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The keys to simplifying financial management at your medical institution

The complexity of the healthcare business keeps increasing as the industry continues to grow. Teams must contend with rising regulation, make sense of large volumes of data, manage multiple leases and keep up with changing accounting guidelines.

By Eden Experts

The complexity of the healthcare business keeps increasing as the industry continues to grow. Teams must contend with rising regulation, make sense of large volumes of data, manage multiple leases and keep up with changing accounting guidelines. Healthcare executives must achieve all of this while ensuring that care remains affordable and accessible. Effective financial management focuses on safely reducing these challenges, so organizations can keep delivering excellent patient care, invest in improvements and meet their fiscal responsibilities.

What is the role of financial management in healthcare?

The main role of financial management is to reduce risk and manage finances in order to meet the objectives of a healthcare organization. Delivering healthcare requires a solid, organized administrative backbone, and what that looks like varies from one organization to another. Many factors influence an organization's financial health, and most will find areas to improve in both their systems and their processes. Below is a list of some of the common goals of financial management in healthcare:

  • Reduce risk and increase stability through better information and planning.
  • Detect fraud and misuse of funds, both internally and externally.
  • Simplify third-party payments and improve cash flow.
  • Negotiate the best contracts with vendors and reduce supply chain issues.
  • Make profitable investments based on accurate, timely data insights.
  • Fund necessary improvements and make faster decisions.
  • Prevent errors and mistakes in systems.
  • Reduce costs through better management of assets and working capital.
  • Manage contracts and avoid errors with streamlined processes.
  • Comply with global healthcare and accounting standards.
  • Protect and maintain the tax-exempt status of non-profit organizations.

Administrative challenges for healthcare providers are on the rise.

It should come as no surprise to those involved in healthcare management that costs have risen in recent years. It has been observed that approximately 34% of healthcare spending goes toward administrative costs, and many organizations face the challenge of reducing this figure. In the following video, we will address the growing landscape of administrative challenges in healthcare and explore possible solutions to tackle the industry's most pressing concerns

There are five core administrative areas that have a significant impact on healthcare. Financial management covers a wide range of aspects within a healthcare organization, which can feel overwhelming when deciding which systems and processes to improve. However, these areas can be divided into main categories to better understand where administrative challenges arise. It's important to keep in mind that all of these areas are interconnected to some degree. For example, it would not be possible to manage multiple properties or entities without securing data and complying with financial regulations.

Before tackling any problem, it's advisable to conduct a thorough review of these core areas, as this will help create a roadmap toward the right solutions. You may find that many of the challenges your team faces stem from the supply chain, in which case it would be wise to prioritize that particular area.

The five core administrative areas are:

  1. Supply chain management in healthcare.
  2. Financial consolidation for better management of financial resources.
  3. Lease management related to properties and rental contracts.
  4. Data security and management to protect sensitive information and ensure privacy.
  5. Financial regulatory compliance to meet established financial regulations and standards.

In summary, by understanding and addressing these core administrative areas, healthcare efficiency and quality can be improved.

Data management

Data management plays a vital role in the financial health of healthcare organizations. When discussing the healthcare business, aspects such as patient experience, insurance premiums, quality of care and rising pharmaceutical costs often come up. However, it's important to recognize that many healthcare providers are not making the most of their most valuable source of information: data.

Behind every activity of a healthcare organization lies a constant flow of data, which can be challenging to harness without best-practice data management. A lack of sufficient or accurate data can lead to poor decisions and affect every aspect of the organization, especially its financial health.

There are six essential characteristics for achieving good data management in healthcare:

  1. Centralize data using a cloud-based solution.
  2. Access real-time reports and insights for agile decision-making.
  3. Enable comprehensive regulatory compliance management.
  4. Automate error-prone processes to increase efficiency.
  5. Protect data with scalable security features to ensure its confidentiality and integrity.
  6. Make sure all data meets the seven standards of reliable data.

By implementing these features, healthcare organizations can optimize their data management and, in turn, improve their financial health by making more informed, efficient decisions.

