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A Texas-based company helping health care
organizations throughout the United States.
For more information, call (713) 397-9098
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Business Development
Business Startup
We provide start up assistance for private providers, non profit organizations
and government agencies. The scope of our involvement is tailored to
each enterprise. Services may include consultation, market research,
business planning, and start up management.
Social Enterprise Development for Non Profit Organizations
As funding erodes for non profit organizations many are considering developing
businesses that can contribute to both the mission and the bottom line.
While some national nonprofits have successfully implemented enterprises,
and medical centers have for many years turned departments into self-sustaining
businesses (e.g. medical equipment rental, catering, physician practice
management), most social service agencies have not. We can help conceptualize,
research, plan, and develop the business plan for profitable new businesses.
Business Planning
We research and develop strategic, business, and long term plans for
the behavioral health and human services. Our clients include psychiatric
hospitals and inpatient units, residential treatment facilities, foster
care agencies, community mental health centers and many other social
service organizations in the US and Canada.
A Strategic Plan
A strategic, or tactical plan, develops a viable roadmap for an organization
based on quantitative and qualitative market, demographic, needs, and
financial data, and results in a future vision that informs future
decisions. For health and human services, a key aspect of a strategic
plan is forecasting future demand for a particular service, e.g. demand
for inpatient psychiatric services for elderly patients or demand for
therapeutic foster care in a state or county. This is a demand analysis.
Business Plan
A business plan usually focuses on a specific service, program, facility
or group of facilities and is used to justify funding and investment.
Non profit organizations can use a business plan for grant applications
and to assess existing or planned services.
Every organization is unique so our approach to both strategic and business
planning is tailored to the objectives, challenges and opportunities
of each client. Generally, however, the following steps usually play
an important role.
Organizational Development
Through organizational reengineering, we help private and public organizations
better meet consumer and community needs. This is accomplished while
improving quality, compliance with standards, and the bottom line.
Our Premise
We start with consumer needs rather than internal organizational functions
and hierarchies. We identify core processes and work towards cross-functional
integration. The impact on most organizations is a “flattening” of
hierarchy. This increases service coordination, reduces management
layers, and leverages knowledge assets. Transformed companies gain
competitive power.
How We Work
We involve consumers, staff, board members, and managers in the process,
as well as customers, payers, and regulators. This “customerizing” process
is enlightening. Together we establish a series of new and compatible
end states that sequence the change process. The old barriers can fall
without harming service delivery.
Together, we look for ways to reduce unnecessary layers that increased
costs, fragmented services, impeded decision-making, and often just created
work that contributed nothing to the delivery of care for consumers.
The resulting structure is often team-based and cross-functional. A Core
Process Analysis helps visualize the existing and new structure.
Core Process Analysis
This is a way to determine and maximize the activities that drive consumer
and payer value. Many organizations develop procedures and traditions
that do not contribute real value, add expense, and reduce performance.
SCI maps functions, old and new processes, and decision flows, realigning
operations for optimal agency and consumer value.
Organizational Structure Redesign
Think network, small flexible business units, with strong, disciplined
accountability, driven by performance and value. We help organizations
find the right balance between centralized functions and fast-moving,
responsive, networked business groups. Structure should relate to strategy,
core process, market, and business objectives.
Operations Assessment
An Operations Assessment is a comprehensive study of many aspects of
a behavioral health or social service (e.g. a residential treatment
program) or a group of related services and business units in relation
to key functions, in general:
1. Financial Performance
2. Staff and Productivity
3. Space, Locations, Technology
4. Program Operations & Utilization
5. Market Position & Environment
Outcomes from the study are compared to national benchmarks and recommendations
made in the form of a Management Action Plan which sequences objectives,
action steps, and time frames.
Our work in this area identifies optimal functions
for centralization as well as decentralization. Both can co-exist. We
help organizations scale and locate operational units and programs to
there most market-intelligent, cost effective, and productive size with
the base requirement being better care.
Operational studies are also often conducted relative to increasing financial
losses, new competition, eroding funding or market base, organizational
restructuring, automating medical records, client tracking, outcomes,
billing, and other procedures.
We can help “up and down, over and around” hierarchical organizations
become fluid and responsive, tending towards discrete “close to
the task” self contained, high energy and multifunctional teams
that talk to each other more than report to each other. They stay focused
on the consumer, the project and the outcomes.
Workflow Analysis
A Workflow Analysis helps agencies eliminate redundant, duplicative and
steps which are currently being performed but that do not add value.
Using a variety of cross-functional workflows, cause and effect diagrams
(fishbone diagrams), decision trees, and other techniques we help agencies
improve their operational efficiency and reduce costs.
Workflow improvements are often used to optimize
the steps and procedures for inputting and using information systems.
Efficient workflow, turnaround time on development,
knowledge-based, empowered decision making are crucial for cost effective
operations, competitive rates, and revenue generation while still maintaining
quality care.
Other Tools for Enhancing Operations
We use tested frameworks, national staffing benchmarks and other tools
to diagnose and improve operating efficiency:
· Staff Productivity Study
· Staffing Ratios
· Salary & Compensation Studies
· Consumer Access Analysis
· Staff, Consumer, Community and Payer Surveys
· Activity & Time Study
· Physical Plant Study
Coupled with other operational studies, our lead consultants help organizations
re-engineer staff assignments, locations, and the operating structure
to enhance efficiency, increase staff productivity, and sustain a more
consumer friendly program.
Interim Management
We provide CEOs' and executives for interim and turnaround
management of substance abuse treatment programs, psychiatric hospitals
and inpatient units, geropsychiatric inpatient programs, children and youth
agencies, community service boards, mental health centers, and other behavioral
health and human service organizations.
We have access to a small network of highly qualified
professionals interested in assignments from 3-12 months. These individuals
are qualified to assist organizations in restructuring, correcting quality,
clinical, revenue, cost, operations, and compliance problems.
Initially, we evaluate the culture, competencies,
structure, funding mechanisms, market, systems, or other elements contributing
to the problem and quickly, but systematically work to correct them.
Communication with staff is critical. After this assessment we develop
a succinct action plan spelling out objectives and methodologies.
As the goals of the interim engagement are met,
we then help find a permanent executive to further the organization’s
financial, market and operating objectives.
We have a track record of improving productivity, and rebuilding positive
relationships with staff, board members, physicians, payers, referral
sources, state and county government authorities, consumers, and community
stakeholders.
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