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Sample Projects

Some of the projects the JCS consultants have worked on include:

Strategic Planning:

Operations Assessments:

Re-Engineering and Process Improvement:

Accreditation Assistance:

Project Management and Information Technology:

Survey and Analytical Research:

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Strategic Planning Projects:

Strategic Planning for a Network of Human Service Agencies: 

JCS was selected through a competitive bidding process to assist a regional network of public and private human service agencies with their strategic planning.  The primary goal of the project was to explore ways that the six contiguous counties could consolidate operations to share resources and reduce cost.  The project was complicated due to the fact that the county human services departments are responsible for a whole host of social services including mental health, substance abuse, children's services, and aging among others.  Each program reports to a different state department with different billing and reporting requirements.  In some agencies, as many as 13 different computer programs were required to satisfy their reporting mandates.   JCS helped the collaborative develop a strategic plan to standardize and centralize their information services into a single facility.  In addition to realizing significant savings, the collaborative was able to hire a more skilled IT staff, purchase a sophisticated wide area network with centralized data management and provide a much higher level of service to its members.  JCS provided planning, design and project management services for the project.  Additionally, we wrote a successful grant and received $650,000 to develop a data warehouse to combine the service and billing data from all programs.  The purpose of the data warehouse was to follow the clients both vertically and horizontally throughout the system, to coordinate care and monitor outcomes.

Strategic Planning for a Psychiatric Hospital:

JCS was selected through a national competitive bidding process to develop a quality management system for the hospital which included a strategic plan, goals, objectives and key performance indicators to track progress.   The JCS consultants worked with the Advisory Board, State Department of Behavioral Health, staff and management to identify high priority strategic initiatives and related objectives.  A system was designed to align all hospital projects with their related objectives and strategic goals. Additionally, key performance indicators were designed to monitor progress towards achieving the stated goals and objectives.

Strategic Business Plan for ASO Start up:

JCS Partnered with a Strategic Alliance Partner to develop a Strategic Business Plan for the creation of an Administrative Services Organization (ASO).  The plan was designed to create a collaborative of public and private agencies to share IT resources.  Included in the plan was a description of the purpose, benefits, resource requirements, job descriptions, equipment and software recommendations, and a detailed set of proforma financials.  The plan was implemented and the ASO has been providing a valuable service to its members for the past five years.

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Operational Assessment Projects:

Operations Assessment and Strategic Planning for a Regional Access Center:

JCS was selected through a national competitive bidding process to conduct a Functional Analysis of a regional access center.  Mr. Johnson and Mr. Schafer conducted the analysis and reviewed the operations of the center's services including: eligibility determination, referral management, intake screening and assessment, crisis intervention, pre-authorization, level of care changes and transfers, continuing care and discharge reviews, utilization management, case management, denials and appeals, provider relations, QA/QI, corporate structure and legal issues, privacy and patient confidentiality, and information systems.  The consultants prepared a detailed report of the assessment including a data flow model of the information exchange among the state department, managed care organization, access center and provider network.  Short-term stop-gap measures were recommended along with a long-term strategic plan.

Operations Assessment for a County Children's Services Board:

Mr. Johnson conducted a detailed Functional Analysis of a county children services board as part of a quality improvement project.  Working with the agency's management and labor union, he documented the workflow of all departments and created an inventory of all forms and reports.  The analysis was used to identify security risks, information management obstacles and opportunities for improvement.  Based on the analysis, a strategic plan was developed that resulted in the creation of a records department, copy center and information services department.

Operations Assessment for an Administrative Services Organization:

Mr. Johnson conducted a detailed Functional Analysis of an administrative services organization (ASO) as part of an enterprise-wide re-engineering project.  The project documented the workflow of all departments and created an inventory and database of all forms, reports and miscellaneous documents.  The report was used to identify operational inefficiencies, information management obstacles, security risks, and IT problems.  Using the results of the analysis, Mr. Johnson and the ASO staff successfully completed improvements to enrollments, accounting, auditing, satisfaction survey research and information systems.  The information was also used in the design of a Website and to prepare a risk management plan, strategic automation plan, disaster recovery plan and new procedures.

