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Operational Solutions
Action Implementation
Does your organization have an action plan, but lack the time and manpower to actually implement it?
Many organizations need assistance with the implementation of strategic action plans. TCG assists organizations with creation of timelines and planning. We develop action plans that denote key actions, responsible parties and outcomes expected, and we provide on-site management assistance to complete specific key actions. We also offer telephone consultation to help guide the process for your organization's optimal success.
Business Integration
Does your organization need assistance in implementing and integrating services?
It is well known that 50% to 80% of mergers and acquisitions fail to meet investor or shareholder expectations. About 75% of health care mergers don't succeed financially because of problems with cultural issues that surface when staffs are merged. TCG is well versed in assisting providers in redesigning corporate and organizational structures. That's why we may be immersed in the project throughout the entire life cycle of a merger or acquisition by sharing our experience in organizational redesign. Our goal is to create a model specific to each client that is flexible and will help the client position itself for a smooth transition in the management and structure of care delivery. We approach the integration process with the following in mind:
- Corporate Culture
Evaluating the corporate culture of organizations is the primary focus when contemplating a merger. The focus is not merely putting two companies together but integrating into one entity functioning to assimilate processes, jobs, skills and competencies. The goal is an efficiently run organization that has blended two separate cultures into a new corporate culture. - Human Resources Evaluation
The transition into a new corporate culture can be difficult, but TCG’s expertise in specific human resource alterations can help you start off on the right foot. Specialized TCG Associates conduct human resources evaluations, which concentrate on functions such as policies, procedures, mission, vision and values. We pay special attention to training and development strategies, culture, and opinion survey data. These reviews result in an extensive analysis of how organizations can become fully functional and integrated. - Finance
From brief evaluations of a billing department to in-depth reviews of an organization's financial operation, TCG is prepared to do it all. We analyze the financial climate of an organization and the staff's ability to adapt to current policies and procedures to meet the demands of managed care contracts, preferred provider networks and
Medicare reimbursement.
We review the organization's financial history by using the Medicare cost report, financial statements and annual reports. TCG's financial experts gather financial history by conducting interviews with staff and evaluating management processes of the administrative departments.
As a result of our analysis, we use our expertise to prepare budget projections that support the redesign of an organization. These projections help to determine the immediate impact of the design on operations and to guide staff during the implementation process.
- Software Conversion and Implementation
To maintain the financial health of an organization during the integration process, the decisions regarding both clinical and financial information systems must be effectively implemented and be seamless to both organizations. TCG's team of experts in home care technology is available to assist with every step of the implementation process. - Operations
Following reorganization, TCG assists clients with the process of administrative and clinical services integration, including evaluation of office locations, assessing the need for consolidations. We also tailor the optimal benchmarks for services, processes, policies and procedures for the organization. Our expertise includes integration of marketing activities, intake and referral services, finance and billing functions and information systems.
Regulatory Compliance
TCG has a demonstrated track record for interpreting federal Medicare regulations and their impact on the reorganization or mergers of home health and hospice providers. We closely monitor changes in the Medicare Conditions of Participation to stay current and knowledgeable in this specialized area.
Operational/Clinical Review
Are you unsure of your compliance level but would like to find out?
To determine an organization's level of compliance with regulatory and accrediting bodies, TCG conducts on-site reviews. There are many aspects of an operational audit, including conducting interviews with staff, management and patients, reviewing personnel files, policies and procedures, quality improvement records and any other pertinent documents. In addition, TCG performs audits that support the voluntary disclosure process. Our research will determine which areas need the most attention and, after assessing your operational and clinical functions, we will brief you on our findings and submit personalized solutions, specific to your organization's needs.
PPS Analysis & Performance Improvement Protocols
Are you unsure whether your organization is performing as well as it should under the Medicare Prospective Payment System (PPS)?
Understanding and effectively managing case-mix and utilization are the keys to success under PPS. TCG can help you perform a detailed analysis of these key elements, identify specific areas for improvement and create customized solutions to improve your financial and clinical outcomes. Our services include:
- Detailed data analysis of case mix, utilization and profitability patterns
- Assessment of diagnosis coding practices, OASIS integrity and care management model and tools
- OASIS M0825 Audits for therapy utilization
- Organizational benchmarking against existing industry measures
- Creation of customized strategies including acuity-based clinical protocols for specific diagnoses and other care management tools
- Development of "what if" scenarios that illustrate the impact of projected strategies on profitability
Oasis Competency Development
Are your clinical staff providing the right type and the right amount of care at the right time?
Utilizing Outcome Assessment and Information Set (OASIS), Home Health Resource Groups (HHRGs) and other assessment criteria related to specific diagnoses, TCG has developed OASIS competency evaluation tools that help clinicians improve their ability to assess and code OASIS assessments. TCG provides training customized to your agency's case mix and OASIS standards of practice, and has competency testing tools to help you measure clinical assessment improvements.
Process Improvement
Would you like to streamline your operational process?
Leading the way in consulting for operational and clinical efficiency, TCG assists in transforming your organization by reducing costs and setting into place objectives that complement your organization's culture. TCG advises clients in improving competitiveness by addressing quality of care issues and managing costs to optimize efficiency. We are committed to providing a practical and effective approach to improving quality.
Transitional Management
Has a vacancy in your top-level management team slowed operations?
TCG can place skilled individuals in critical transitional management positions, such as Chief Executive Officer, Chief Operating Officer, Chief Financial Officer and Executive Director. Our Associates have the experience and knowledge to make critical day-to-day decisions about top-level management in order to move your organization forward.