CAPABILITIES & QUALIFICATIONS OMC GROUP… Outstanding experts, Outstanding results! Oncology Management Consulting Group 215-766-1280 • www.oncologymgmt.com solutions@oncologymgmt.com
• Financial and Market Analyses • New Center Development • Hospital/Physician Integration • Strategic Planning • Operational Assessments • Revenue Cycle Reviews • Implementation and Interim Leadership • Performance and Financial Benchmarking
ONCOLOGY MANAGEMENT CONSULTING GROUP
Innovative Strategies for Success OMC Group is a management consulting firm serving providers of oncology care and related medical products. We offer strategic, technical and organizational support to our clients with particular focus on identifying real world, practical solutions to what are increasingly complex problems in our industry. We understand our clients’ commitment to quality and to their mission because we share that commitment. We also appreciate the financial and programmatic challenges they face and are dedicated to enabling them to keep pace with the rapid and continual changes and challenges of the health care business environment. Tailoring our approach to each unique situation, we support our clients with expert knowledge, unparalleled flexibility, and superior customer service. With our team of highly experienced oncology administrators, physicians, nurses, and reimbursement experts, Oncology Management Consulting Group’s extensive resources stand ready to assist our clients with any businessrelated aspect of cancer services.
Ensuring quality cancer care is what you do best. Ensuring your success is what we do best.
OUR PHILOSOPHY
Leadership Excellence Innovation
These values constitute the core of our philosophy and guide us in all we do. We recognize that our commitment to these principles will be evident to our clients in every aspect of our work. The application of these ideals means that we approach each engagement with a fresh perspective, learn from and build on past experience, and remain flexible in our development of creative strategies for our client’s success. At OMC Group we approach every consulting engagement with a professional sense of cooperation, support, and mutual respect. Our aim is to build enduring, noteworthy relationships with our clients, ensuring a positive climate in which to provide continuing support and technical expertise as required. We place significant emphasis on integrity, honesty, and the highest quality of not only our work product and services but also of our daily interactions and business affairs.
Oncology Management Consulting Group is proud to offer a unique and wide range of creative options to support the needs of hospital administrators, physician practices, and the pharmaceutical industry, including traditional consulting engagements, educational sessions, mentoring of new administrators, and Interim Management services. This flexibility of approach, and our sensitivity to the frequently conflicting pressures on oncology care providers, differentiates us from all other consulting firms. Another significant aspect of our role is to provide the tools for improvement and to assure clients that we are actively pursuing solutions to their problems and that we will deliver a highly focused, detailed product in a timely manner. We fully appreciate and place significant value on timetables and deadlines and we are committed to flawless communications and seamless cooperation throughout the duration of all engagements. The nature of our group ensures our clients that our recommendations and solutions are realistic. Our team is comprised of highly skilled experts from hospitals, physician practices, and the pharmaceutical and biotech industry and all team members have vast practical experience in the “real world”. This results in our unparalleled ability to provide reality-based expertise and exceptionally experienced professionals to facilitate implementation.
OUR APPROACH
Creative Options
“We are extremely pleased with our on-going relationship with OMC Group. Teri Guidi and her senior-level consultants are expert on so many aspects of oncology care. They possess a highly focused expertise that has brought a significantly positive change to our operations and revenue cycle processes.” – Bruno Fang, MD Regional Cancer Care Associates East Brunswick, NJ
STRATEGY
“They completed an extraordinarily actionable strategic plan for us and they made the planning process easy for administration and planning staff. Our docs, who were part of the planning process, knew of OMC Group due to the many strategic planning articles written by their staff in oncology journals...this brought instant credibility to the planning process! I have met many other oncology consultants but OMC Group brings substantially more “on the job” experience to the table and is infinitely more knowledgeable of the actual issues oncology administrators face on a daily basis.” – Kristi Gafford, MPH, MBA Former Division Director Suburban Hospital and Health System, Bethesda, MD
We enjoy decades of experience in strategic planning, supporting hospitals and practices in assessing current market position and crafting strategies to improve that position through growth and enhancement of facilities, programs, services, etc. Options for alignments, integration, partnerships and affiliations nearly always play a role in the strategic planning process, and these engagements often include specific proformas or ROI analyses developed by our highly experienced financial planners and forecasters. Our strategic plans serve as a framework for decisions and, in many cases for securing support and approval. The planning includes articulation of Mission and Vision, and identification of over-arching Goals accompanied by Measures to monitor success. The goals are then supported with Strategies and Objectives, with accompanying Next Action Steps. • Market and Environment Assessments • Industry Trends and Implications • SWOT Analysis • Mission and Vision • Niche Programs and Specialty Services • Prioritization and Implementation Plans
Integration of services and care is vital in today’s health care environment. Our work in this arena includes bringing the stakeholders together with common goals that will benefit all, financial projections to estimate the likely outcomes of new relationship models, and implementation plans to move forward. The obvious benefit of these new relationships for hospitals and physicians is outweighed only by the advantages that they afford to your patients – allowing all providers to continue providing the highest quality care in a financially sustainable manner. Working closely with physicians and hospital leadership, OMC Group specialists will help develop new models for relationships between the two. These situations are often politically charged, and ours is the only oncology-specific consulting firm with a nationally renowned, practicing oncologist and Certified Physician Executive on staff to bridge the political divide. Through a significant amount of face-to-face time with the key players and in-depth data analysis we help to bring the issues forward and then to resolve them, resulting in plans for joint efforts to maximize financial value and to keep interests aligned. Additionally, our team is expert in devising new agreements which permit better distribution of revenue and crafting appropriate employment agreements.
