The methodology behind RealTime has been deployed in the US for many years by Eagle Medical Management LLC (Dr. Jess Boyer, Principal Consultant for Eagle and Chief Medical Officer for RealTime). This methodology is based on a unique approach that involves establishment of an improvement programme through close collaboration with clinicians and staff. The approach relies on two simultaneous activities:
Sustained accomplishment of both of these activities is highly data driven; both are dependent on the use of clinical evidence and information feedback. By providing the evidence and feedback daily, RealTime drives the changes needed.
This approach is unique because it is based on targeting financial improvements, analyzing potential clinical improvements and coaching clinicians and staff to achieve and sustain these improvements. The improvements in efficiency and quality of care drive the achievement of the financial goals. The initial analysis for potential improvements involves manual medical record reviews of key diagnoses or groups of diagnoses, in which hospital performance is compared to known best practices. This is very labour and time intensive. During the next phase (implementation and coaching), information is also key and is derived significantly from manual record reviews. We then share this information with physicians and coach them on how to improve care. Sustainability of results is dependent on the information feedback to physicians and staff.
The San Antonio Community Hospital is a 300-bed not-for-profit acute care hospital in Southern California, USA, with $275M net revenue p.a. and 1800 employees.
“The length of stay reduction project is the most successful project we have ever had. It is the best example of continuous improvement I have ever seen. We reduced our ALOS for Medicare by 30% and saved $10-15M annually.”Roger Parsons CFO, San Antonio Community Hospital