Transcript
Meredith O’Neill (00:00) good morning. Hey, Merida. How’s it going? You hear the lawn person outside my window?
Samantha Bouchard (00:10) No.
Meredith O’Neill (00:11) Cute shirt.
Samantha Bouchard (00:13) Thanks.
Samantha Bouchard (00:18) Are you going to pull up the scoping doc?
Meredith O’Neill (00:20) Well, that was my question. Did you want me to literally pull it up and kind of walk through and we can like live type and fill in answers? Or do we just kind of want to ask the questions? That was just, I don’t remember asking?
Samantha Bouchard (00:32) Yeah, I would pull it. Okay. I think just preface it with like, you… know, like our multi skew model and that this helps us scope appropriately to make sure we’re giving you the most accurate price.
Meredith O’Neill (00:52) Well, and there’s a lot of like, yes, there’s the base or the base platform, but like there’s a lot of, you know?
Samantha Bouchard (01:00) Yeah, because some stuff she might not know. Yeah, off the top of her head. So we might have to send it to her after. So I don’t think it hurts her to get eyes on it.
Meredith O’Neill (01:15) Okay. And did you want me to kind of type in the answers as we go through the document or? Yeah.
Samantha Bouchard (01:24) So, like, I think we can just piggyback asking the questions and then I can you?
Meredith O’Neill (01:30) Know, I can type if you kind of want me to be the, since we’re all looking at my screen, that probably makes sense. Okay? But yeah, as long as you don’t mind as I’m typing to fill the space… that’s totally fine. Cool. I can’t believe it’s Friday. Like this week is really throwing me off.
Samantha Bouchard (01:57) You know, I’m in calls from a half hour ago until four.
Meredith O’Neill (02:01) Oh, my gosh. What?
Kathleen Lehman (02:03) Yuck. You know?
Samantha Bouchard (02:06) I was busy yesterday too.
Meredith O’Neill (02:39) Oh, she’s in the waiting room. Sorry, I just noticed that I think she just popped in. So I’m going to go, let her in. Does that work? Yeah, let’s do it. Good morning, Kathleen. Happy Friday. Can you hear us and see us?
Meredith O’Neill (03:03) I think you’re on mute still.
Meredith O’Neill (03:09) I think you might be muted. Can you hear us?
Meredith O’Neill (03:16) There we go. Hi, happy Friday.
Kathleen Lehman (03:19) I thought I unmuted when I joined the call. Sorry about that. Every.
Meredith O’Neill (03:24) System is different, right? Some, you just automatically are muted when you join and some aren’t and.
Kathleen Lehman (03:30) We do teams. So it’s very rare that we use zoom. So, anyway, well, how is your Friday going so far? So.
Meredith O’Neill (03:39) Far, so good, Sam. You haven’t had the pleasure of meeting my colleague Sam, but we were traveling, we did kind of like an all company meeting earlier this week. So we were just saying it’s kind of felt like a clunky week. Somehow, it’s Friday. Yeah.
Kathleen Lehman (03:55) I agree. Very strange. Yes. Where are you guys in the world? So.
Meredith O’Neill (04:01) I’m in Kansas City and Sam, I’ll let you introduce yourself. Yeah, Kathleen, I’m not far from kvc, I’m in brookside awesome.
Kathleen Lehman (04:11) Okay. Where are you? Well, I live in overland park. Okay. Our corporate office is in olathe, of course. So we’re about to hunker down for the storm. Okay. Another one, this one’s supposed to be bad. So, it.
Meredith O’Neill (04:25) was like the top three story on the today show this morning. The storm we’re about to get tonight, Sam. It’s like Kansas City and it’s just all red around. Yeah.
Kathleen Lehman (04:34) Ours is, and it’s coming in waves. Apparently, ours is supposed to be here at three. So, I forgot my computer last night, so I had to run to the office this morning and tuck my car into the garage. So I’m home. Okay?
Meredith O’Neill (04:48) Well, thank you for telling me that I got to do daycare pickup. So maybe I’ll try to do it a little early before the storm.
