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Ambulatory Integration Concepts optimizes the financial and operational results of ambulatory transactions using a patent-pending process to align and deliver turnkey integration services. This yields substantial financial benefits to the acquiring organization while also resulting in more effective care for patients.




Ambulatory Integration Concepts has developed a proven, repeatable process for ambulatory integration that is so unique that it is currently patent pending.

This process is driven by strategy and best practices from throughout the industry and was developed during the integration of more than $2 billion in acquired assets by the Ambulatory Integration Concepts team.

The addition of Optimizer to your PACS will lead to increased job satisfaction, create a higher quality of work and will lead to a more efficient use of the radiologist. Regardless of the specific preferences radiologists prefer, the software balances the workload so all users receive the same volume of work.

The integration process begins by developing a comprehensive strategy that is driven by the tactical motivations behind the transaction. Ambulatory Integration Concepts conducts an in-depth analysis to understand all aspects of the transaction from assets included, to financial objectives, to payer and billing strategies. We use this information to help our clients establish objectives and a strategy for the acquired entities.

Based upon this strategy, Ambulatory Integration Concepts develops an integration plan focused on four major components: IT system and metrics; processes and workflow; human resources and culture; and network infrastructure. Not only is it important to address each of these components, it is equally critical to coordinate efforts to ensure comprehensive and cohesive results.

Reduce Costs

The company identifies workflow inefficiencies, redundancies, manual processes and compliance challenges that increase practice costs. Ambulatory Integration Concepts then works to align systems and workflows with best practices to achieve newfound efficiencies.




Integration Key to Success


There are abundant factors that can contribute to failed objectives, but the improper integration of the two entities is often quoted as a primary reason.

Why does integration so often fail? The fact is there are usually many reasons related to the vast number of challenges that must be identified and addressed in a coordinated way, including:
  • Strategy
  • IT systems and network design
  • Process and workflows
  • Human resources and culture

Strategy
Having an understanding of the motivations behind a transaction and the true potential of the combined entity allows the organization to identify clear objectives, which then guide the creation of an integration plan.

IT Systems and Network Design
It is important for healthcare systems to understand that outpatient ambulatory practices have different needs than hospitals, and consequently often require different or supplemental IT systems. IT systems should be assessed in conjunction with processes and workflows to ensure peak efficiencies. A proper complement of IT systems that not only support a practice, but help it optimize operations, is a critical objective of each integration.

Processes and Workflow
The goal should be to identify best practices that can be implemented across the ambulatory network to reduce costs, eliminate or reduce manual processes, enhance revenue and improve patient care. Best practices can come from existing entities, acquired entities or even outside sources.

Human Resources and Culture
General HR functions such as compensation models, benefits and job descriptions are obvious areas to address, but culture is a critical component that can be difficult to identify, measure and assess. If culture is not properly addressed, it can lead to critical turnover that negatively impacts both the return on investment and patient satisfaction.




Benefits


Ambulatory Integration Concepts uses its patent-pending process to manage all aspects of integration activities and help healthcare organizations achieve optimal results. This unique business process is designed to minimize the amount of time and cost involved with ambulatory integration activities while maximizing return on investment as well as delivery of patient care.

Hospitals and healthcare systems that seek to simply impose their existing processes, IT systems and HR policies onto an acquisition find that operating a hospital and an ambulatory practice are quite different. Organizations that do not effectively integrate their acquisition(s) are faced with a host of problems:
  • Revenues decrease or take longer to collect
  • Costs creep upward
  • Quality of care is negatively affected
  • Key physicians and other personnel depart

Maximize Revenue
A change in the ownership or control of an ambulatory practice can often lead to reimbursement challenges arising from IT complications, payer contracting difficulties, missed patient pay opportunities, accreditation problems and other issues. It is common for acquired practices to experience missed revenue opportunities, lower cash collections and mounting bad debt.

With this in mind, one focus area for Ambulatory Integration Concepts is helping the ambulatory practice optimize cash collections. This provides an immediate benefit to the acquiring healthcare system.

Ambulatory Integration Concepts helps the practice implement billing and collection systems and best practices while also ensuring compliance with the healthcare system’s billing policies. Another critical step in maximizing profitability and raising revenues can be achieved via increasing capacity and throughput by streamlining workflows and processes, which allows the practice to see more patients.

Reduce Costs
It is critical to improve efficiencies and reduce costs while increasing revenues to maximize financial returns. Ambulatory Integration Concepts helps clients optimize operations, one of the most important objectives of any integration project.

The company identifies workflow inefficiencies, redundancies, manual processes and compliance challenges that are increasing practice costs. Ambulatory Integration Concepts then works to align systems and workflows with best practices to achieve newfound efficiencies.

During the integration process, Ambulatory Integration Concepts determines the best way to optimize IT systems and networks. In addition to reducing duplication and identifying network improvements, it also results in enhanced access to data to more successfully manage operations.

