Going Digital:
Supporting Accreditation with
a Digital Platform
ALLIS GILBERT, MHA
Director of Operations
Colorado State University Health
Network
• Introduction
• The “Before”: AAAHC accreditation with binders & files
• Implementing web-based AAAHC document and policy
management: impact on culture, budget, & site survey
• The “After”: Life with electronic document
management, how to maintain daily readiness
Today's Presentation
SUCCESS IS ACHIEVED WHEN
YOU GIVE EVERYONE ACCESS
TO THE SAME BINDER.
BLUF: Bottom Line Up Front
• Paper v. Digital: savings, culture changes, and
impact on daily life
• Improve access to the AAAHC standards
• Demonstrate improved preparedness for a site
survey
• Learn techniques to ensure the knowledge is shared
Objective
• Allis Gilbert, MHA
• Director, Operations, CSU Health Network
• Four years in current role - 10 in healthcare leadership
• U.S. Army in combat support / medical logistics
Who am I?
• Treatment population of 27,000
• AAAHC accredited since 2001 (re-accredited most
recently in 2014)
• Staff of 250+ people
Who is CSU Health Network?
The Before
Binders and Files
• 217-page manual
• AAAHC site visit preparation began 18 months
before site visit
• 18-20, 3” binders stored in one location
The Before
Managing People and Processes
• Temporary staff to handle sign-off, review, and
binder organization
• Cost: ($32/hour x 20 hours per week) + paper
cost = $150,000+ saved
2011
2014
18 Months, 35 Binders, $218,000
6 Months, 0 Binders,
$68,000
The Before
The Culture: Working Hard to Drive Excellence
• Limited staff access to policies and standards
• Difficult for others to validate level of care
throughout the organization
• Staff not always able to communicate their
standards during site visits
• Justifying actions is challenging
OUR PROCESS WAS SEGMENTED, EXPENSIVE, AND
INEFFICIENT.
OUR CULTURE WAS DEFENSIVE, AND NOT
COLLABORATIVE.
INFORMATION WAS POWER.
BLUF:
Electronic Policy Management
The Decision for Electronic Policy Management
• Sought solutions through AAAHC at 2013 MGMA
Conference
• Opted for PowerDMS following online demonstration
• Quick procurement / activation and reasonable cost
Electronic Policy Management
What is it and how did it help?
• AAAHC accreditation documents / content / manual
• Internal policy documentation
• Training content (videos and documents) and surveys
PowerDMS
What is PowerDMS?
• Web-based software ("cloud") that stores, maintains,
and routes content (AAAHC manual, internal policies,
training videos)
• Manages changes to documents and helps track the
process
• Compiles a pre-survey so auditor can access select
information electronically
• Single, secure living repository ("one binder")
The After
Site survey:
• "I knew who the CSUHN was before I arrived on site.
It provided a more holistic site survey process."
- Hugh Norsted, AAAHC Surveyor
• Quick access to policies via search, tags, etc. -
eliminated outdated reference material
• Changes, updates, and attestation tracked
• Training is streamlined and standard
The After
Improving Accreditation Efficiency
• Survey prep time cut from 18 months to 4 months
• Surveys provided to examiners a week in advance
• Eliminated most temporary labor / cut paper costs -
transferred those costs to clinical resources
The After
Driving Accreditation Excellence to the
Organization
• 217-page manual down to 17 pages
• Access to accreditation standards across the
organization
• University policies linked to policy manual
The After
More Than Accreditation: Managing and Sharing
Policy
• Sharing important policies & standards with others
in the org.
• Drives knowledge and excellence in other areas
• Standardization of forms and procedures
• Organizational culture change
The After
What else are we doing?
• Other operational standards (e.g. OSHA)
• Survey & certificate tracking
• Internal benchmarking
WE CAN NOW TRACKING, CONTENT, AND HAVE A FULL
PREPARATION FOR OUR SITE VISIT - NO SURPRISES.
OUR CULTURE IS COLLABORATIVE, INFORMATION IS
SHARED FREELY AND OPENLY. PROBLEM SOLVING
AND SUPPORTIVE ENVIRONMENT.
WE HAVE HIRED MORE MEDICAL ASSISTANT SUPPORT
STAFF.
ACCREDITATION IS NO LONGER SCARY.