Kathleen Lehman (04:54) Oh, yeah. I would look, I mean, brookside is probably lumped in with overland park. I would assume it’s like three to six is the worst, but it’s four inch hail. You don’t want to be out in that. Oh.
Meredith O’Neill (05:05) My gosh. Thank you for telling me this. I got to alter my plans today.
Kathleen Lehman (05:09) That’s crazy. And of course, Meredith will probably get nothing.
Meredith O’Neill (05:12) I mean, yes, of course. Yeah. Yes. Well, Sam’s in Boston. I don’t know, Sam, are you supposed to get anything today? No?
Samantha Bouchard (05:21) But on like April seventh, we had a huge hail storm which was just wild and like some snow dusting, I’m like shouldn’t this be over by now?
Kathleen Lehman (05:31) Oh, my goodness. Wow. Yeah, it’s been a rough week. We’ve had it all week and a couple of our little towns, the national news crews were here. They were hit pretty hard and the really sad thing is they were hit again. So, I think it was Monday and Tuesday and they’re in the line of fire again today and there was some pretty bad destruction. So, scary. Not good. Got.
Meredith O’Neill (05:59) To stay prepared. I guess. Yeah. Okay. Well, yeah, knowing all, that I got to pick up my son from daycare early. So I appreciate the heads up.
Kathleen Lehman (06:10) Yes, absolutely. Thanks.
Meredith O’Neill (06:12) For taking the time on a busy Friday.
Kathleen Lehman (06:15) Yeah. And let me just say I feel bad about kind of escalating this process.
Kathleen Lehman (06:19) You guys did a great job. Let me just explain really briefly. We’ve been with our third party for… oh my gosh. Well, in 2019, I stepped into the role of managing the privileging and credentialing and it was a mess. I went through a crash course of it my own and learned it myself. Went went to went and got an education and did it for a few years. And then we finally hired a third party and they’re local to Wichita. Don’t get me wrong. They’re wonderful. I believe that we’ve outgrown them or will be outgrowing them. We’re opening another hospital in December and I don’t think our growth is going to stop there. So we have a joint venture with children’s mercy. This joint venture is with st Louis children’s bjc. And who knows what’s to come right now. We’re just opening a hospital every year. And so we’re.
Meredith O’Neill (07:25) really?
Kathleen Lehman (07:27) Interested in making that transition to somebody that can really handle and grow with us.
Kathleen Lehman (07:32) Yeah. But yeah, we really need to understand the, you know, the budget aspect of it. So I don’t want to waste anyone’s time, but I need to be able to present, you know, these are the things that they can do for us. And I feel like I can be a good voice to advocate for this because I’ve been doing it since 2019… but I really have to have some sort of fee schedule for anyone to go to the next step.
Meredith O’Neill (08:04) Completely understand our goal today was really, to dive into these scoping questions because there are a lot of options like we have our core platform, but there’s a lot of pieces and parts to the service offerings that we have. So we just want to make sure we’re scoping this correctly for you. So I’m not throwing a price over that’s not relevant or there’s pieces included in, that you don’t need. So our goal today was really to go through the scoping question sheet. I didn’t want to just send it over and have you have homework. It’s it’s probably better to have a conversation and then from there, we can set up a call earlier early next week and kind of walk through the, we have something called like a business value assessment, the real value you’re getting out of, the pieces that we’ve scoped, and what that price would look like? Does that sound like a good plan? Sounds great? And then, I wanted to ask, you said that you would probably need to present this. Do you mind giving me an idea of who you’d be presenting this to, and ultimately who would be making a decision, on a move?
Kathleen Lehman (09:12) Yeah, sure. I mean, I, I’m I am situated in the finance department. So my supervisor is the executive vice president of financial planning and analysis. So she would definitely be involved, Amy Crawford who you met on the call. She is the executive vice president of RCM and also in the finance department. I can’t remember then Rao joined the call. He is the executive vice president over HR. Melissa catlett was on the call. She’s a compliance manager who will be managing the process. So, I am, I have transitioned, the primary source verification privileging piece to HR. And so that’s Ben and Melissa, I’m transitioning the credentialing piece of it to Amy’s team in RCM. It’s so part of it’s going into HR budget, part of it’s going into the finance budget. So that’s, the tricky part? And I.