Finally, Ambulatory Integration Concepts assists in identifying proper staffing levels, as well as minimizing or eliminating manual processes to improve productivity.

Enhance Quality
Providing physicians and other clinical personnel access to a complete patient medical record is one of the most valuable potential outcomes of any ambulatory transaction. When patients visit a medical practice affiliated with a healthcare system, they want that practice to have full access to their health records. From a patient perspective, this access to information is probably the most compelling result of ambulatory transactions and critical to enhancing the quality of care. Ambulatory Integration Concepts aggregates and integrates data sources and software platforms as part of its process to ensure information is readily available to clinicians.

An additional benefit of consolidation is the ability to share best practices across the larger organization. Ambulatory Integration Concepts can help clinicians throughout a network share ideas and identify best clinical practices.

The ability for clinicians throughout the continuum of care to have better access to patient information and clinical best practices not only adds convenience to the patient encounter, but it is also critical to providing coordinated care to achieve optimal patient outcomes.

Increase Retention
Cultural challenges are common when two or more organizations are brought together through an acquisition or merger. The result can be disastrous: there are instances where part or all of a valuable medical team left when their contracts expired, leaving the acquiring healthcare system with little more than a name and substantial financial loss.

Ambulatory Integration Concepts assesses cultural indicators and then uses the variances identified to develop action plans that address cultural differences. This approach drives improved physician and employee satisfaction, and consequently better retention of physicians and key management.

The actions around culture and human resource integration are designed to not only increase retention, but serve to increase productivity at all levels within the ambulatory practice as well. For example, fully integrated processes and systems allow clinicians to devote more attention to their patients and spend less time on administrative and clerical tasks, consequently leading to improved patient outcomes.




Benefits


Ambulatory Integration Concepts has developed a proven, repeatable process for ambulatory integration that is so unique that it is currently patent pending. This process is driven by strategy and best practices from throughout the industry and was developed during the integration of more than $2 billion in acquired assets by the Ambulatory Integration Concepts team.

The integration process begins by developing a comprehensive strategy that is guided by the objectives that initiated the transaction. Ambulatory Integration Concepts conducts an in-depth analysis and inventory of assets included in the transaction, such as facility, equipment and other resources, as well as requirements such as credentialing, payer contracts and billing strategies. The company then uses this information to help clients establish objectives for the integrated entity.

Based upon this strategy, Ambulatory Integration Concepts develops an integration plan focused on four major components: IT systems and metrics; processes and workflow; human resources and culture; and network infrastructure. Not only is it important to address each of these components, but it is equally critical to coordinate efforts to ensure comprehensive and cohesive results.



IT Systems and Metrics
One of the most significant challenges of healthcare integration is connecting the myriad of systems that support the various entities involved. Systems can include EHR, HIS, PACS, RIS, scheduling, billing, accounting, practice management, purchasing and more. It is critical to facilitate the secure exchange of patient information across systems to improve the patient experience and clinical results. In addition, it is equally as important to access business data from the numerous sources to track and measure results as well as manage the practice. Ambulatory Integration Concepts will:
  • Complete systems and network topologies to map the interaction of all existing systems supporting the practice(s)
  • Identify metrics to support optimal process and workflows
  • Select the correct complement of systems to support workflows, minimize manual processes and maximize efficiencies
  • Map data fields to fully integrate the database(s)
  • Implement a robust systems solution
Process and Workflow
In order to maximize efficiencies, improve financial results and provide the best possible patient care, it is important to identify best practices related to all processes and workflows utilized by the entities involved. These best practices may come from existing entities, acquired practices or even outside sources. Ambulatory Integration Concepts brings a vast amount of experience to this imperative, and will:
  • Create value maps to identify where value is realized by stakeholders
  • Develop workflow maps to document all manual and automated processes utilized by the practice(s)
  • Complete a variance analysis to determine opportunities for efficiencies
  • Help clinicians share clinical practices
  • Identify and implement best practices
Human Resources and Culture
While certain aspects of human resources such as compensation models, benefits and jobs descriptions are obvious, what is less apparent is the need to integrate the acquired practice’s culture into that of your organization. Ambulatory Integration Concepts will:
  • Map employee titles, responsibilities and compensation structures
  • Identify redundancies
  • Assess staffing efficiencies identified through the systems and processes analyses
  • Identify core cultural indicators
  • Formulate and implement a plan to address cultural variances
  • Identify turnover risks associated with cultural integration
Network Infrastructure
Developing a strong network infrastructure will benefit the ambulatory practice as well as the healthcare system or hospital. This facilitates data exchange as well as assisting in optimizing the efficiency and overall performance of the acquired practice. Ambulatory Integration Concepts will:
  • Map existing network infrastructure
  • Complete both logical and system topologies
  • Identify network needs for the preferred IT systems structure ascertained through the IT systems and metrics process
  • IImplement the network infrastructure including hardware and software





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