A Board-certified general surgeon with more than 26 years of clinical experience, Dr. Zelem managed quality assessment and improvement as a former executive medical director in the past. In addition, Dr. Zelem practiced general surgery for more than 25 years and is a Fellow of the American College of Surgeons. He has served on numerous governing boards and committees and is a renowned industry author.

Dr. Zelem’s career is the perfect example of the concept holism; each part has affected the whole, but no part was more important than the whole of his career. Everything that he has learned and accomplished has led to the progress of the next stage. Not every step was positive, but every step contributed positively.

It started with more than 26 years of clinical practice in general surgery. Yet, it wasn’t just about performing surgery. It involved learning and mastering other skills, such as teaching, training corporate sales staff, product development, providing presentations especially in the motivational speaking arena, gaining people skills, learning and mentoring new surgical procedures around the world, becoming a noted author, and management and leadership principles.

John then made a transition from the clinical side to healthcare executive leadership for the next 15 years. He developed expertise in compliance, contracts and regulations, utilization review, case management, client relations, and physician education. At one point he was responsible for helping clients with new and existing utilization management programs to improve their processes positively affecting revenue cycle while maintaining compliant practices . He was responsible for the development and improvement of existing and newly formed physician advisor programs, with continued mentoring, management, and education.

There are two words that highlight the holistic approach taken:

• Standardization
• Accountability

Without these, sustainability may be challenged.

Dr. Zelem can help you take your organization to the next level. Schedule your free consultation to determine what defines your success.

A process is a series of events leading to a desired result. Your organization has its own unique culture and Streamline Solutions Consulting, Inc. will help you maintain that culture while effecting change. In a holistic solution each part contributes to the whole, yet no one part is more important than the whole.

Streamline Solutions Consulting, Inc. has the unparalleled ability to step back and objectively look at your organization; open your mind to different ways of doing and improving processes through gap analysis techniques while breaking down silos. Some of the following components define your processes and culture:

• Leadership
• Community
• Physicians
• Staff
• Documentation improvement
• Compliance and existing processes

Remember this: If you want to make some changes, you need to make some changes.

Let Streamline Solutions Consulting, Inc., utilizing a holistic approach, be part of your change, be your solution, through trust and collaboration.

Streamline Solutions Consulting, Inc. empowers organizations to improve their revenue cycle by operationalizing a holistic approach to “breakdown the silos” that exist amongst the components of the following functions:

• Utilization Review
• Case Management
• Clinical Documentation Integrity
• Physician Advisors
• Coding and Compliance

Since clinical documentation “cements” these components, it makes total sense to utilize this common denominator providing a team approach where each part affects the whole. It’s back to basics. Extensive data reviews, interviews of key leadership and staff, and best practice application will enable an integrated, collaborative approach with measurable and sustainable results.

Streamline Solutions Consulting, Inc. will provide your solution, fill in the missing pieces of your puzzle to provide the complete picture.

• Analyze your present program for compliance, standardization, and accountability
• Ensuring that existing and new program Physician Advisors integrate with UR/Case Management, your physicians, and your leadership
• Through gap analysis techniques evaluate for efficiencies
• Help “break down silos” that may exist linking Utilization Review, Case Management, and CDI in a holistic manner
• Improving physician documentation
• Help to develop and customize new programs for your individual needs unique to your culture and community
• Assist in hiring and training competent Physician Advisors for new programs through a unique onsite training presence and mentoring afterwards

Streamline Solutions Consulting, Inc. is well positioned to help you establish a high quality program through these qualifications:

• 14 years of overall Physician Advisor experience
• 5 plus years of designing and building onsite Physician Advisor programs
• Involved in the interviewing hiring of over 20 Physician Advisors
• Implemented and provided onsite training for 14 Physician Advisors
  • Assisted with PA integration with
    • Case Management, Utilization Review
    • Facility physicians
    • Executive level
• Managed and mentored a team of 14 Physician Advisors

Helped set up a program of measurable metrics to hold Physician Advisors accountable

• Determining where time is being wasted
• Evaluating team members’ performance. Are they operating at the top of their license?
• Is there enough support staff?
• Problems with care transition and the progression of care
• Difficulty understanding the components of value-based purchasing
• Help with risk-assessment
• Are services being provided that can be set up in alternative settings
• Readmission reduction programs
• Reduce mortality rates
• Discharge planning

Have a problem with your case management? Contact us.

In particular, we can help you with your clinical revenue cycle (CRC). Here are just a few of the revenue cycle and clinical revenue cycle problems we can fix:

• Revenue cycle management (RCM) programs so that everyone becomes more aware where CRC resides in RCM and its significant effect on sustainable revenue
• Broken communication bridges with finance, compliance, business operations and technology
• Inconsistent reporting structure among UR, case management, CDI, the physician advisors and coders
• Bottlenecks and constraints that are preventing your clinical revenue cycle teams from having a smooth, efficient, collaborative process through team empowerment

Have a problem with your revenue cycle or your clinical revenue cycle? Contact us.