BLUF:
Q&A
Thank You

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ACRD PPT

  • 1. Going Digital: Supporting Accreditation with a Digital Platform ALLIS GILBERT, MHA Director of Operations Colorado State University Health Network
  • 2. • Introduction • The “Before”: AAAHC accreditation with binders & files • Implementing web-based AAAHC document and policy management: impact on culture, budget, & site survey • The “After”: Life with electronic document management, how to maintain daily readiness Today's Presentation
  • 3. SUCCESS IS ACHIEVED WHEN YOU GIVE EVERYONE ACCESS TO THE SAME BINDER. BLUF: Bottom Line Up Front
  • 4. • Paper v. Digital: savings, culture changes, and impact on daily life • Improve access to the AAAHC standards • Demonstrate improved preparedness for a site survey • Learn techniques to ensure the knowledge is shared Objective
  • 5. • Allis Gilbert, MHA • Director, Operations, CSU Health Network • Four years in current role - 10 in healthcare leadership • U.S. Army in combat support / medical logistics Who am I?
  • 6. • Treatment population of 27,000 • AAAHC accredited since 2001 (re-accredited most recently in 2014) • Staff of 250+ people Who is CSU Health Network?
  • 7. The Before Binders and Files • 217-page manual • AAAHC site visit preparation began 18 months before site visit • 18-20, 3” binders stored in one location
  • 8. The Before Managing People and Processes • Temporary staff to handle sign-off, review, and binder organization • Cost: ($32/hour x 20 hours per week) + paper cost = $150,000+ saved 2011 2014 18 Months, 35 Binders, $218,000 6 Months, 0 Binders, $68,000
  • 9. The Before The Culture: Working Hard to Drive Excellence • Limited staff access to policies and standards • Difficult for others to validate level of care throughout the organization • Staff not always able to communicate their standards during site visits • Justifying actions is challenging
  • 10. OUR PROCESS WAS SEGMENTED, EXPENSIVE, AND INEFFICIENT. OUR CULTURE WAS DEFENSIVE, AND NOT COLLABORATIVE. INFORMATION WAS POWER. BLUF:
  • 11. Electronic Policy Management The Decision for Electronic Policy Management • Sought solutions through AAAHC at 2013 MGMA Conference • Opted for PowerDMS following online demonstration • Quick procurement / activation and reasonable cost
  • 12. Electronic Policy Management What is it and how did it help? • AAAHC accreditation documents / content / manual • Internal policy documentation • Training content (videos and documents) and surveys
  • 13. PowerDMS What is PowerDMS? • Web-based software ("cloud") that stores, maintains, and routes content (AAAHC manual, internal policies, training videos) • Manages changes to documents and helps track the process • Compiles a pre-survey so auditor can access select information electronically • Single, secure living repository ("one binder")
  • 14. The After Site survey: • "I knew who the CSUHN was before I arrived on site. It provided a more holistic site survey process." - Hugh Norsted, AAAHC Surveyor • Quick access to policies via search, tags, etc. - eliminated outdated reference material • Changes, updates, and attestation tracked • Training is streamlined and standard
  • 15. The After Improving Accreditation Efficiency • Survey prep time cut from 18 months to 4 months • Surveys provided to examiners a week in advance • Eliminated most temporary labor / cut paper costs - transferred those costs to clinical resources
  • 16. The After Driving Accreditation Excellence to the Organization • 217-page manual down to 17 pages • Access to accreditation standards across the organization • University policies linked to policy manual
  • 17. The After More Than Accreditation: Managing and Sharing Policy • Sharing important policies & standards with others in the org. • Drives knowledge and excellence in other areas • Standardization of forms and procedures • Organizational culture change
  • 18. The After What else are we doing? • Other operational standards (e.g. OSHA) • Survey & certificate tracking • Internal benchmarking
  • 19. WE CAN NOW TRACKING, CONTENT, AND HAVE A FULL PREPARATION FOR OUR SITE VISIT - NO SURPRISES. OUR CULTURE IS COLLABORATIVE, INFORMATION IS SHARED FREELY AND OPENLY. PROBLEM SOLVING AND SUPPORTIVE ENVIRONMENT. WE HAVE HIRED MORE MEDICAL ASSISTANT SUPPORT STAFF. ACCREDITATION IS NO LONGER SCARY. BLUF:
  • 20. Q&A