About Derry Nolan

Since 2003, our healthcare medical practice consulting services have helped Pacific Northwest clinics, physician practices, hospitals and integrated health systems improve their profitability and operations.

Derry, Nolan & Associates has consistently proven its healthcare and practice management methods work for you, your patients and your financial and operational health. Our talents are yours.

Efficiency: The Best Medicine for Medical Practice Frustration

Physicians are feeling the pain and frustration of lowering Medicare reimbursements, increased malpractice insurance costs, new patient influx on the decrease, and rising overhead. In the meantime, physician compensation is lower. And by the way, the staff would like annual raises. It’s enough to drive physicians and their medical practices nuts!

But, there is a method to relieve those frustrations, as the case study synopsis below shows.

Medical Practice Efficiency: Case Study
We recently completed a long-term engagement with a multi-specialty medical practice. Their situation will probably sound familiar to many of you:

  • Multiple service delivery locations – some doing well, some not so much
  • Flat revenue vs. climbing expenses (rent, staff, lab, inventory)

Their goals (ambitious, but do-able) were to:

  1. Reduce Costs
  2. Increase Revenues
  3. Increase Efficiency
  4. Improve Patient Satisfaction
  5. Improve Staff Satisfaction

We began with a medical practice operational and financial assessment, to measure cost structures, service lines, governance and related operations. From there, we were able to implement process improvements that led to millions – yes, millions of dollars in savings.

Waste can kill a medical practice – just look at our overall healthcare system inefficiencies:

  • Paper-based systems accounts for 6% of annual overspending
  • Administrative inefficiency and redundant paperwork accounts for 18% of healthcare waste
  • Billing and administration take up one-quarter of the average US hospital budget
  • US doctors spend nearly 8 hours per week on paperwork and employ 1.66 clerical workers per doctor*

Approach and Results
Our approach with the multi-specialty practice was to eliminate non-value added work to achieve better patient, provider and staff satisfaction while increasing revenue opportunities. In other words, implement our mantra: “have the right people doing the right work in the right amount of time for the right pay.”

Using Lean principles (and MGMA cost data benchmarks), we benchmarked costs, redesigned processes, helped with organizational restructure (including executive leadership changes) and implemented new policies. You can find details in the presentation on our website’s media section, but the final results were:

  • $3.8 million saved in expenses!
  • Increased physician compensation
  • Increased lab and imaging profitability
  • Improved morale

We’re proud to report that the organization has sustained the improvement gains. Plus, they continue to benchmark and raise the bar with ongoing waste reduction efforts!

Snippet:
“Efficiency is integral to a more cost effective, productive medical practice.” — Barbara Derry & Crystal Nolan

Download the presentation that inspired this blog.

*healthcare inefficiency statistics taken from a report by Robert Kelley, vice president of healthcare analytics at Thomson Reuters.

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