Meredith O’Neill (10:16) know that there’s been talk about the need for a potential evaluating new vendors. Has there been like a budget discussion that you guys are trying to, or a price range you’re trying, to be within? No?
Kathleen Lehman (10:29) No. Okay. There hasn’t.
Meredith O’Neill (10:31) okay. I know that, you know, some organizations move with very strict budget cycles.
Kathleen Lehman (10:38) Is this,
Meredith O’Neill (10:40) a purchase that you’re trying, to evaluate now, and hit for your next budget cycle, or what does the timing look like for that? The.
Kathleen Lehman (10:48) budgets are happening now. I believe our budgets are done and are about to be presented to the board for the July first fiscal year.
Kathleen Lehman (10:57) So that doesn’t mean that it could, couldn’t be presented in an off cycle situation. So, we’re not, if they decided to move forward, we’re not looking at a year. Hopefully. Okay.
Meredith O’Neill (11:12) Perfect. Sam, was there any question that you maybe follow up that I missed there before we jump into the scoping questions? No.
Samantha Bouchard (11:21) I think we might have some that come organically out of the scoping questions, but I think it’s a good time to pivot to that.
Meredith O’Neill (11:27) Okay. Well, I am going to share my screen and Kathleen, thank you again for the time. I, like I said, I think it’ll be easier to walk through these rather than me, just shoot this over to you and give you homework. So, if you have, if you don’t mind, I’m probably gonna, and Sam, just to make sure that works for you, I’m gonna just type.
Kathleen Lehman (11:48) Your.
Meredith O’Neill (11:48) answers. So, we kind of have this as like a working document and please don’t judge if I have typos. So, Kathleen, I know when we talked last Meredith.
Samantha Bouchard (12:00) Do you want to just zoom in a little bit? Oh.
Meredith O’Neill (12:03) Yeah, that probably would be helpful. Yeah. Before you started,
Kathleen Lehman (12:07) looking at what we call position entities, which is that first bullet. And so, let me just say that Kansas, we’re going to eliminate Kentucky and West Virginia for now.
Kathleen Lehman (12:18) Okay. That’s not something that he, you know, that we’re even doing right now? Okay? Kvc, Kansas, kvc Nebraska, those are credentialing, only there’s no privileging at this point because there’s no facility, Missouri is the hospital that will be open at the end of the year. And, currently, it is outpatient therapy, which is what Kansas and Nebraska is. But, Missouri will have a, the residential and acute care and we have, I think what it would be helpful to add hospital quote unquote. And then we want to add, sorry?
Meredith O’Neill (13:08) Do you mind, I’m, just going back to the kvc. So, the Missouri piece isn’t opening until this year in December,
Kathleen Lehman (13:16) The residential and acute care is not opening until December, but currently, we do outpatient services. And so the outpatient services are just like Kansas and Nebraska in that, it’s just credentialing.
Meredith O’Neill (13:31) So, it would be just credentialing for kvc Kansas, Nebraska and Missouri, kvc.
Kathleen Lehman (13:37) Kansas and Nebraska. Yes, Missouri, yes, until, the opening of the hospital. Okay?
Meredith O’Neill (13:42) And I just,
Samantha Bouchard (13:43) want to clarify Kathleen, when you say credentialing, it means a lot of different things.
