Streamlining SMF Workflow to Improve Productivity and Reduce Claim Discrepancy
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2019
Streamline workflow, assign accountability, and ensure 100% accurate claim submissions. Workflow improvements increased productivity, accuracy, and time savings.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Operational Management, Financial Management, Quality Improvement, Workflow Redesign
About this Content
Aims
Streamline workflow, assign accountability, and ensure 100% accurate claim submissions.
Background
The SMF workflow previously had multiple touchpoints, resulting in errors, delays, and accountability issues.
Methods
Revised the SMF workflow to reduce steps, clarify responsibilities, and eliminate unnecessary handovers.
Results
100% claims accuracy achieved; saved 122.33 hours per quarter for staff across departments.
Conclusion
Workflow improvements increased productivity, accuracy, and time savings.
Lessons Learnt
Communication and teamwork across departments is crucial for effective workflow redesign.
Keywords
Claims, Workflow Efficiency, Productivity Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital, Jurong Community Hospital |
Platform(s) | National University Health System Quality Improvement |
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!
Quek Hui Chen - hui_chen_quek@nuhs.edu.sg