IT CONSULTING SERVICES

IT Consulting - WeiserMazars LLP’s Health Care Group

WeiserMazars LLP is an independent member firm of Mazars Group.

IT CONSULTING

TABLE OF CONTENTS HEALTH CARE INFORMATION TECHNOLOGY..................................... 2 STRATEGIC PLANNING.................................................................... 3 ENTERPRISE ANALYTICS................................................................. 4 SYSTEM SELECTION........................................................................ 5 CONTRACT NEGOTIATIONS............................................................. 6 IMPLEMENTATION PROJECT MANAGEMENT..................................... 7 MEANINGFUL USE & OTHER INCENTIVE PROGRAMS........................ 8 TELECOMMUNICATIONS SERVICES.................................................. 9

IT CONSULTING

HEALTH CARE INFORMATION TECHNOLOGY WeiserMazars. Exactly Right.

INFORMATION TECHNOLOGY CONSULTING Our information technology (IT) methodologies are designed to meet the complex requirements of health care organizations. We develop realistic, effective plans and facilitate selection processes that lay the foundation for successful implementation. We believe IT needs to enable the organization to improve productivity and operational cost effectiveness, leading to the achievement of your strategic goals. Our extensive experience includes the full range of providers – large integrated health systems, academic medical centers, community hospitals, large physician practices, long term care facilities, home care, and public health agencies. OUR SERVICES INCLUDE: §§ Strategic information technology planning §§ Focused diagnostic review of IT delivery models §§ IT governance, organization, and management §§ Tactical/operational assessment and action-oriented planning §§ Incentive programs, meaningful use preparation, oversight, assessment, and monitoring §§ Enterprise analytics planning, assessment, selection, and implementation §§ Network planning and design services §§ Systems evaluation and vendor selection §§ Contract negotiations §§ Implementation project management and oversight §§ Systems optimization §§ Facilities management §§ Interim CIO

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IT CONSULTING

STRATEGIC PLANNING

A PRAGMATIC STRATEGY

OBJECTIVES §§ U se IT as a key enabler to support the organization’s business strategy §§ Increase productivity through better use of information technology §§ Enhance the delivery of quality care §§ Make information technology a strategic advantage for the organization

Clients benefit from an information technology strategic plan that is supportive of their institution’s vision and objectives, offers practical alternatives, provides fiscally sound recommendations, and supports user “buy-in” with “Quick! Hits” improvements that build credibility throughout the enterprise. We provide realistic practical answers to your most important questions/concerns, such as:

DELIVERABLES §§ H ow can we optimize the integration and usability of existing systems to improve the delivery of quality care and attract physicians and patients? §§ How can we capture and utilize data more efficiently and effectively to improve our decision making and reporting capabilities? §§ Are our systems supporting our ability to meet Meaningful Use and other payment incentive programs? §§ How can the hospital achieve greater benefit realization from our existing systems and technologies? §§ What existing systems and technologies will need to be replaced in the next 3 – 5 years? §§ What new and emerging technologies should be considered? §§ Are our critical systems adequately protected?

§§ T horough independent assessment of the current IT environment and how well it supports your business strategy §§ An IT Vision supporting the organization’s strategic direction §§ Roadmap with recommended initiatives, associated timeframes, costs, resources, and prioritizations

BENEFITS §§ IT becomes part of the solution; a means to achieve your business strategy §§ Better utilization of appropriate technologies increases productivity §§ Roadmaps provide a framework for incremental actions and facilitate attainment of goals §§ Our participative approach ensures that recommendations are realistic and gain organizational acceptance

§§ H ow can the network infrastructure better support the health system’s strategic direction and enable the organization to meet its business goals? WeiserMazars’ IT strategic planning methodologies are designed to meet the complex requirements of today’s health care organizations and to facilitate successful system implementations. Our methodologies have been used successfully by numerous health care systems throughout the country.

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IT CONSULTING

ENTERPRISE ANALYTICS

WeizerMazars recognizes that health care providers need accurate analytic intelligence in order to make the best operational, clinical, and financial decisions. Silos of disparate data must be transformed into enterprise knowledge that increases operational effectiveness, improves clinical performance/outcomes, and enhances financial performance. Many health care organizations have started to move analytics to the enterprise level, but few have done so successfully.