Kathleen Lehman (13:48) I know. So, provider enrollment, okay. How’s that provider enrollment? We’re talking about paneling with the payers, when I say that, so, my language is, provider enrollment is purely payer, credentialing, PSV primary source verification is going to fall into privileging and would encompass provider enrollment as well. The only, the other bullet I would add under Missouri is, I would add hospital. And well, no, it’s its own bullet. So, we have an entity in and of itself. Okay? It’s kvc hospitals. And, we have several facilities or several locations under kvc hospitals. Those would be PSV and PE. And then we have another joint venture in olathe and, it is a hospital. And how many hospitals do, you know for the kvc, for kvc hospitals, it is Wichita and that is a freestanding psychiatric facility. All of this is mental health, pediatric, and, that’s Wichita, hays, we have, residential beds as well as acute care beds.
Kathleen Lehman (15:06) Okay? Kck, we have both right now, but I believe it’s transitioning to 100 percent residential. And then oph, which is the, the olathe hospital, that is only acute care beds. We are all joint commission. So even our residential beds, we treat as if they’re acute when it comes to surveys and, you know, the provider files, we have separate rosters for each one of those bullets. So, while we do have providers that might be on the hospital roster as well as the oph roster. They are separate at this point because we have different governing boards, and that will be true of the Missouri hospital as well. Okay. And there was something else I was going to mention, when we’re opening Missouri hospital, we ran into this with oph, we had to utilize proxy files. So, I’m interested in medallion’s take on, how you’ve opened previous hospitals using proxy files. Okay? Sam, are you able to answer that? Yeah, I,
Samantha Bouchard (16:29) want to dig into a couple of things a little bit more. So when we say PSV that’s creating a joint commission ready file with privileges. And since you own these facilities, Kathleen, there’s no portion of like, a hospital application piece, right?
Kathleen Lehman (16:47) Oh, no, there there is. So our third party has their, has the application process or has the application. So, the provider, when they request privileges, they request an application through our third party and that’s both initial and reappointment, and they pick up the ball and take it from there. The only exception, all of our, so all of our hospitals have, both in, family practice medicine, as well as psychiatry. So, we contract with a, provider group for our psychiatric providers, which at this point right now is nurse, psychiatric, nurse practitioners, and psychiatrists both do, and MD. And we have a few PHDS that do our psych testing. And then we also have family practice provider, that, are employed by kvc and so, those encompass, nurse practitioners as well.
Samantha Bouchard (17:53) Got it. So, regardless of whether they’re employed or not, you’re still going through that initial application process. Okay? That’s helpful. And then… to just standard joint commission standard files, you mentioned each have their own governing board. Are there separate dop forms as well?
Kathleen Lehman (18:18) What do you mean by dop form, delineation?
Samantha Bouchard (18:22) Of privileging? Oh.
Kathleen Lehman (18:22) Yes. Sorry. So the delineation of privileging does vary, between oph, and well, between oph and hospitals. Yes, and Missouri will have its own as well, probably, and they have slightly different rules, at least for oph and, hospitals. Right now, the credentialing committee is the same. The process is a little different on the approval, like they throw in a nurse practitioner for oph for approval, whereas hospitals doesn’t, couple other things, but mostly the same, but, yeah, they’re completely separate files. Okay? Which is incredibly unfortunate.
Samantha Bouchard (19:06) Yes, rather than just like doing it once and kind of placing them at, yeah, yeah.
Kathleen Lehman (19:10) And I’ve tried to advocate for that. It’s it’s yeah… can’t do it at this point? And I’ll just say, I will just say that Missouri is going to be a little different in that the provider group that we contract for psychiatric care, is ipc for all of our psychiatrists, local, you know, provider group with Missouri, our joint venture. We will, we will partner with, washu for our psychiatric providers. I’ve heard that we will continue to partner with ipc. So, in other words, we’re getting providers from three different buckets, kvc for the family practice, ipc and washu for the psychiatric providers.
Samantha Bouchard (20:02) Okay. I’m just actually skipping down Meredith to our.
Kathleen Lehman (20:06) privilege. Yeah, I saw and just adding, thank you. Sorry, if I’m all over the place, I’ll I can.
Samantha Bouchard (20:12) No, it’s you know, it’s super helpful, Kathleen, like you’re answering a ton of our questions. So, oh, good. And then… so does every single provider that gets onboarded, do they need privileges or are there some cases that they don’t every?
