Streamline SMF Workflow to Improve Productivity and Reduce Claim Discrepancy
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National University Health System
31 December 2020
Streamline SMF claims workflow to improve productivity and ensure 100% claim accuracy. Streamlined SMF workflow improved efficiency, reduced discrepancies, and freed up staff time for patient care.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Operational Management, Financial Management, Productivity, Time Saving, Manhour Saving
About this Content
Aims
Streamline SMF claims workflow to improve productivity and ensure 100% claim accuracy.
Background
SMF workflow previously had multiple handovers, unclear accountability, and significant documentation issues.
Methods
Reduced workflow steps from 6 to 4; eliminated handovers and assigned accountability through a PDSA approach.
Results
Achieved 100% claim accuracy; saved 123.33 hours/quarter across staff; zero discrepancies reported for 3 consecutive quarters.
Conclusion
Streamlined SMF workflow improved efficiency, reduced discrepancies, and freed up staff time for patient care.
Lessons Learnt
Teamwork and communication across departments are critical for improving productivity and efficiency.
Additional Information
Recognized for improving productivity through PDSA and reducing discrepancies.
Keywords
SMF Workflow, Workforce Transformation, Claims Process, PDSA, Productivity
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Jurong Community Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Healthcare Administration |
Applicable Specialty or Discipline | Healthcare Administrators |
Project Lead(s) | Abdul Rashid Jailani |
Project Member(s) | Quek Hui Chen |
Connect with this contributor!
Abdul Rashid Jailani - Abdul_Rashid_Jailani@nuhs.edu.sg