Abstract

Background: Georgia’s Critical Access Hospitals (CAHs) face increasingly complex threats to financial sustainability, as demonstrated by the disproportionally high number of closures in comparison to other states in the nation.

Methods: Financial performance measures (including profitability, revenue, liquidity, debt, utilization, and productivity), site visits, key personnel interviews, and a revenue cycle management assessment were used to assess the strategic landscape of CAHs in Georgia, analyze financial and operational performance, and provide recommendations.

Results: For CAHs in Georgia, financial and operating performance indicators, interviews, and assessments depict a challenging operating environment, but opportunities for improvement exist through implementation of a Lean Six Sigma program and improved benchmarking processes.

Conclusions: Georgia’s CAHs operate in a challenging environment, but operational improvement strategies (such as a Lean Six Sigma program) and benchmarking directed towards business processes, including revenue cycle management, provide opportunities for sustainability in the future.

Original languageAmerican English
JournalJournal of the Georgia Public Health Association
Volume7
DOIs
StatePublished - Jan 1 2017

Keywords

  • Operational
  • Financial
  • Performance
  • Georgia
  • Critical access
  • Hospitals

DC Disciplines

  • Community Health
  • Community Health and Preventive Medicine
  • Health Policy
  • Public Health

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