Kathleen Lehman (20:34) Hospital, oph, and slph, which is the Missouri. Yes, they have to have privileges, with hospital because we, I told you we had the multi location hayes, Wichita, kck, if they apply for privileges with kvc hospitals inc, they are privileged at all those locations. But if we have a provider that is on staff at hospitals, but, wants to be on staff at oph, completely separate file, new reappointment, a new appointment… and oph requires board eligibility. Whereas hospitals does not, I don’t know, how Missouri is going to function. It’s a completely different joint venture and we’re still having discussions. Yeah. So as.
Samantha Bouchard (21:26) part of like the implementation process here, I actually came over from our implementation team. And so, one of the things we would do is like, we would get, all of your, like the rules and requirements for like each one of these facilities, as well as like copies of your, like a redacted packet, dop forms just to make sure you know, everything kind of like maps, the correct way in our system. So all of that, is definitely helpful. So, I think this is where.
Kathleen Lehman (21:57) And, I do need to mention in Wichita, so this would be under kvc hospitals inc, our Wichita location. We have, we also have a group of radiologists that we, have to privilege because the Wichita area is not tjc friendly. So, in order for us to utilize these Wichita, radiologists for, you know, potential reading, we actually do their, privileging now, we don’t do provider enrollment, for the radiologists, but we do their privileging and we did actually have a radiologist file pulled on our last survey that was a first, but we were ready.
Kathleen Lehman (22:39) So that’s good. Well, I do, I think it’s important Samantha too because it sounds like, you came from implementation. I’ve done the last, four or five surveys and we’ve gotten 100 percent on every single one except for one, and we lost like two points on that one. It was my first one. So we’re in good shape. We’re just growing.
Samantha Bouchard (23:04) Yeah. So I think these are the questions though Kathleen, that are going to be, this is all like, super helpful, understanding your structure, understanding how it is, what Meredith and I need to properly scope and then produce a price is like averages and numbers kind of related to all of this. So, on average, how many providers will need to go through the privileging process? How many will need to go through the reappointment process?
Kathleen Lehman (23:31) Right now?
Samantha Bouchard (23:32) We could start with that just at a high level, it doesn’t necessarily have to be broken down by individual just because like our pricing for like a tjc file is the same. But like, do you have access to like those types of numbers? Yeah.
Kathleen Lehman (23:52) We do. And I can get the exact numbers to you. And I think Meredith, in my email, I think I sent you those numbers. Oh, you did? I think so. One of my initial emails I sent you a breakdown of all of these things. Oh, okay. But I mean, right now, I think kvc hospital’s roster is carrying probably around 35 to 40 providers. Oph is smaller. It’s probably more like 20 25. Something like that. I don’t have a roster for our Missouri location. It’s opening at the end of the year. I don’t have a lot of information on that one. I do know that we opened oph with… seven providers and that’s where the proxy situation had to come into play. We have more beds at Missouri. So, I mean, we could just say 10 15 to open Kansas and Nebraska. I’m going to have to research because those are therapists and… I’m you know, that’s provider enrollment only, it fluctuates so much. I’m not sure. Okay. Yeah. So.
Samantha Bouchard (25:12) Like total numbers helpful for us to understand, right? Because that covers kind of reappointments, revalidations, understanding what those numbers look like. And then really where you.
Kathleen Lehman (25:26) know in this can also.
Samantha Bouchard (25:28) Be challenging is like that estimate of new providers added per year. So obviously, the, you know, the new hospital like that’s going to be net new, that’s going to be net new tjc files and that’s going to be net new payer enrollment. So we got five to 10 or 10 to 15. Can you estimate like if you look back over past years, like what you see across these other facilities for like net new hire, like kind of including like turnover.
Kathleen Lehman (26:02) Yeah. And I know oph, we opened with seven like I said, but very quickly over the next three to six months, we added another… 10 to the roster. I mean, because, you know, as the hospital grew, okay… I’d have to look… I’d have to look, I mean, psychiatry has high turnover… okay? Especially in children’s mental health. So we do see that. I would say on average.