Data standards in the medical industry

The 7 standards of reliable data for healthcare are fundamental criteria that ensure the quality and integrity of information in the healthcare field. These standards are as follows:

  1. Credible source: Data must come from reliable, verifiable sources.
  2. Accurate and error-free: Data must be precise, with no errors or inconsistencies.
  3. Complete and comprehensive: Information must be complete and cover all relevant aspects of a given context or situation.
  4. Consistent across systems: Data must maintain its coherence and consistency across all systems and platforms used.
  5. Standardized format: Data must follow a common, standardized format to facilitate comparison and analysis.
  6. Collected on time: Information must be gathered and recorded at the appropriate time, without significant delays.
  7. Current and relevant: Data must be up to date and pertinent to the situation or need at hand.

Meeting regulatory compliance standards and financial regulations is a growing concern for healthcare administrators. Healthcare organizations in the United States invest more than a million dollars a year in compliance programs, yet many feel they have still not managed to establish a solid program. Building an effective compliance culture within a healthcare organization requires a commitment to best practices across all departments. In most organizations, this involves both the use of technology and data management as well as the implementation of standards and protocols that empower people and foster a culture of compliance.

Obstacles to optimizing medical administration, and possible measures:

  1. Adopting competitors' practices without verifying compliance standards: Imitating competitors' actions without checking whether they meet compliance standards risks incurring regulatory violations.
  1. Not making compliance an ongoing conversation: It's essential for compliance to be a recurring topic, discussed regularly within the organization, to keep it present in the minds of every team member.
  1. Lack of accountability in compliance programs: It's essential to have a clear assignment of responsibilities regarding compliance, so that every member of the organization understands their role and takes on the corresponding responsibility.
  1. Uncertainty about how to report issues: Teams may struggle to properly report identified problems or violations. It's important to have clear, accessible channels for reporting issues safely.
  1. Absence of a code of conduct and reference materials: The lack of a clear code of conduct and related reference materials makes it difficult for members of the organization to understand expectations and compliance standards.
  1. Lack of time to properly monitor compliance: Insufficient time and resources devoted to monitoring and tracking compliance can lead to poor oversight and failure to meet rules and regulations.

These obstacles represent significant challenges that healthcare organizations must address to ensure effective compliance and protect the integrity of their operations.

Simplifying lease administration in healthcare

Lease administration is one of the fundamental areas of healthcare management, although it often receives less attention than the supply chain or data management. This may be because companies tend to separate contracts and leases from other aspects of financial management. However, given the complexity involved, it's important to spend time thoroughly evaluating your lease administration strategy. Did you know how much money you could save through tenant improvement allowances? Or how to properly negotiate a medical lease? It's essential to have at least a basic understanding of these principles if you want to maximize performance. Below are some recommended resources to get started:

Healthcare lease administration resources:

  • How to negotiate a medical lease in 8 simple steps.
  • Infographic: Optimize your lease administration strategy.
  • The key differences between operating and finance leases.
  • A guide to accounting for tenant improvement allowances.

These resources provide valuable information and practical guidance for simplifying lease administration in healthcare, enabling a more efficient and effective approach to this critical area.

Navigating enterprise resource planning (ERP) systems for healthcare

The role of ERP systems in the healthcare sector

Adopting an ERP system in healthcare can address numerous administrative challenges facing your organization. However, given the wide range of solutions available on the market, making the investment decision can feel overwhelming. Below are two resources to help you identify the priority functions for your organization and shortlist solutions. Doing this preliminary work to understand your exact requirements is worthwhile, since the right system can be central to the core functioning of your operations for at least a decade.

  • Benefits of implementing an ERP system for healthcare providers
  • Creating a customized checklist for ERP system requirements

These resources will provide valuable information to guide your selection process and allow you to focus on the essential features and functionality your organization needs. With a clear understanding of your requirements, you'll be better prepared to make informed decisions and make the most of the potential of an ERP system in healthcare.