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Related Experiment Videos

Optimizing revenue cycle performance before, during, and after an EHR implementation.

Margaret Schuler, Jane Berkebile, Amanda Vallozzi

    Healthcare Financial Management : Journal of the Healthcare Financial Management Association
    |July 26, 2016
    PubMed
    Summary
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    Implementing electronic health records (EHR) poses revenue cycle risks. A proactive, three-phase strategy—pre-implementation issue identification, during-implementation oversight teams, and post-implementation reviews—mitigates these risks for hospitals.

    Area of Science:

    • Health Informatics
    • Healthcare Management
    • Revenue Cycle Management

    Background:

    • Electronic health record (EHR) systems are critical for modern healthcare delivery.
    • EHR implementation can introduce significant financial and operational risks, particularly to the revenue cycle.
    • Adverse revenue cycle activity can negatively impact hospital financial health.

    Purpose of the Study:

    • To outline a proactive, structured approach for mitigating risks associated with EHR implementation.
    • To guide hospitals and health systems in safeguarding their revenue cycle during EHR transitions.
    • To provide actionable strategies for managing the financial complexities of EHR adoption.

    Main Methods:

    • A three-phase mitigation strategy is proposed: pre-implementation, during-implementation, and post-implementation.

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  • Phase 1 involves proactive identification of potential revenue cycle issues before system launch.
  • Phase 2 focuses on establishing dedicated teams for operational oversight during the implementation period.
  • Phase 3 emphasizes regular post-implementation meetings to ensure system performance and address ongoing issues.

    • Main Results:

    • A structured, phased approach can effectively identify and address potential revenue cycle disruptions.
    • Dedicated oversight teams enhance operational stability during the critical EHR implementation phase.
    • Continuous monitoring and regular meetings post-implementation are crucial for sustained revenue cycle health.
    • Proactive risk mitigation minimizes financial losses and operational inefficiencies.

    Conclusions:

    • Hospitals and health systems can successfully navigate EHR implementation by adopting a deliberate, multi-phase risk management strategy.
    • Proactive planning and ongoing oversight are essential for protecting the revenue cycle during technology transitions.
    • The proposed three-phase approach provides a robust framework for minimizing adverse impacts and ensuring a smooth EHR transition.