Kathleen Lehman (26:45) I would just say on average two providers a month that we’re adding okay… and two that I think it’s safe to say two that we’re adding two that we’re that are withdrawing?
Kathleen Lehman (27:05) Like maybe one to.
Samantha Bouchard (27:07) three like two to three. Yeah, if you would.
Kathleen Lehman (27:10) I think that’s I think that’s a safe bet. I need to, I need to research that a little bit more, but, we can say that for now and again, that is only kvc hospitals. And because oph has only been open a little over a year.
Kathleen Lehman (27:26) So that’s really tough to estimate what that’s going to be like. We’re you know, we’re staffing according to census. And when we first opened oph, it was a, we did have an adult unit and that closed after a year and we moved to an all pediatric bed facility. So that impacted our staffing and our provider enrollment. Okay? So, oph is tough. That’s the olathe hospital. Olathe. Okay. That’s what I was wondering. Yeah, we have many different names that go along with everything. Believe me, it’s mind boggling. But if we can say we’ll just say slph, is our Missouri hospital, kvc hospitals inc, is the locations, Wichita, hayes, Kansas City, and oph, is olathe. Okay?
Samantha Bouchard (28:32) So, I know we only have two minutes left Kathleen, do you have a couple of minutes to stay over? Or do you have a hard stop?
Kathleen Lehman (28:37) Sure. Yeah. No, I’ve got time. So, one of the questions.
Samantha Bouchard (28:41) We just kind of standardly ask and from here, I’ll go into like the PE numbers… that initial data collection… before. Is that going right to your third party or is that starting in HR? Like they get hired? And then you’re kind of collecting all the information to do a tjc file or a cred file or a?
Kathleen Lehman (29:04) PE? Yeah. So this is split. Like I said, the family practice providers are employees of kvc and so they would be hired contingent upon credentialing. And so those applications, the same process, right? If there’s any issues in the process that would impact their, you know, the final decision of bringing them on board, and all would stop if everything was good and it kept moving. The idea is to start the provider enrollment at the time of application. Some of our payers, we can submit rosters for we are not delegated credentialing. But we can like Kansas medicaid allows us just to submit a roster. And then some, you know, commercial payers, we can’t do anything until after the provider’s been appointed and board approved. Okay? If we hit on this, sorry to jump in. I just want to make sure I understand is the goal to be delegated in the future as you continue to grow. Yes. Okay. So, who’s.
Samantha Bouchard (30:13) doing this data collection for the family practice, is that HR?
Kathleen Lehman (30:18) No, it’s our third party? Okay?
Samantha Bouchard (30:21) So, like provider comes on board, goes through the standard like HR background check, and then you’re kind of like connecting them right away to the third party, right? And.
Kathleen Lehman (30:30) simultaneously, our HR department also, even with our contracted providers, they are gathering all the necessary information for example, like in Kansas, if you haven’t lived inside Kansas for five years or live currently outside of Kansas, you have to have fingerprints annually for the state of Kansas requirements. And so HR is tracking those things. And so there’s some work that has to be done in tandem. But that’s HR, our third party, okay, does all of the initial application and do you have any?
Samantha Bouchard (31:08) Sense of like how long it’s taking them to collect this information? Are there any point in time that like you all are flagged because they’re not having success with a provider and you have to intervene?
Kathleen Lehman (31:21) No. Usually, we have a, I have a good relationship with the contact with, our contracting, you know, the contracted group. They have a pretty good representative, that kind of moves things along. I mean, there’s just the normal delays in getting responses back right on peer reviews and things like that, but it’s yeah.
Samantha Bouchard (31:45) Sometimes like just that initial data collection we can see can take like up to 30 days. Are you all seeing like a similar timeline?