HOSPITAL/PHYSICIAN INTEGRATION • Alternative Structure Models • Financial Projections and Analysis • Professional Services Agreements • Co-management Agreements • Physician Compensation
FINANCE
We have developed extensive proprietary tools and data sets which we combine with purchased and/or publicly available data, enabling OMC Group to assess the market in terms of demand for services and competition for those services, generally taking the data down to the zip code level for maximum specificity. In addition, the OMC Group team includes several very senior and very talented professionals who have expertise in constructing virtually any type of financial analysis – from major equipment acquisition to practice mergers and new construction. Financial Benchmarking can be a powerful tool. Again combining our own proprietary data set and other external information and tools, we can benchmark costs and revenue against other similar centers and practices in terms of financial performance such as Accounts Receivable, Staffing, Purchasing, Productivity, Physician Compensation, etc. This work provides our clients with the information necessary to identify any areas where additional focus can lead to improved financial results and operational efficiency. • Financial Analysis of the Complete Service Line • Industry Trends and Implications • Demand Analysis • Business Plans and Pro-formas • Financial Benchmarks • Compensation and Employment Agreements
The OMC Group Team has been intimately involved in countless projects to renovate, expand, or develop new facilities – both hospital-based and freestanding centers. We have taken a wide variety of roles, from working with clients on program planning (which programs and services should be included), space programming (the projections for square footage and programmatic/service adjacencies), and layout/design. We have found that most clients prefer to have the choice of developers, architectural and construction firms in order to select the best fit and pricing for that work. OMC Group also has relationships with numerous firms throughout the country and we are pleased to offer recommendations. In either case, we work hand in hand with developers, architects, construction firms, and the client’s own facilities/planning team, participating as advisors and reality checks throughout the process. Our consulting staff has experience with many models for facility design ensuring the appropriate combination of function and patient-focused results. • Program Planning • Volume Projections • Space Programming • Facility Layout and Design • Process Redesign • Infusion Centers • Radiation Centers • Specialty Clinics and Breast Centers
FACILITY PLANNING
“The Oncology Management Consulting Group is truly amazing. First they found lots of gaps that were reducing our revenue, then they helped us make the needed changes. And then they helped us run the numbers for integrating our cancer center with the hospital. They do it all and they do it all extremely well!” – Kelly McCormick-Sullivan President and CEO, Pluta Cancer Center Rochester, NY
OPERATIONS
“Teri Guidi and her staff performed an extensive, meticulous review that identified significant weaknesses their final Revenue Cycle report listed 15 recommendations which have substantially strengthened and improved our processes! Just one significant finding of many resulted in an additional collected revenue amount of greater than $80,000 for Oncology Services. Their review could not possibly have been more thorough...it is because of these positive experiences and more that I give OMC Group the strongest possible recommendation!” – Maurice J. Granfield, Jr. MBA, CPA, JD Director of Business Quality Assurance/ Corporate Compliance Officer, Holyoke Medical Center, Holyoke, MA
As the U.S. population ages and hospitals and physician practices start experiencing markedly increased volumes, the need for well-defined processes becomes intense. Each step of the patient care process must be clearly defined, efficiently carried out, and all unnecessary redundancy eliminated. Space and staffing resources are all too scarce to lose any opportunity to maximize value and productivity throughout the center. All aspects of the process must be addressed as patients become more perceptive and more discerning. Exciting new concepts of care delivery are emerging and OMC Group specialists will assist you to maximize your ability to exceed the demands and expectations of your growing patient population. Our experts will spend significant time with you and your team to assess in-depth your existing operations or to develop all-new systems as appropriate: from staffing, scheduling and documentation to charge capture and billing. We place particular emphasis on clarity of communication and ease of information flow as these are vital not only to efficiency and safety, but also to patient and provider satisfaction and ultimately to optimal financial outcomes. • Management/Organizational Structure • Complete Staffing Needs and Roles • Communication and Information Systems • Forms and Processes • Scheduling • Flow and Throughput • Policy and Procedure • Process Redesign
The details involved in accurate and compliant billing and collections are numerous and the processes complex. Federal regulations and interpretations abound and changes are frequent and often confusing. In addition, every non-Federal insurance provider offers numerous plans, each with a separate set of rules to follow in order to receive payment. If the processes that lead to billing and collection of payment for services delivered are not finely tuned, the results can be financially devastating as charges are missed and claims go unpaid due to inaccurate documentation and billing. OMC Group billing specialists maintain extensive, up-to-date experience in reviewing all components of the revenue cycle such as charge capture, charge entry, claims production, and collections, uncovering any and all opportunities to improve performance. These are comprehensive, detailed reviews that have frequently identified hundreds of thousands of dollars in missed charges and collections at institutions across the U.S. These exhaustive analyses are always accompanied by concrete, realistic and immediately actionable recommendations to remedy the causes. • Billing and Coding Audits • Revenue Cycle Processes • Chart Documentation • Charge Master/Superbill Review • Physician Evaluation and Management Coding Education
