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Healthcare is an ever-evolving industry. To serve patients and meet business goals, hospitals must adapt to a new landscape, with different technologies, regulations and reimbursement models always appearing. Maximizing profitability and efficiency are two goals that often pose a challenge, as healthcare providers work to balance costs with effective, timely care and innovative services.
Since hospitals can be particularly complex healthcare systems, reaching these goals requires efforts across many parts of the business. Let’s explore some ways to increase profit in hospitals and healthcare systems and boost efficiency.
Contact our experts today to discuss how we can help optimize your hospital’s performance and maximize your bottom line.
Profitability depends on many different factors, including your approach to budgeting, technology, training and other elements. Here are some strategies to improve profits in hospitals for a healthier bottom line.
If you want to find opportunities and areas for improvement, you’ll need to know your revenue cycle on a deeper level. Better data can also help executive team members quickly make informed decisions.
To dive into your revenue cycle, consider implementing revenue cycle analytics. These solutions can turn the raw data into visualizations like graphs and charts and display them in an easy-to-understand dashboard. You can also improve the quality of the data that enters your analytics solution with better reporting tools.
Technology has seen huge advancements in recent years, so if you’re still running on outdated legacy technology, you’re likely missing out on significant profits. Some examples of cost-saving IT initiatives include decision support systems, electronic medical records (EMRs) and computerized physician order entry systems for prescriptions.
These digital technologies could offer significant benefits to hospital profitability. Annual savings from efficiency benefits alone could exceed $77 billion. By improving scheduling and coordination, for instance, a hospital could reduce hospital stays, increase productivity, and nurse administration time.
The safety benefits of healthcare IT can also boost your bottom line. A medication order system could alert physicians to potential drug reactions, helping eliminate adverse events overall. Healthcare IT technology can provide innumerable benefits for disease prevention and chronic disease management, which are becoming especially relevant in value-based care initiatives.
Readmissions are costly for the patient and the practice, and many of them are preventable. By collecting and analyzing data across the continuum of care, such as follow-up care, hospitals can focus on reducing readmission rates. Lower rates can help achieve maximum reimbursements and avoid penalizations from the Centers for Medicare and Medicaid Services (CMS).
The vendors you work with have extensive training and resources to devote to contract negotiation, ensuring that their company has the upper hand. Hospitals typically don’t have the same kind of resources, which can put you at a disadvantage. Spend some time on training to ensure that anyone making these agreements knows the basics of successful negotiation.
You may also want to consider working with a healthcare consultant. At Pathstone Partners, we come to negotiations prepared to make hospital profit improvements. We might collect data on supplier relationships, out-of-line pricing benchmarks, hospital growth and reimbursement rates to gain the most leverage before meeting with a vendor.
Your line-item analysis is a key part of understanding your monthly spending. Many hospitals are overpaying. A line-item analysis can provide additional security by confirming that all listed items and invoice pricing are included in the vendor contract and that hourly rates are consistent. Manual analysis is virtually impossible, even for smaller hospitals. Automated line-item analysis is another area where IT investments can help significantly.
Telehealth has seen a 38-fold increase from pre-pandemic numbers. Offering these digital service options can open up new revenue streams and expand your reach within a community. Telehealth is especially valuable in rural settings or in areas facing provider shortages, where it can make healthcare possible for people who would otherwise struggle to get to a doctor. Telehealth is also an excellent tool for managing chronic conditions and improving patient relationships.
Efficiency often goes hand in hand with other goals, like profitability and patient safety. Consider the following strategies if you’re looking to improve hospital efficiency.
Many patients, especially those with comorbid or chronic conditions, work with multiple providers. Even within one hospital, patients rely on the coordination of various departments. A visit to the emergency room might involve services from internal medicine, radiology, the lab and the pharmacy. Ensuring these departments are on the same page and collaborating with each other can help reduce the risk of errors and facilitate more efficient information sharing.
Departmental coordination can also support a positive, collaborative workplace culture and minimize the risk of data silos, miscommunications or redundancy. Some ways you might improve coordination include implementing cohesive technology solutions and creating cultural shifts.
A well-trained staff can work more efficiently, with less need to find answers to questions, fix errors or learn new concepts on the fly. Invest in your team and provide appropriate training. Stay on top of industry trends, new technologies and policy changes as they occur in the organization.
Putting patient safety first is a worthwhile goal on its own, but it can also increase hospital efficiency. Consider the time and costs associated with errors and delays. If you can avoid a misdiagnosis, you might also avoid the additional work it takes to address complications, legal issues or reputational damage. The additional diagnostic and treatment costs of poor patient safety can greatly impact efficiency and slow down your operations, further reducing profitability.
Look for initiatives that help you be proactive about safety. For example, using decision support systems or cracking down on administrative fraud can help you avoid problems altogether and eliminate the additional resources required to address them.
It’s no revelation that healthcare organizations are complex. With advanced technology demands, strict regulations, evolving patient needs, vendor complexity and labor challenges, there’s a lot to cover. Pathstone Partners puts experienced consultants on your side. With a focus on non-labor cost reduction, we’re dedicated to improving hospital profitability and efficiency across the board.
We start by identifying areas for opportunity in all non-labor spend categories. Then, we work as an extension of your team to implement and sustain savings initiatives, complete with training and talent development. As an industry leader, we know the value of a long-term partner you can trust for successful implementation and ongoing support.
Reach out to us today to see why over 175 hospitals across the United States have turned to Pathstone Partners for organizational transformation.
This article was authored by Yera Patel. Yera is a senior associate with expertise in performance improvement and non-labor cost reduction engagements at Pathstone Partners.