Kathleen Lehman (31:54) No, I think that’s we were for a while, but our contractor, the provider group that we contract with the psychiatric group, they hired a credentialing person that helps our third party. It’s rare that we’re seeing that because it’s urgent. Like I said, burnout is high. Turnover is high with psychiatric pediatric mental health. And so we have no time to wait. We’re also nonprofit. So we need providers on the floor quickly.
Samantha Bouchard (32:29) Yes, 100. Yeah, I.
Kathleen Lehman (32:30) Mean, and I will say a lot of our providers are granted temporary privileges. So we’re looking, we are juggling that timeline which it’s challenging.
Samantha Bouchard (32:46) That helps when you own the facilities, the temp privileges?
Kathleen Lehman (32:51) That’s good. Okay. So, I think.
Samantha Bouchard (32:56) Meredith, we could probably send this over Kathleen. If you can scan through essentially what we really need to understand a price PE is like how many enrollments are submitted annually, how many revalidations, the way we typically capture or, you know, kind of get to that math is like you hire 15 new people a year and they’re enrolled in 12 payers, right? So you can just kind of do that math if you don’t have those numbers available.
Kathleen Lehman (33:26) Or.
Samantha Bouchard (33:26) you can just tell us like what’s the average number of payers each provider’s enrolled in? And we can kind of do that math and create an estimate that way.
Kathleen Lehman (33:38) And Meredith, I think I sent you part of that list that I sent had some payers on it, but I can go into more detail. I do need to note just before I forget. I know tjc has recently started approving every three years for reappointment. Unfortunately, we are still on two. I feel like that could change, but at this point, it’s every two years. And we do have a special arrangement with our third party to avoid date of birth rule even though we’re growing, we’re juggling all these facilities. It is next to impossible. Our boards are one board is every other month, oph is quarterly and I’m not sure what Missouri will be, but it’s I tried really hard to keep to that date of birth rule and it was just impossible. So what we do is we, once we get board approved because also they were canceling meetings, which doesn’t happen as much now.
Kathleen Lehman (34:39) But once we get board approval, I send it over to the third party, they record it and then they track in their system when reappointment is due, but having it strictly on the date of birth rule, we just, we couldn’t do it. It was.
Samantha Bouchard (34:54) Impossible. Yeah. We do see primarily a lot of our clients do track by the reappointment as well. Yeah. Okay. I unfortunately have to hop Kathleen. I’ll let Meredith take it from here and it was, thank you so much for all the information. It was super helpful and just really helps us kind of understand your business better and be able to give you an appropriate price for this. So thank you so much.
Kathleen Lehman (35:21) Thanks, Samantha. It was nice to meet you.
Samantha Bouchard (35:23) Nice to meet.
Meredith O’Neill (35:24) You. Thanks Sam. Yeah. So Kathleen, we’ll send this over just, for the one, the pieces we didn’t necessarily get to today. I know 30 minutes kind of flies by… but I think, yes, on.
Kathleen Lehman (35:41) The caqh, that answer is yes, I will say, just please keep in mind that oph, like I said, has been open less than two years. We’ve moved from adult pediatric to just pediatric. So we’re still trying to get a sense of the census and, you know, the need for providers, right? So that’s not, it’s going to be difficult to really give you those numbers and Missouri, I’m not going to give you those. I can’t I have no historical data. I’m not sure what to expect but we can, you know, I can try to give you an idea. I think my biggest concern and what we’d really like to know is how medallion handles… new hospitals. So just, and I know time is out, but this is really important for me to be able to present to my leadership. When we opened oph in December of 24, we had a very specific deadline, open date. It was December second… as you, I mean, you may or may not know that there are a lot of rules around how, you know, you can’t open until you have the license it takes. I mean it comes right up to the open date. When you get your license, the board can’t approve providers until you have that. I mean, so what we ended up having to do is take seven providers from kvc hospitals that were fully privileged, take their tjc file, present them to our board as proxy and they approve them, right? Because I didn’t even have a data bank until after we opened. So as soon as we opened, those provider files are good for two years, but we immediately did the credentialing for them or the privileging for them. So they would have their own oph file. I don’t know of another way that we can open a hospital on a deadline like that without you using proxy files. But I’m very interested to learn what I don’t know, but that’s one of my biggest concerns that was incredibly stressful. Okay?
