|Challenges || Key considerations |
|Attacking health care costs || |
- Health care as a percent of total spend cannot continue to grow under current budget constraints
- Must identify and eliminate fraud, waste and abuse
- Must improve the effectiveness and reduce the costs of major programs
|Improving and simplifying operations || |
- Must identify and eliminate redundancies, especially in the core
- Operations must be results-oriented and aligned with stakeholder and customer needs
- Must accelerate value from IT investments and retain operational flexibility
|Innovating through health IT and informatics || |
- Digital health communities will demand new approaches and services for capturing information and sharing acrosss IT platforms and organizations
- Reporting and comparative information exchange requirements accelerate with the Health Exchange and National Health Information Network
|Managing for results || |
- Increased demands for transparency and expectations of effectiveness require robust, fact-based performance management
- Budgeting for outcomes and focusing on tangible results requires systems thinking
Government leaders and employees are working harder than ever to create lean supply chains, refocus their operations, assess, optimize and even cancel programs.
Summary: Ernst & Young's Federal Health Advisory Services helps leaders like you improve performance, manage risk and drive change. We help our clients redefine how they deliver health services to military service members, veterans and their families.
Tackling the federal health care challenge
Government leaders face the challenge of providing world-class health care for our military in an environment of rising costs, diminished budgets and enhanced expectations. Therefore, leaders need to re-evaluate strategies, operating models and the basic assumptions by which the integrated health delivery system is managed today.
We can help you assess your challenges and deliver solutions that reduce risk and drive desired outcomes.
Give us your greatest challenge: Federal Health Advisory Services
Give us your greatest challenge
Patient-centered medical home (PCMH) management
The patient- and family-centered care concept is being touted as a transformative model for health care in the US public and private sectors. The ultimate goal is to provide an accessible physical and virtual environment where relationships with patients (and their families or support systems) are enhanced regardless of the original need.
Our PCMH performance management approach is phased and scalable and can be tailored for military treatment facilities (MTFs). We emphasize the importance of data and quantitative modeling to reach performance-driven PCMH outcomes.
Learn more about our PCMH services by reading:
Patient-centered medical home management: Transforming health care through a connected community of care.
Capital planning in federal health facilities
Congress has dramatically increased funding for health care delivery transformation as a response to current military challenges. This has resulted in large capital investment projects ranging from new construction and renovation to recapitalization and restructuring, as well as the proliferation of centers of excellence. For example, As of August 2009, the Veterans Health Administration (VHA) was working on 32 construction projects with an estimated total cost of $6.1 billion.¹
To safeguard Congress' investment and deliver the best available care to our servicemen and women and veterans, the government must rigorously manage the scope, cost and schedule of each capital investment project.
That's where Ernst & Young can help. We offer strategic capital investment services with an integrated approach to help you navigate the complexities of delivering a capital project.
Learn more about our capital planning services in:
Rising to the challenge: Capital planning in federal health facilities.
Implementing performance-based budgeting
Given the current financial situation, federal leaders must be able to understand and quantitatively explain the alignment of long-range planning, annual budgeting, forecasting and operations.
Our approach to performance-based budgeting can be used to:
- Improve decisions: accurately assess the operational and financial impacts of various scenarios before making decisions
- Align strategy with operations: cascade strategy, outcome metrics and drivers to hold leaders and program managers accountable for targets
- Adjust to the changing environment: understand the impact of key financial and nonfinancial drivers on the organization to better manage the uncertainty and complexity of government
Learn more about our performance-based budgeting services in:
A clear view: implementing performance-based budgeting.
1 1 GAO Report on VA Construction, December 2009.