REIMBURSEMENT
IMPLEMENTATION “The professionals at Oncology Management Consulting Group are truly the best in the business. They found multiple gaps in our processes AND showed us exactly how to close those gaps quickly. I strongly recommend their services to all oncology programs.” – Becky DeKay, MBA Director Oncology Services, Feist-Weiller Cancer Center LSU Health Sciences Center Shreveport, LA
All of our client work addresses the issues that will benefit from change, including practical recommendations on what to change and how to change it. However, frequently our clients need more. Client resources are frequently stretched, making it nearly impossible to implement recommendations without interfering with day to day operations. In those situations, OMC Group is proud to offer vital hands-on expertise as needed. All of our consultants are highly experienced oncology administrators that can take on management of a specific project or fill the shoes of a key vacancy. Whether implementation requires regular on-site time or on-going support through telephone and electronic communications, we stand ready to fill those needs. • Implementation of Strategic Initiatives • Development of Multi-disciplinary Programs • Integration of Physician Practices • Selection and Implementation of EMRs • Business Planning • Process Redesign These engagements are structured to be flexible: as little or as much time and effort as is required, arranged as monthly contracts that allow clients to choose the level of commitment and the extent of the work scope.
With recruitment for experienced administrators now taking as long as one year or more and training for in-house candidates being absolutely essential for success, the demand for experienced interim management professionals is soaring. OMC Group is the only oncology-specific consulting firm able to offer this unique support. OMC Group’s interim specialists maintain a proven track record of success at cancer centers and oncology practices across the U.S. Their expertise includes recognized accomplishments in past permanent positions at multiple academic centers, community hospitals, small rural centers and physician practices of all sizes. These positions at hospitals have included; CEO, Vice-President, Division Director, and Director of Oncology Services and in physician practices they have included; VP Practice Operations, Administrator and Executive Director. An exceptionally significant aspect of our talent pool includes several nursing management specialists. This notable wealth of talent easily translates to our distinctive ability to place these skilled executives - most with 20 plus years of healthcare expertise - into cancer centers and practices to maintain operations during recruitment of a permanent leader or during reorganizations to ensure a smooth transition. Our interim leaders have helped hospitals to attain American College of Surgeons Commission on Cancer accreditation, to reorganize into a service line structure, to establish multidisciplinary clinics, and more.
INTERIM MANAGEMENT • Turn Around Management • Tools for Revenue Related Issues • Policies and Procedures • Process Changes/Improvements • ACoS Readiness Prep • Interview and Train Permanent Administrator • Marketing Plan Development • Establish New Programs and Services • Prepare for EMR Conversion • Critical Staffing Issues Including Nursing • Job Descriptions and Forms • Facilitate Committees
“OMC Group professionals demonstrate the very best oncology industry knowledge…they admirably assisted us through sensitive operational and political complexities. They tackled the most challenging aspects of our organization with diplomacy and proficiency. Without reservation, I highly recommend their professional expertise for any oncology related consultation.” – Glen Halverson Chief Operating Officer Sutter Gould Medical Group, Modesto, CA
OUR PROMISE Commitment Our commitment to our clients is profound. We are dedicated to providing an exceptional product and offering an outstanding level of customer service and satisfaction. These ideals are deeply woven into the fabric of our organization and lead us to view every engagement as an important event in an ongoing relationship. As a company this translates simply to the prompt return of telephone and e-mail inquiries, accurate and honest fee assessments, timely delivery of product and services, and a level of professionalism of which we are genuinely proud. As advisers, it speaks to our commitment to work as a team with each client, to approach each engagement with objectivity and integrity, and to strive to identify and evaluate the strategic decisions that will lead to the accomplishment of organizational goals. As professional consultants it means that we stay current on regulatory issues, reimbursement rules, and new technologies and that we acknowledge and address political implications and organizational realities. It means that we stand willing to assist each and every client either on an ongoing basis or to prepare them to continue the development process using internal resources when the scope of our work has been accomplished.
OMC GROUP‌ Outstanding experts, Outstanding results!
Oncology Management Consulting Group 215-766-1280 • www.oncologymgmt.com solutions@oncologymgmt.com