Project Description

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Maximizing Episode of Care

The Problem

The COO and CMO needed to determine their Orthopedic Service Line cost of delivery and identify opportunities for operational improvement, growth and payor negotiations. Catalyst was engaged to determine current and future state service line structures, cost, outcomes, and develop performance metrics across the entire episode of care for joint replacements.

The Approach

Utilizing computational and predictive analytics, lean methodologies and visualization capabilities, Catalyst identified multiple opportunities that would allow our client to gain efficiency, reduce cost, and proactively align physician requirements with organizational needs. Analysis was performed across the entire patient process and indirect and direct cost established from physician office to patient returned to work or discharged from care.

The Solution

A multifaceted solution was developed to align physician practice with hospital operations and streamline care processes, perioperative intervention, discharge planning, resources planning, and many others from the point of scheduling, through surgery and discharge. Key to our success was bridging clinical and operational process and metrics to create actionable analytics so that each stakeholder involved in the patient’s care, had a clear understanding of their impact on the overall outcome of the patient.

Project Details




National Multi-Hospital System


Orthopedic Service Line Development

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FACT: *Clinical Variation, Inefficient Care Delivery and Operational Cost amount to 74% of the $708 billion in estimated waste prevention in healthcare.

* Institute of Medicine

Project Outcomes

Over $6M increase in gross revenue.

Key Performance Indicators developed across the entire episode of care.

Developed strategies to improve perioperative and surgeon productivity by 18%.

Continued monitoring and scorecard capabilities to measure and track results.

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