OBJECTIVES §§ C reate the right foundation for enterprise analytics §§ Optimize use of an organizational asset – data §§ Develop a single source of truth through data governance §§ Drive fact-based decision making §§ Improve clinical effectiveness §§ Boost patient/member satisfaction §§ Increase operational effectiveness §§ Enhance financial and administrative performance

Our approach is designed to meet each client’s unique analytical needs. We take into account your organization’s specific goals, and examine your information technology (IT) and data governance structures, current analytics capabilities, and the capability of your IT environment to support enterprise analytics in the context of today’s healthcare environment.. Whether you are looking to buy, develop, or implement an enterprise analytics program we can help establish the right foundation by providing the following services:

DELIVERABLES §§ T horough independent assessment of current analytics capabilities with recommendations for organizational and IT infrastructure changes §§ Analytics roadmap reflecting the organization’s strategy to support planning, budgeting, and resource allocation requirements §§ IT and data governance model §§ Vetted analytics platform/toolset selection and contract negotiations §§ Leadership and guidance for your analytics team to promote excellence, best practices, and standards

§§ Rapid assessment of the organization’s current analytics capabilities §§ Establishment of the appropriate guiding principles §§ Development of a strategic vision and roadmap for moving forward §§ Identification/prioritization of initial areas on which to focus §§ Creation of an appropriate IT governance model §§ Establishment of a data governance model §§ Operationalize data governance support §§ Guide the selection of the analytics platform/toolset §§ Provide interim analytics team leadership

BENEFITS §§ §§ §§ §§

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nterprise-wide objective analytics E Reliable, timely, and accessible information Culture that encourages sharing of data Understanding of how to use data and analytics to improve clinical and financial outcomes

IT CONSULTING

SYSTEM SELECTION

SYSTEM SELECTION AND CONTRACT NEGOTIATION APPROACH

DELIVERABLES §§ O bjective selection criteria §§ Identification of marketplace options and appropriate vendors to participate in the process §§ A realistic schedule and methodology that ensures the proper due diligence is completed §§ Marketplace intelligence on the vendors and systems §§ Tried and true tools to decipher fact from fiction §§ A thorough cost comparison of the alternatives, including “hidden costs”

WeiserMazars’ system selection methodologies are designed to meet the complex requirements of today’s health care organizations and to facilitate successful system implementations. Our extensive national experience reduces your risk, lowers your costs, and increases your leverage during system selection and contract negotiations.

BENEFITS We enable you to better overcome the many challenges encountered in selecting a new system by:

§§ O bjective, timely and thorough evaluation of alternative systems §§ Reduced risk through comprehensive due diligence §§ Appropriate expectations regarding system capabilities, timeframes, and costs §§ A clear understanding of the advantages and disadvantages of each vendor/system §§ Leverage from our knowledge and experience at the negotiating table

§§ E stablishing realistic expectations within a reasonable budget §§ Maintaining a reasonable schedule §§ Reaching timely consensus at critical junctures §§ Cutting through marketplace hyperbole (e.g., vaporware, exaggerated claims) §§ Avoiding vendor instability §§ Incorporating the best of rapidly changing technologies §§ Ensuring full participation from key personnel to establish end user buy-in

OBJECTIVES §§ I dentify the appropriate systems to meet both current and future needs §§ Select the system that best fits the organization’s culture, business strategy, and operating environment §§ Establish the foundation for a successful implementation

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IT CONSULTING

CONTRACT NEGOTIATIONS BENEFITS

Our participation in contract negotiations reduces your risk, lowers your costs, and increases your leverage. We ensure that final negotiated contracts protect our clients and establish a basis for successful implementation. Our goal is to help you attain significant savings, reduced risk, strong performance warranties with remedies, realistic workplans, and beneficial terms and conditions.

§§ §§ §§ §§ §§ §§

OBJECTIVES §§ P roduce a win-win contract with benefits for both sides §§ Create a strong foundation for a successful implementation §§ Create realistic expectations

DELIVERABLES §§ C reative and effective negotiation strategy §§ Recommended position on each issue §§ Advantageous contract with the best pricing, terms and conditions §§ Contract language that incorporates industry standards and best practices

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ignificant cost savings S Reduction in level of risk Strong contractual protections Knowledge of industry best practices Third party objectivity Enhanced leverage with the vendor

IT CONSULTING

IMPLEMENTATION PROJECT MANAGEMENT ENSURING SUCCESSFUL IMPLEMENTATION

OBJECTIVES §§ M aximize the client’s ability to implement the new system on time, within budget, and with minimal stakeholder resistance §§ Ensure that the organization’s leadership is engaged in the process §§ Avoid typical implementation pitfalls §§ Set realistic expectations §§ Manage the vendor relationship

WeiserMazars’ project management methodologies are designed to meet the complex requirements of today’s health care organizations and to facilitate successful system implementations. We define implementation success as on time and within budget, with minimal operational disruption and active participation by all affected functional areas.

DELIVERABLES

We add significant value to the implementation process by providing: §§ §§ §§ §§ §§ §§

§§ D etailed project plan that realistically defines tasks, resources, and timeframes §§ Proactive monitoring of issues and realistic preventative solutions §§ Timely early warning notification when “mid-course corrections” may be needed §§ Objective status reports and recommendations for resolving open issues §§ Monitoring of project team performance against the plan

tructure and discipline to the project S Knowledge of best practices Practical advice based on our hands-on experience Extensive background in health care operations Strong contract administration skills A smooth and timely implementation within budgetary constraints

Our disciplined, participatory implementation approach enables the organization to avoid common problems encountered during system implementations:

BENEFITS §§ P roject remains on track and within budget §§ Application of real-world, practical experience in day-to-day project management §§ Delivery/implementation of the vendor’s products and services as promised §§ Strong user ownership §§ As needed, trained senior consultants with the right

§§ F ailure to clearly identify and communicate system goals and objectives §§ Insufficient monitoring of the vendor’s compliance with the contract and deliverable schedule §§ Lack of a realistic, structured project plan §§ Failure to maintain commitment from the organization §§ Morale and attitude problems with the organization and vendor staff §§ Inadequate training of users §§ Lack of effective and sufficient testing

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IT CONSULTING

MEANINGFUL USE & OTHER INCENTIVE PROGRAMS OBJECTIVES

ENSURING INCENTIVE PROGRAM COMPLIANCE

§§ M aximize your ability to meet incentive program requirements on time, within budget, and with minimal staff resistance §§ Ensure that the organization’s leadership is engaged in the process §§ Avoid typical incentive program pitfalls §§ Set realistic expectations §§ Prepare the client for a potential audit

Our methodology is designed to enable health care organizations to effectively prepare for and meet incentive program requirements. This detail-oriented approach helps you avoid common pitfalls encountered in compliance efforts for programs including: §§ §§ §§ §§

eaningful Use (MU) Stage 1 M Meaningful Use Stage 2 Physician Quality Reporting System (PQRS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) §§ Electronic Prescribing Incentive Program (eRX).

DELIVERABLES §§ P rogram assessment and gap analysis of incentive program preparedness §§ Detailed project plan that realistically defines tasks, resources, and timeframes §§ Proactive monitoring of issues and realistic proactive solutions §§ Timely early warning notification when “mid-course corrections” may be needed §§ Objective status reports and recommendations for resolving open issues §§ Monitoring of project team performance against the plan

As incentive payouts, audits, and impending penalties increase, we help you to overcome challenges and successfully attest to program requirements by providing: §§ §§ §§ §§ §§ §§

ractical advice based on hands-on experience P Knowledge of best practices Practical corrective strategies Analysis of gaps in program readiness Structure and discipline to the project Project management of system alterations and monitoring of overall compliance §§ Assessment of audit documentation §§ Modification to workflows, as necessary §§ A smooth and timely attestation within budgetary constraints

BENEFITS §§ C ompliance with incentive program requirements §§ Project remains on track and within budget §§ Application of real-world, practical experience in day-to-day project management §§ Knowledge of best practices combined with handson experience in the achievement of each incentive program §§ Strong user ownership in needed system changes and workflow modifications

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IT CONSULTING

TELECOMMUNICATIONS SERVICES §§ Telecommunications strategy tailored to the current environment, stated business goals, and fiscal and operating constraints §§ Action plan covering initiatives, costs, resource needs, dependencies, and timeframes

Many clients feel overwhelmed when assessing whether their current telecommunications systems are sufficient to keep pace with changing business needs. We can help you answer important questions about your telecommunications capabilities including:

BENEFITS

§ Does our current telecommunications network have the capacity to meet our future business needs? §§ Have we outgrown our telecommunications systems? §§ Will our current technology support our business plans and allow the company to address competitive pressures, cost cutting mandates, and changes in the marketplace? §§ How can we better leverage our telecommunications platform? §§ What new technology is available to help drive our competitive advantage? How much will we need to budget for improvements over the next 3 – 5 years?

§§ Ensure short- and long-term telecommunications needs are met §§ Effective deployment of telecommunications technology §§ Reliable, cost effective solutions to meet the organization’s business needs

SCOPE OF ASSESSMENT §§ Governance, Process and Management – Governance structure – Vendor relationships and contracts – Service level agreements – Service delivery model – Methodologies, project and change management

WeiserMazars’ telecommunications assessment and planning methodologies are designed to meet the complex requirements of today’s organizations and to facilitate successful system implementations. Their value has been shown by a track record of successful outcomes for clients throughout the country.

§§ Telecommunications infrastructure – Telecomm switch platforms and associated applications – Network architecture, platform and design – Entrance facilities and wiring closets – Premise wiring system – Switch room – Local exchange carriers – Reliability and redundancy – Disaster recovery/ Business continuity

We take a measured approach to telecommunications assessments

OBJECTIVES §§ Identify shortcomings in current telecommunications environment §§ Enable the organization to provide better customer service, improve staff productivity, and decrease monthly costs

§§ Telecommunications organization and resources – Staffing level – Skill mix – Services provided

DELIVERABLES §§ Assessment of current deployment and use of telecommunications technologyIdentification of current and future telecommunications needs

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IT CONSULTING

LEADERSHIP

MARC GROSSMAN Principal

Marc Grossman has worked extensively with a wide range of health care providers including integrated delivery systems, academic medical centers, community hospitals, physician organizations, public health agencies, and home health agencies. He has performed information technology (IT) strategic planning, system selection, contract negotiations, and implementation of a wide array of clinical, financial, and ancillary systems.

§§ Selection, contract negotiations, and implementation of financial, clinical, diagnostic imaging, ancillary, home care, operating room, human resources/ payroll, physician billing, and decision support systems. §§ Evaluating the feasibility, selecting, negotiating, and providing IT outsourcing services. §§ Cost benefit analysis of health care information systems.

Marc was an owner of Smart Solutions for Health Care which became a division of WeiserMazars in March 2012 and leads the IT practice. He has worked in health care administration and IT for over 25 years. For the past 20 years, Marc has been providing IT strategic consulting services to health care facilities throughout the United States.

Marc received his Masters in Urban Planning from the University of Michigan and his BA, magna cum laude, from Brandeis University. He is currently a Fellow, Healthcare Information and Management Systems Society (HIMSS), a member of Healthcare Financial Management Association (HFMA) and the Past President, NY Chapter of HIMSS.

Prior to joining Smart Solutions for Health Care, Marc was Principal/Practice Leader at Hamilton HMC, the health care division of Kurt Salmon Associates. Previously, Marc was an Assistant Vice President at Long Island College Hospital in Brooklyn, New York. In this capacity he was administratively responsible for the operations of numerous clinical inpatient and ambulatory departments as well as a marketing program.

CONTACT WeiserMazars LLP

Marc Grossman | Principal 135 West 50th Street New York, NY 10020 (P) 212.375.6526 (Email) [email protected]

Marc’s areas of expertise include: §§ Development of information technology strategic plans for major teaching medical centers, multi-site health care enterprises, community hospitals, public health agencies, and home care agencies.

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About WeiserMazars WeiserMazars LLP provides insight and specialized experience in accounting, tax and advisory services. Since 1921, our skilled professionals have leveraged technical expertise and industry familiarity to create customized solutions to overcome client challenges.

Locally and internationally, we build lasting relationships with our clients by addressing their particular needs, creating value and optimizing their organizational performance. For more information visit us at www.weisermazars.com

As the independent U.S. member firm of Mazars Group – the 14th largest accounting organization in the world – we have a global reach of nearly 14,000 professionals in more than 70 countries.



WeiserMazars LLP is an independent member firm of Mazars Group.

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