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CASE STUDY
Case-1027
GLOBAL DELIVERY MODEL
increases efficiency, improves workflow, and meets new regulations.
Palomar Health is made up of
three hospitals serving
communities in
Southern California.
ABOUT THE CLIENT
Case-1027  © 2017, Sutherland Global, Inc. All rights reserved.
THE CLIENT CHALLENGE
Palomar Health faced a challenge familiar
throughout the healthcare industry:
How can we meet the looming ICD-10 deadline in
the most efficient and cost effective way?
Case-1027  © 2017, Sutherland Global, Inc. All rights reserved.
The Sutherland Transformation
Case-1027  © 2017, Sutherland Global, Inc. All rights reserved.
The training and
management of
select Palomar
Health coders
Delivering a
global delivery
strategy to
maximize
workflow and
productivity
On-demand
dashboard and
weekly reporting
The
implementation
of outcomes-
based pricing
Staffing
flexibility to
ensure all
service level
agreements
(SLAs) were met
PARTNERSHIP RESULTS
Case-1027  © 2017, Sutherland Global, Inc. All rights reserved.
95%
Increase in coder quality
from 68% to 96%
A drop in discharged not final
billed (DNFB) from $70 million
to $17 million
96%
$17 million
Increase in coder production
from 65% to 95%
$30 million
DNFB and quality SLAs have
been steadily maintained
above 98%
98%
A cash flow target that
experienced an increase of
nearly $30 million

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Case Study - Palomar Health

  • 1. CASE STUDY Case-1027 GLOBAL DELIVERY MODEL increases efficiency, improves workflow, and meets new regulations.
  • 2. Palomar Health is made up of three hospitals serving communities in Southern California. ABOUT THE CLIENT Case-1027 © 2017, Sutherland Global, Inc. All rights reserved.
  • 3. THE CLIENT CHALLENGE Palomar Health faced a challenge familiar throughout the healthcare industry: How can we meet the looming ICD-10 deadline in the most efficient and cost effective way? Case-1027 © 2017, Sutherland Global, Inc. All rights reserved.
  • 4. The Sutherland Transformation Case-1027 © 2017, Sutherland Global, Inc. All rights reserved. The training and management of select Palomar Health coders Delivering a global delivery strategy to maximize workflow and productivity On-demand dashboard and weekly reporting The implementation of outcomes- based pricing Staffing flexibility to ensure all service level agreements (SLAs) were met
  • 5. PARTNERSHIP RESULTS Case-1027 © 2017, Sutherland Global, Inc. All rights reserved. 95% Increase in coder quality from 68% to 96% A drop in discharged not final billed (DNFB) from $70 million to $17 million 96% $17 million Increase in coder production from 65% to 95% $30 million DNFB and quality SLAs have been steadily maintained above 98% 98% A cash flow target that experienced an increase of nearly $30 million

Editor's Notes

  1. Palomar
  2. ABOUT THE CLIENT Palomar Health is made up of three hospitals serving communities in an 850 square mile area in Southern California.
  3. The Client Challenge In the fall of 2015, Palomar Health faced a challenge familiar throughout the healthcare industry: how to meet the looming ICD-10 deadline in the most efficient and cost effective way? Palomar Health had an existing coding department. But attempting to address the ICD-10 transition on their own would mean significant expenditures on training and possible new hires, with no guarantee of success.
  4. THE SUTHERLAND TRANSFORMATION To ensure a seamless ICD-10 transition that gave Palomar Health the greatest flexibility possible Sutherland crafted a Palomar Health specific solution which included: • The training and management of select Palomar Health coders • Delivering a global delivery strategy with locations in Chennai and the Philippines to maximize workflow and productivity • On-demand dashboard and weekly reporting • The implementation of outcomes-based pricing • Staffing flexibility to ensure all service level agreements (SLAs) were met
  5. PARTNERSHIP RESULTS Between September 2015, when Sutherland’s contract with Palomar Health went into effect, and September 2016, Palomar Health’s coding functions saw impressive results across measures: