The daily challenges facing the healthcare industry can be overwhelming. Hospitals are facing critical operational challenges including: treating patients effectively and in a timely manner, improving the quality of care patients receive, and keeping a watchful eye over the facility’s bottom line. To remain successful, hospitals must maintain a balance between patient service and the cost of operations.
Operating in both inpatient and outpatient environments, Tefen improves operations by redesigning processes to eliminate waste, reducing variation in practice patterns, aligning staffing with demand, effectively measuring key performance indicators, and developing advanced scheduling schemes. The healthcare team implements innovative solutions utilizing Lean, Six Sigma, and simulation tools to help improve access, enhance quality of care, and optimize costs throughout the entire facility.
Tefen improves operations in clinical, ancillary, and support services. Results from our recent projects include: increased patient flow, optimized staffing, improved material utilization, increased capacity, transformed supply chain operations, reduced costs, increased revenue, and enhanced overall quality.
We maximize value for all shareholders in your organization by identifying investment opportunities and evaluating the potential for synergies.
We assist you in developing your strategy by identifying the areas of activity and target markets and therapies to focus on. We define growth drivers and viable competitive advantages through feasibility assessments and effective implementation planning.
Mergers & Acquisitions strategy is an effective growth driver for any organization wishing to create or leverage a competitive advantage or enter new markets and territories.
Tefen helps clients identify and develop the most feasible strategy to fulfill shareholders' vision and targets.
M&A success demands research and preparation, and careful execution. Tefen works with clients throughout this process, while using well-proven methods and tools, to ensure optimal integration.
While examining an acquisition target, we conduct a structured due-diligence of the potential purchase, business, and the organizational and operational compatibility; and of the alignment of the potential target to the buyer's resources, capabilities and strategic vision.
M&A success requires a wide examination of the entire process, from vast strategic aspects to drilled-down implementation:
1. First, Tefen maps the strategic activity in the specific field, peripheral markets and the characteristics of the potential acquisition targets. Potential synergies and critical attributes are also investigated and quantified.
2. The most attractive opportunity is based on the highest value for the organization (short & long term) and maximal ease of implementation to ensure value capture.
3. Tefen then performs a thorough due-diligence of the merged organization, covering all operational and organizational aspects and analyzing the benefits and risks that might follow the merge. In this part, we normally quantify value and pricing scenarios.
Following the acquisition decision, Tefen investigates the acquired organization's vision and business plan and its compatibility to the buyer's strategy. Tefen also issues alignment procedures.
We support our clients with execution, from initial alignment to the establishment of a steady state, correlated with defined objectives and work plans.
Tefen support HC organizations to develop and execute their marketing strategy.
As marketing strategy has the goal of achieving a sustainable competitive advantage in a geography or therapeutic area, our work will start with a comprehensive analysis of the strategic initial situation of your organization and the formulation, evaluation, and selection of market oriented strategies that contribute to the goal.
This analysis includes, but not limited to PEST (stands for Political, Economic, Social and Technological), SWAT (stands for Strengths, Weakness, Opportunities and Threats) and many others.
Based on this detailed analysis, Tefen will then choose the recommended strategies from a large number of alternatives, based on well-defined set of criteria.
Globally, the Healthcare industry is under a huge pressure for cost-containment. The growth of hospital systems and systems purchasing has led to a multilayered body of institutional stakeholders, healthcare policy-makers and payers, who are increasingly dictating or influencing what doctors can prescribe or implant.
Life science companies find themselves having to address multiple stakeholders at different levels of the healthcare systems, each with varying needs and priorities.
This complex structure means that the classical “muscle” approach of the pharmaceutical and medical devices sales force is no longer enough.
The objective of institutional initiatives, as explored, is to address the needs for more advance business models by creating “win-win” situations for both pharmaceutical/medical device companies and the Healthcare system.
These should involve both clinical and institutional players and aim to forge new long-term relationships, which lead to concrete projects and the creation of a sustainable “Healthcare environment”, with tangible benefits for both the companies and the Healthcare organizations.
Tefen supports Life Science companies and Healthcare organizations in:
Building long-lasting relationships with institutional actors, cooperating in initiatives with a final pay-off for all participants:
Identification and launching of multi-year projects, aimed at improve current Healthcare processes (within hospital and institutional settings)
Healthcare value refers to the quality of care administered, and to the cost of these services.
Tefen works with hospitals and healthcare systems around the world to improve the value of the organization’s clinical, ancillary and support services. The variety of solutions offered impact the clinical quality provided to the patient as well as reduce the overall cost of care for the provider. This leads to a reduction in the cost of care for the patient.
These improvements can be realized through clinical transformations, variability reduction, and also revenue growth, cost control, and resource staffing.
The healthcare industry is constantly pressured by increased regulation, consumerism, workforce shortages, and an aging population. Healthcare providers must adapt to these changes in order to be able to continuously offer desirable care.
Continuous growth and adaptation to the surrounding environment are parts of a clinical transformation. This transformation can help an organization to improve the value of its care, as well as pursue efficiency improvements and cost effective innovations.
The value of healthcare service is determined by the quality of the care administered, along with the cost of these services.
Improving the value of healthcare services begins with improving the effectiveness of the care administered. Tefen works with its clients to improve patient safety and reduce readmission rates through increased quality of care.
Organizations are then able to reduce complications and hospital acquired conditions. Infection prevention is also improved, and patient injuries, while under care, are reduced.
Information flow improvements can also help an organization to accomplish these goals, as well as improve healthcare value and the effectiveness of treatment.
Along with care improvements, operating cost reductions are also possible. Tefen helps organizations redesign operational processes and optimize available resources to transform clinical processes. These transformations help to allow better utilization of resources, while lowering costs. Through the combination of decreasing costs and increasing the quality of care, clinical care value is improved.
• Designing an Information System for Massachusetts General Hospital Using a Process-Driven Approach
• Compliance Issues within a Medical Surgical Unit
• Rise to the Top - Brigham and Women's Hospital
• Preceding Software Selection with Rapid Process Improvements
The value of a healthcare service can be improved through increased accuracy and efficiency throughout the organization.
Many providers struggle with clinical variability that inevitably increases costs through wasted time and inaccurate information processing.
Tefen works with providers to streamline processes in order to reduce variability and improve accuracy and patient care.
One solution includes implementing systematic data collection and automation to reduce errors. When successfully implemented, it supports the identification of root causes for variance and standardizes data collection to eliminate process output variation for patients with a similar diagnosis.
Tefen works to eliminate variability in providers' orders as well, in order to standardize a system for order sets, protocols and delegation orders; it is imperative that an organization has a centralized or standardized method of storage, to ensure that all order types adhere to the government regulated documentation.
Without adherence to these regulations, clinicians could potentially end up working outside of their scope of practice. or operating from orders that haven’t been reviewed in years and are not consistent with current regulations. This may lead to non-current clinical practices being used, and, therefore, to compliance issues.
When reducing the variability of different types of order sets that exist at an organization, you also increase the quality of patient care through coordination of the entire healthcare team.
The constant potential for cost saving can be easily overlooked, resulting in missed opportunities and wasted or redundant costs.
Tefen helps clients to examine the bonds between financial performances, the quality of care delivered, patient access and overall throughput. This combination allows an organization to fully understand the opportunities for improvements in their billing processes and their cost realization.
Tefen also works with organizations to help integrate diagnostics and technologies to reduce operating costs, as well as to increase efficient usage of resources and assets, resulting in a significant reduction in costs.
• Activity-Based Costing and Root Cause Analysis
• Reducing Costs through Optimized Sourcing at VNSNY
• Reducing Operational Costs Through Rapid Improvement
Tefen helps organizations improve their provider performance and behavior, from staff to physicians. Enhancing staff performance improves the patient satisfaction as it creates a positive environment and culture, that increase staff's accuracy and efficiency.
Tefen also works with organizations to improve their patient access by increasing effective capacity and reducing admittance costs, both of which lead to a positive experience for the patient.
Hospital staff has a large effect on patients’ experiences due to constant contact. Therefore, it is important for the staff to provide quality and reliable service at all times.
Staff performance can be overlooked during sweeping organizational changes, but Tefen helps to integrate staff performance changes into the overall project.
We assist organizations in improving their provider performance, from staff to physicians, supporting the creation of a satisfying workplace and a dedicated work force.
At the same time, performance enhancements occur through increased efficiency and productivity of personnel. Tefen works to enhance staff performance by implementing clear and measurable performance processes to balance staff and patient satisfaction.
Through performance reviews and the development of planning tools and indicators of performance, measurable and communicable results can be achieved.
Tefen also works with its clients to create an encouraging environment, an enthusiastic and positive culture, that results in optimistic staff attitudes. This mindset leads to improved patient satisfaction and quality of care.
Hospitals are constantly faced with the challenge of delivering affordable, high-quality healthcare, to a wide-variety of consumers. The struggle to provide affordable solutions is made even more challenging by capacity limits and the availability of providers.
Tefen helps organizations improve patient services and treatment throughout the admission, stay and discharge processes, by streamlining patient flow processes and increasing patient access.
Increasing patient access can have many positive effects on an organization, including enhanced patient satisfaction due to greater ease of admittance.
Through the reduction of inefficiencies, hospitals are able to minimize delays, increase procedures on-time starts, and therefore increase scheduling capacity. Increased capacity allows patients to have more flexibility, and better availability of providers.
Tefen also works with organizations to lower access costs to hospitals and emergency departments, allowing more affordable treatment, which allows the hospital to offer care to a larger number of people.
• Minimizing delays and better information sharing leads to higher patient satisfaction
• Minimize time spent by staff on day of surgery tracking down patient information supports & enables on-time starts
Operational excellence is a philosophy of leadership, teamwork and problem solving, that results in continuous improvement throughout the organization by focusing on the needs of the patient, empowering employees, and streamlining existing activities in the process.
Operational excellence in a corporate culture, enhancing the way an organization provides patients with products and services. It requires a strong commitment and a culture of continuous improvement to solve current delivery problems such as cost and efficiency.
Continuous improvement applies not only to improving the quality of human resources, but also to improving processes and standards. Continuous Improvement starts by setting and correctly measuring the key process indicators (KPI), using the right documentation, controlling results, and defining preventive and corrective actions.
Implementing operational excellence and continuous improvement processes will lead to reduced waste and operational costs, shortened cycle time and reduced cost of the product/service.
Over the years, Tefen accompanied dozens of companies in implementing processes of continuous improvement and operational excellence with professional multidisciplinary teams and a shared commitment to improve business results.
The clinical units of a hospital offer large opportunities for increased revenue if patient efficiency and increased capacity can be realized. Tefen helps clients reduce unnecessary costs and waste by leveraging the tools and techniques of Lean, Six Sigma, simulation and change management. The standardization of operating processes and the use of these tools and techniques, can enhance and improve performance, eliminate redundancies, and improve patient safety, satisfaction and admission process.
Improve Patient Flow, Reduce Length of Stay, and Increase Capacity
Variability in patient flow often leads to issues with hospital capacity, bed availability and provider-to-patient ratios. We help redesign operational and process procedures to streamline patient flow between departments from admission to discharge.
These improvements result in faster turnarounds, better management of materials and better management of active discharge. These things lead to increased resource utilization and improved hospital wide patient flow and capacity. Furthermore, they contribute to improving the overall organizational performance and perception of patients.
Through the redistribution of workload and the elimination of peaks in patient occupancy, hospitals are able to increase patient volume without having to invest in new facilities. These changes improve access throughout the hospital and decrease processing time, wait time and patient lead times, allowing for patients to be treated effectively and in a timely manner.
Tefen also helps its clients focus on reducing the average length of stay (LOS) of patients when working on improving patient flow. Through reduced LOS, effective capacity can be increased, leading to additional scheduling opportunities and increased revenue.
In the obstetric ward of a hospital, safety of the mother and infant is the main consideration, and therefore, quality improvement is a main focus.
As quality of care is increased, process improvements lead to more efficient services. Further enhancements can then focus on increasing birth volume capacity, while continuing or improving the current level of care.
Tefen works with clients to increase birth volume, while improving performance and limiting new capital investment in facility renovation or construction.
In addition, improvements in materials management, provider practice patterns, room utilization and discharge management lead to reduced length of stay and reduced room turnaround time.
These solutions, coupled with improvements in procedure scheduling, staffing and facility sizing through forecasting, result in increased effective capacity. As a result, patient wait times are decreased and ultimately, patient satisfaction is increased.
Hospitals are often challenged with emergency department admission wait times due to understaffing and inefficient patient flow and processing.
Tefen helps organizations realize quality improvements and cost reductions in the emergency department through assisting in the redesign and optimization of operational processes. These improvements lead to increased patient flow and effective capacity, resulting in easier patient access, as well as lower access costs.
Tefen also works with clients to improve patient information flow, resulting in an effective, efficient and accurate care administration. Ultimately, these changes can help streamline patient flow through the emergency department, resulting in shorter stays and increased admittance rates. Increasing the number of patients seen in one day enhances patient satisfaction, as well as increases revenue.
Surgical services in a hospital account for a large portion of its revenue. However, many health care systems are not fully utilizing their key assets’ space and time, and therefore are not performing to their potential.
Tefen works with hospitals to improve their scheduling process by using block scheduling and capacity planning, in order to reduce staff overtime and improve room and resource utilization. Tefen also helps organizations optimize room-turnover times, in order to minimize case delays. The effective flow of a patient can be improved through many process changes. Focusing on the OR, improvements can be made in patient preparation and information flow to minimize delays and support on-time starts. Through staff leveling, forecasting and improving access throughout the hospital, processing times, wait times and patient lead times can be decreased.
Materials management solutions can also be examined to reduce inventory holding costs, stock out event occurrences and time spent looking for materials. Tefen also works with organizations to increase accurate and on-time equipment delivery, resulting in quicker instrumentation turnaround time.
All of these solutions allow for patients to be treated effectively and in a timely manner, increasing the effective capacity of an operating room and resulting in increased revenue.
Radiology departments face many challenges that result in fewer patients being seen by physicians, lower patient satisfaction scores and overall financial return. Challenges such as on time starts, patient wait time, turn-around time, no shows/cancellations, backlog, cycle time, volume, wrong orders and unread exams, all affect the success of a radiology department.
The efficiency and effectiveness of hospital radiology services can be improved through the standardization of operating processes and procedures. Through work flow optimization, the department’s processes and overall flow can be streamlined to eliminate non-value added activities. These changes can help eliminate waste and reduce unnecessary costs, resulting in increased capacity and, therefore, revenue.
Tefen helps organizations improve their radiology services using several tools and approaches. Tefen also helps clients with evaluating their patient scheduling process to determine the most efficient and economically viable operating model. Tefen can also help with analyzing the impact and performance of patient transportation between the radiology department and other areas of the hospital.
Lastly, Tefen helps clients to complete staffing analysis and productivity measurement in order to align staffing patterns to historical patient demand while considering productivity performance measures.
Improvements in an organization’s Laboratory Services, Pharmacy Department and Supply Chain can reduce unnecessary costs through streamlined processes. Using Lean, Six Sigma, simulation, and change management techniques, process enhancements are possible and will lead to more accurate and effective services.
Efficiency can be improved, resulting in reduced lab turnaround times and reduced pharmacy RX fill times, which in turn will lead to increased patient satisfaction and increased processing.
Many organizations struggle with inefficiencies in their clinical labs, resulting in decreased productivity and wasted time, both of which negatively impact the organization’s overall bottom line. When a lab is operating effectively, internal processes won't affect patients' responses to service, but once problems arise, patients will directly feel the negative effects.
Improving lab processing, reducing turn-around times, reducing variability and streamlining information flow can help increase efficiency. Variability in laboratory services leads to frequent errors resulting in rework and wasted time.
Tefen helps organizations streamline laboratory processes in order to reduce variability and improve accuracy. By identifying the root causes of variances, it is possible to determine which processes need to be standardized in order to eliminate process output variation. Through the standardization of data collection techniques, operating costs can be reduced and accuracy can be enhanced.
Information flow and efficiency can be improved through collaboration with institutional entities and research centers — such as the integration of the diagnosis and lab departments—as well as improvements in communication management and the delivery of test results.
Tefen also works with clients to leverage the tools and techniques of Lean, Six Sigma, simulation and change management to encourage laboratory transformation. These techniques result in the reduction of inefficiencies, coordination costs and waste throughout the laboratory; as well as significant improvements in patient care, due to increased accuracy and improved processing times, along with desirable cost savings.
Hospital pharmacies strive to improve workflow and reduce waste to achieve timely and quality service at low cost. Pharmacies can increase efficiency and effectiveness through process improvements, resulting in greater patient and physician satisfaction.
Tefen offers solutions to increase efficiency, such as improving communication between physicians and pharmacies and reducing idle time by utilizing down-time to perform preoperational activities.
Tefen also works with clients to determine optimal working shifts to address fluctuations in demands while maximizing patient units’ coverage. These solutions provide benefits to the operations of the pharmacy such as reducing the average fill time and limiting patient wait time.
Tefen helps hospitals realize cost reductions through examining drug purchases and pharmacy processes and procedures. Improvements in these areas can be achieved through better planning of the pharmacy’s supply chain, in order to optimize stock flows and Par levels, resulting in reduced stock-out turnaround times and satellite inventory, and as a result – to additional cost savings and reduced waste.
Tefen helps clients improve organizational health through transformational changes and process redesign. Through process improvement, many opportunities that lower costs and increase productivity can be realized. Through labor management and effective management systems, Tefen helps organizations reduce redundant tasks and wasteful activities, resulting in increased efficiency.
Overall organizational health is enhanced through organizational design changes such as labor management and the establishment of a Project Management Office. These changes can result in improved patient flow, increased capacity, enhanced physician alignment and an adaptive foundation for future change.
We support our clients to identify current performance metrics and develop future state Key Performance Indicator dashboards. With Tefen, our clients develop management routines such as report-outs, reviews, huddles and visual controls such as notice boards and trackers, allowing day to day and month to month management and performance assessments.
Organizational Design Changes
Improving organizational design focuses on the enhanced integration of the assets of an organization: people, information and technology. Through transformational changes, strategic aims are reinforced, ensuring alignment of the corporate design and the organization’s actual functions.
Tefen helps clients improve their organizational design through the development of new working models and major operating processes. We also work with our clients to focus their organizational structure development and to establish a proactive system that forecasts potential failures and addresses them beforehand, in order to ensure lasting results.
Adaptive Foundation for Future Change
Effective change management is important to establish a foundation for ongoing change and continuous improvement. One challenge organizations face is achieving equilibrium where all levels of management and staff are willing to accept changes.
To support sustainable solutions, Tefen assesses the readiness of organizations to absorb change, anticipates resistance to change, and ensures that organizational infrastructure is capable of sustaining gains.
Tefen offers solutions through an analytical approach based on facts and data, with an emphasis on implementation and real transformation. Periodically auditing and reevaluating progress and solutions creates a continuously changing foundation, allowing for adaptive changes in the future. This foundation allows solutions to be easily transferable to other facilities, resulting in further continuous improvement.
Increase Efficiency and Productivity through Labor Management
All modern organizations face the challenge of utilizing their staff effectively and the healthcare industry is no different. Waiting, transportation, non-conformities and other non-value added activities reduce productivity in an organization immensely. Therefore improvements in staff management and utilization can be extremely beneficial in enhancing staff performance and the organization as a whole.
Tefen offers solutions to help increase efficiency and productivity of processes and staff. Offerings include aligning staff with demand, controlling workload volumes and optimizing single departments, resulting in a streamlined organization-wide process. Tefen also works with clients to help define the specific roles, tasks and working processes to minimize errors and rework and increase productivity.
In addition, Tefen helps clients create FTE rationalization programs and measurable performance guidelines in order to enhance the organization’s labor management techniques. Solutions include working towards the reduction of paid overtime and the decline of inefficiencies to increase employee satisfaction. Through labor management, Tefen also helps organizations reduce redundant tasks and wasteful activities.
Over the last decade the focus on quality, whether during the provision of care or at the outcomes level, has increased. Tefen helps organizations increase the quality of their services through strategic thinking, while pursuing efficiency improvements and cost effective innovations.
Tefen’s methodology culminates in an organization realizing the benefits of a combined proactive and reactive approach to risk management. A reactive approach leads organizations to wait until an adverse event occurs and then react to this event with ‘local fixing acts,' while a proactive approach is achieved through the implementation of preventive actions before any adverse events have occurred.
Through the combination of these approaches, which has been determined to be the most practical and suitable implementation, patient safety risks are minimized and the overall quality of services enhanced, leading to enhanced service, greater patient satisfaction and reduced costs.
Patient safety involves reporting, analysis, and prevention of errors. The Healthcare Quality Consulting realm covers the degree to which programs, policies, services and research increase desired outcomes and conditions in a healthcare organization. Advancements in desired outcomes are challenging if the organizational environment does not support the processes.
In addition, the impact of the Patient Protection and Affordable Care Act on the industry intensifies the need to overcome the previously listed barriers. Tefen has worked to develop an innovative methodology which will help healthcare organizations adapt to these changes while continuing to achieve excellent Healthcare quality and patient safety.
Quality Maturity Assessment
Analyzing the current state of an organization helps to determine where improvement changes will be the most beneficial and prevents confusion and unfocused goals. In the Quality Maturity Assessment phase, Tefen helps clients use a maturity scale to evaluate a hospital’s current condition in order to focus future improvement initiatives. Through this approach, clients are able to increase the value and quality of their offerings through improvements in strategic and operational approaches throughout the entire system.
Quality Measures Management
When working to improve healthcare quality, it is important to have a system that allows for improvement measurement in order to determine progress. During the Quality Measures Management phase of quality improvement, Tefen helps organizations develop tools and processes for effective measures management and to routinely review measures in order to drive continuous improvement work.
The Institute of Medicine has defined 6 categories in Healthcare Quality Consulting: patient safety, safe care, timely care, effective care, equitable care and patient-centered care. These tools can be used as measurable parameters that can help an organization determine if it is improving its quality and patient safety.
Establish a Project Management Office (PMO)
A centralized and coordinated management of initiatives is extremely important in any organization if long term, positive results are to be achieved. It is crucial for ownership to be taken over all projects and this sense of accountability helps support the project leader’s prioritization and decision making process.
A Project Management Office (PMO) must work to balance the challenges of optimizing organizational efficiency, lower costs, as well as answer to the needs of the stakeholders. It is important for the PMO to oversee the proper management of all initiatives in the healthcare facility. The PMO must be able to manage quality projects, direct and guide project execution, promote collaboration and ensure that standardized, best practice processes are utilized on all projects.
Tefen helps in the establishment of a PMO to provide project governance, prevent wasteful duplication and train project leaders and team members on project execution.
In order to optimize the quality of care, hospitals are expected to adhere to a set of core care measures, developed by the Joint Commission. This set of measures is a standardized performance measurement system that has been proven to reduce the risk of complications, prevent recurrences and enhance the treatment of patients. Tefen helps organizations follow these measures in order to improve the quality of care.
Inefficiencies in a hospital supply chain can lead to non-value added consumption of resources and assets that could have been used for patient care. The growing complexity of a healthcare system’s supply chain often results in challenges when attempting to manage the entire supply chain as one entity.
Tefen helps organizations streamline their entire supply chain in order to eliminate waste and inefficiencies throughout. Supply chain process optimization can be achieved through the analysis of the entire supply chain and by focusing on alternatives that improve the control of materials.
Benefits can be seen from the standardization of supplies and negotiations, using rigorous vendor management policies that regulate vendor access and engagement.
In addition, comprehensive systems can be developed to monitor and manage how products are distributed, to further improve the product flow through an organization.
Lastly, Tefen works to develop a plan for continuous improvement. This is done by establishing future processes that must be followed, developing alignment with care providers, creating stewardship to ensure support from all levels of the organization, and sharing information across all departments.
Artificial intelligence is one of the main attributes in the overall digital transformation which is the main driver for the expected productivity gains g under Industry 4.0 Industrial revolution.
Tefen supports clients define their own pathway through this digital transformation process and become or maintain their market leading position by utilizing Artificial Intelligence.
As it is expected that 60% of all occupations could see 30% or more of their constituted activities being automated Companies will need to Change business processes to incorporate data insights into the actual workflow
Some of the processes that Tefen was involved in automating using AI are:
Overall AI implementation methodology will usually include the following:
Tefen deploy a unique set of proprietary tools centered around Commitigo AI engine