Meredith O’Neill (38:02) Yeah. Well, I know that one of our main value… drivers is the speed at which we can get a lot of this work completed and done, not only the credentialing but just the payer submissions. So we can kind of walk through that in our business value assessment next week. And again, I hope I’m not putting too much work on you to get these numbers to us, but I can put all of this together because we want to make sure you’re enabled to also go to your leadership and make a good case for us as well. So at least understanding the value… that our organization is bringing with the partnership. So if you don’t mind giving us some of these numbers, I’ll send it over and then hopefully.
Kathleen Lehman (38:54) Depending.
Meredith O’Neill (38:55) on when we get these back, like maybe we can meet Tuesday or Wednesday of next week to kind of walk through what pricing would look like. And then from there, do you still have the goal to kind of do two separate demos if we were to continue on?
Kathleen Lehman (39:10) Yeah. I think that would be, that would probably be best since we have complete two separate departments that are over each. So I think that would be best. I mean, is there, unless there’s a reason that you’d prefer to have one demo… I think.
Meredith O’Neill (39:29) That those different groups of stakeholders have different needs and questions. So we don’t want to bore one group if it’s just not.
Kathleen Lehman (39:36) Pertinent to them. Yeah, that’s what I was thinking. And also, you know, again, we’re in the midst of budget season, I mean, it’s just, it’s there’s some tight schedules and even if we have to push it out a little bit further, then that’s fine to make sure that everybody can give their full attention. Well, okay. Well.
Meredith O’Neill (39:59) I know, like you said, it is budget season. There’s a lot going on specifically in your department. So we want to be mindful of that. If next week works to meet, I’ll just send you a time over and then I’ll send you this document as well. If you want to include Amy in that conversation just so she can understand the value kind of what the overall Roi that we would bring to your organization would be just to have her part of that conversation. I’m happy to include her as well. Okay?
Kathleen Lehman (40:31) Do you think that would be helpful? We’re going to include this is where I believe Ben would be important to be a part of that? Because again, his budget is separate from the finance budget. So Amy is in the provider enrollment piece. Ben would be over the privileging.
Kathleen Lehman (40:48) It’s going to be tricky. I don’t think we’re going to have the time next week. So if you send me over the questions, let me get through that and send me over some times and then I can touch base with them, but it may not be for a couple of weeks.
Meredith O’Neill (41:01) For them. Okay. Well, then let’s we’ll go ahead and set something up for next week. I want to make sure, you know, we are able to get you the answers that you need from a pricing perspective. So I’ll send you times and send this document over. And in the meantime, please be safe tonight. Yeah.
Kathleen Lehman (41:21) Me too. Go get your kiddo and get your car in the garage.
Meredith O’Neill (41:27) Yeah. Gosh. These poor, you said these poor, I saw it was at Clinton’s that got just.
Kathleen Lehman (41:33) completely destroyed. Huh. Got it pretty bad. And I think they’re getting it again today which is just heartbreaking.
Meredith O’Neill (41:42) Yeah, that’s scary. I, I’m from Colorado initially and I’m just not used to tornadoes. So I get really freaked out and I.
Kathleen Lehman (41:51) grew up in west Texas. So, oh, okay. Yeah. So, you know, we had death storms on top of it too. Yeah. So.
Meredith O’Neill (41:57) So this is anyway, yeah.
Kathleen Lehman (42:00) It’s pretty much, yeah, but, you know, four inch hail is not normal. I think for anyone.
Meredith O’Neill (42:07) No, no, no, no, it’s not normal. So, yeah, stay safe and we’ll connect next week.
Kathleen Lehman (42:14) Sounds good. Thanks, Meredith.
Meredith O’Neill (42:16) Thanks, Kathleen. Have a great weekend.
Kathleen Lehman (42:19) Bye bye.