The Institute for Quality Resource Management
- Works to establish processes that enhance appropriate utilization of quality health care as needed by the populations served.
- Meets the medical industries’ goal to provide products to health care providers that bring incremental recognized value to patients and providers.
- Increases the knowledge of patients so that they may be more compliant and therefore helping them implement their medical care.
Strategy for Success
Maximize Efficiency
Maximize efficiency of current capital and labor assets by removing non-value added cost and activities
Payer Guidelines
Clarify payer guidelines to be certain current claims processing procedures meet the goals of revenue enhancement by providing relevant concise information
Market Share
Garner market share through strategic alliances with Managed Care Organizations
Provide services
Provide services that meet the target population’s medical needs while providing a positive revenue stream
Design Processes
Design cost effectiveness data collection processes into phase III and phase IV clinical trials for FDA approved products
Develop reimbursement strategies
Develop reimbursement strategies for new products to meet the needs of both government and private payers so new technologies and drugs may serve the entire population
Techniques That Work
Establish processes to track patient outcomes
Control cost through inventory management and proper billing
Do procedure based cost analysis for high volume high cost procedures
Implement disease management processes on high cost diseases
Provide activity based cost analysis per room and associated staff
Develop automated coding and supply templates.
Verify ICD-9 code indicates medically appropriate procedure
Select Managed Care Organizations to best create provider/payer relationships
Facilitated by a highly trained and motivated implementation task force