Maverick Healthcare Consulting is a firm with a passion for improving healthcare quality

Quality-Driven Margin Enhancement

About Our Firm
"Even hospitals that traditionally have been
among the best capitalized and financially
robust say they are rethinking priorities and
looking for ways to cut expenses."
"As budgets tighten, more people decide
medical care can wait."
In the recent fiscal quarter, it has become increasingly
apparent that the weakening world and domestic
economy is beginning to have a
significant negative
impact on physicians and hospitals. As a result, many
hospitals and health systems are turning to
"traditional" cost cutting and layoff strategies.

While these traditional strategies are effective where
"fat" exists to be trimmed, beyond that point they can
result in detrimental reductions in quality and service
levels... which drive away patients and physicians,
and result in a "downward spiral" of reduced volume,
reduced revenue, and the need for
more cost cutting
in order to survive.

So what can the reasonably efficient organization do
when its cost structure still exceeds revenues?

Maverick has found that a focus on the elimination of
dangerous nosocomial events can have a
significant
positive impact
on both cost structure and quality of
care. This not only allows an organization to address
current financial realities, but more importantly,
positions it for breakthrough growth as the economy
improves.
For example, while evaluating the revenue risk that the
new Medicare reimbursement regulations posed for
one Midwestern client, we discovered something
interesting: the excess costs exceeded the
reimbursement risk by a factor of 4:1. The table to the
right outlines the excess cost this client experienced
during the first half of 2008 for some of the more
prevalent HACs.

Because this particular organization had implemented
innovations in organization, process, and infrastructure
required to manage nosocomial events, their
incidence of hospital acquired conditions was
approximately one fourth of that experienced
nationally.

This quality advantage translated into a $7 to $10
million margin impact - a savings that would have
otherwise required layoff of 140 to 200 employees to
achieve. Perhaps even more importantly, they have
grown market share during a troubled time. Volume
declines have been minimized, and they are well
positioned for breakthrough growth as economic
conditions improve.

For more information, and to discuss how this
approach can help your organization to weather the
current economic storm, contact us here.
Condition

Pressure Ulcer

DVT/PE

Falls

SSI

UTI

VCAI
Average Cost
per Case
$15,000

$5,000

$5,000

$5,000

$20,000

$45,000
Hospital Acquired Conditions
The "real" risk is around cost, not
reimbursement