CASE STUDY

A Better Business:

Transitioning to a Remote Workforce

3.5 FTEs

Additional FTE equivalents spent in workqueues

%

Reduction in Non-Value Added Tasks

%

Reduction in Workqueue Amounts & Volumes

%

Reduction in A/R over 120-days

the backstory

The email came at 4pm on a sunny Wednesday afternoon in eastern North Carolina. The slow and steady march towards the future of remote work was becoming reality at breakneck speed. The offices of the CBO were asked to close at end of business Friday. Vidant Health’s revenue cycle leaders had 48 hours to execute a plan to move 140+ employees to a remote work environment. Vidant’s situation was not unique. In fact, it was the new reality facing businesses around the world. As the COVID-19 pandemic swept the nation, businesses had to make a choice – move your business remote or stop working altogether. As an industry, healthcare is typically a late adopter, and the work from home trend has been no different. While it is common for coding teams to work remotely, few organizations have adopted a 100% remote CBO model. The concept of remote work has always been popular with Vidant’s employees; in fact, it ranks as the #1 request in the annual employee survey. Management, previously reluctant to remote work, now needed to embrace and adopt the concept at an unprecedented pace.

Avid brings a unique set of tools that make the tracking of engagement progress, including dashboards that track denials, cash collections and other key performance indicators much more straightforward.  Avid also uses a collaborative approach where they immerse themselves within the organizational structure, where they are better able to introduce change and transform culture.  Although they are clearly driving the engagement, they do an excellent job of listening to the current staff, addressing their concerns and allowing them input into the future state of the revenue cycle. Most importantly, they left behind a staff with a much larger understanding of revenue cycle processes, as well as an infrastructure to sustain the progress and continually improve. Scott Lieberenz

Senior VP of Financial Services, Vidant Health

the transition

This story isn’t about the technical transition, a one-time task of moving PCs, providing system access, etc.  Instead this is about the operational transition – a shift in mindset; a change that, when done correctly, can be long-term; beneficial for both the employee and employer.  And Vidant was ready.  In their CBO, they had already  created a culture centered around accountability:

a culture of accountability

Weekly One-on-Ones

Weekly one-on-one meetings between each employee and their direct Supervisor to discuss the previous week’s productivity metrics and any related action plan

Productivity Reporting

All employees are measured for productivity & quality on a weekly basis

Performance Metrics

Weekly leadership meetings where KPIs, team and individual performance metrics are discussed

Formal Policies & Procedures

There are formal policies in place that support these performance expectations

Workforce App

 At Avid, we provided Vidant with the technology used to measure these metrics. Our Workforce app is the engine used to track productivity, quality, staff utilization and workqueue changes. Data is compiled and reports are automatically generated every Monday. This approach allows management to focus on assessing staff performance and improving metrics on a real-time basis, rather than spending valuable hours manually creating reports.    A solid culture, coupled with the utilization of our Workforce app, Vidant was able to quickly transition to a remote CBO operating model, and the initial results have been impressive.

the results

The transition went smoother than anyone expected. The change in physical work space did not create a dip in staff performance or KPIs. In fact, the opposite happened. In the 13 weeks since the transition to remote work vs. the 13 weeks prior to transition, the hospital Insurance department has seen their metrics dramatically improve. A key metric that is tracked with Workforce is staff utilization, or the percentage of time an FTE spends on their core job duty. The core job duty of the Insurance department is working accounts in Epic workqueues. As a result of the work from home transition, Vidant was able to increase the team’s utilization from 93% to 95%, resulting in 130 additional weekly hours of time spent working accounts in workqueues. Working more accounts leads to a reduction in workqueue volumes, and ultimately a reduction in outstanding A/R.

3.5 FTEs

Additional FTE equivalents
spent in workqueues

%

Reduction in Workqueue Amounts & Volumes

%

Reduction in Non-Value Added Tasks

%

Reduction in A/R over 120-days

Because this transition has been so successful, Vidant is moving its 80+ Insurance team employees home permanently, with Customer Service soon to follow. This solves a major issue they were facing – lack of office space. As revenue has grown due to expanding services and acquisitions, Vidant has been increasing headcount to keep up with the additional volumes. As a result, there was only one desk available in their two existing locations. Moving to a remote environment means they don’t need to lease a third location. Instead, they will be able to consolidate the remaining on-site employees into a single CBO location.
Employees are happier too. And they have held up their end of the bargain. They have proven they can be productive and deliver expected results while working from home. This successful transition to a new remote operating model would not have been possible without having a culture of accountability as well as having the right software to support it.

Company

Vidant Health is a large hospital system, with 10 hospitals across eastern North Carolina. http://www.vidanthealth.com/

Location

North Carolina

Facility Type

Hospital System

EHR System

Epic

Solutions Used

  • AVID RCM Analytics
    • Workforce
  • Transformation

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