Business process improvement and change management have a direct connection to any change initiative. Hospital Network, a major hospital network in New York City, serves over a quarter of a million patients annually. The leadership team knew that to continue to deliver exceptional care, they had to improve their patient experience, cut costs, and standardize business practices across all network sites.
The organization’s mission is to serve their patients more efficiently, improve the working environment, increase employee engagement, and improve their CAHPS scores. We conducted a full business process assessment in the two areas of concern. We began with C-suite level and senior management discussions to assess current organizational effectiveness.
We collaborated with the Hospital Network teams to compile the general operational goals and develop a strategy to execute the goals as well as created task milestones, a project timeline, and success measurements. We discussed and agreed on the required resources for the project, a budget, and personnel. The project team partnered with key stakeholders and leadership to help plan and disburse project tasks.
Strategizing the solution required us to combine all the information collected and develop a Strategic Implementation Plan (SIP) that was a reference throughout the project. The SIP outlined the activities and decisions necessary to execute the desired goals, including the resources needed, assumptions, short- and long-term outcomes, the future state purpose of the project, roles and responsibilities of team members, and the budget.
Their goal was to raise their CAHPS scores that directly measured their patient experience and, ultimately, financial reimbursements from payers. We measured our success by comparing the current process time to the desired process time to reduce the patient wait time to 50% from the past process.
We analyzed all pertinent internal data: job descriptions, historical CAHPS scores, employee data, internal reporting, patient onsite turnover, standardized workflows, and call center intake and escalation process. The research conducted was on:
industry best practices
private practice best practicesup and coming technologiesnew integrated patient file repositoriesPress Gainey CAHPS survey questionnairecommon call center best practicesareas of opportunitystaffing rubric
At selected test sites, we conducted onsite observations of the day-to day-office operations, administered individual discovery interviews, organized focus groups and ideation sessions, ran patient perception interviews, produced patient and nursing staff journey maps, identified software gaps, reviewed potential upgrades or build-out opportunities and gathered business requirements.
We collaborated with site managers, as well as nursing and front-line staff during the discovery process and data collection. Our goal was to ensure each person felt heard and could contribute to this important initiative, and this was a consistent effort to keep all parties engaged throughout this process to ensure transparency, buy-in, and full adoption.
We drove a weekly senior management status meeting and reported on initial findings. We also presented additional document requests and discussed next steps. This exercise aided us in managing expectations, talking through possible solutions, and prioritizing project details.
Result - Deliverables
Operational assessment summary
Process map site operations
Gap analysis summary
Reporting dashboard template
Revised call center manual
Revised staffing matrix
Performance scorecard templates