center Significantly Improves Surgery Productivity

Southeast Alabama, a 370 bed facility located in Dothan, Alabama, was facing serious productivity challenges in its perioperative service. The organization exhibited excessive variation in surgical flow, including late first case start times, slow room turnover and lengthy delays in the Pre-Surgical Testing Clinic (PST). This was driving a…

Patient Flow

Monadnock Community Hospital Avoids Ruin with Margin Improvements

Since 1992, the State of New Hampshire and the state?s hospitals have engaged in what has been called ?an accounting sleight of hand? whereby the state taxed hospitals under something called the ?Medicare Enhancement Tax,? originally established to allow the state to qualify for federal matching funds. The state…

Miami Baptist Realizes $4.2 Million by Improving Patient Flow

Miami Baptist, a 520 bed facility located in Miami, Florida, was facing serious bed shortage and overcrowding in the Emergency Department. Inpatient volume was increasing at an alarming rate and the ED was frequently on diversion. Patients were "Leaving Without Treatment" (LWOTs) and overcrowding was affecting patient satisfaction scores…

Harris Methodist saves $648,695 through SIPOC process changes

Harris Methodist, a 229 bed facility located in Fort Worth, Texas, is a full service hospital with over 630 employed physicians. Although the hospital has been successfully treating patients for over 20 years, it was experiencing a major problem in its emergency department-slow patient throughput was causing numerous complaints,…