HIPAA Information Security Assessment of Social Service Agency:

JCS conducted a HIPAA Information Security Assessment of a not-for-profit, social service agency.  The assessment tool, developed by JCS, was used as the basis for a day-long series of interviews to evaluate the organization's level of preparedness for the HIPAA information security standards.  The agency was found to have been very well prepared and only minor changes were indicated.

Operations Assessment of Three Recently Merged Social Service Agencies:

JCS was selected to assist three agencies with integrating their operations after a merger.  The resultant agency was the largest in the state and included programs in mental health, substance abuse, children's services, mental retardation and developmental disabilities.  JCS completed a functional analysis and made recommendations for standardizing operations, documents and information technology across programs and locations.

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Re-Engineering and Process Improvement Projects:

Re-Engineering Project for an Accounting Department: 

Another project conducted by Mr. Johnson was the re-engineering of the accounting department of an Administrative Services Organization (ASO).  The ASO provided business services to seven county agencies.  Their internal accounting system faced many challenges including non-compliance with the Governmental Accounting Standards Board GASB 34 standards and Generally Accepted Accounting Principles (GAAP).  Additionally, there was no documentation and the accounting software was obsolete and not supported.  Mr. Johnson managed the selection and acquisition of a new accounting software system.  Additionally, he arranged for training, redesigned the chart of accounts, created budget templates and developed a cross-walk between the systems.  He worked with the staff to develop new policies, procedures and controls, as well as, set up remote access over the Web.  He directed the design of new CAFR and internal reports and reorganized the filing system.  Mr. Johnson then created an executive dashboard of financial key performance indicators (KPIs) and an electronic library on the ASO's Website to organize and store the reports.  The project not only brought the department into compliance with national accounting standards, but also increased productivity. 

Failure Mode Effects Analysis for a Hospice:

JCS assisted a hospice organization in conducting a design failure mode effects analysis during the design of a new process for their afterhours triage nurses.

S.W.O.T. Analysis for an Osteopathic Hospital:

JCS assisted an osteopathic hospital with conducting a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis to help reduce unplanned readmissions.

Lean Six Sigma Project for a Medical Device R & D Company:

Our consultant worked with a medical device R & D company to develop a cGMP compliant quality management system and to streamline the manufacturing process using lean six sigma techniques.

Re-Engineering Project for an Auditing Department:

In another re-engineering project, Mr. Johnson reorganized the Medicaid auditing functions of an ASO.  This project involved organizing and filing audit reports from the previous 5 years and hiring a new Auditor to manage the operations.  Working together with the Auditor, new software was purchased and implemented to collect the audit data and produce the state mandated reports.  Additionally, Mr. Johnson directed the development of new procedures and created an electronic library of reports and documentation on the ASO's Web information portal. 

Re-Engineering Project for a Records Department:

As part of an enterprise-wide strategic planning process, Mr. Johnson conducted a Functional Analysis of a children's services agency (see description above).  The forthcoming report identified significant issues with the management of their case files.  A project plan was developed and two new Records Technicians were hired.  New policies and procedures were created and an electronic index and imaging system was designed.  Performance metrics were created and used to monitor progress on the filing and indexing projects.

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Accreditation Assistance:

Accreditation Assistance for a State Hospital:

JCS was selected through a national competitive bidding process to assist a state hospital with maintaining "continual readiness" for their Joint Commission accreditation.  Our consultant conducted mock surveys, ran tracer studies, completed organizational assessments, developed new policies and procedures and conducted training for the staff and management.

Project Management & Information Technology:

Project Management and IT Procurement Project for a State Agency:

JCS was selected through a national competitive bidding process to manage the design, acquisition and implementation of a state-wide managed care information system for a state department of mental health and developmental disabilities.  The project was initiated by the development of a detailed project plan and Gantt chart, which identified tasks, resources, timelines and estimated costs.  A national IT survey was conducted of other state departments and a Strategic Automation Plan developed.   JCS assisted with the preparation of a Request for Proposal, managed the due diligence process and conducted a pre-procurement quality audit of the vendor.

Information Technology Acquisition for an Ohio County Alcohol, Drug Addiction and Mental Health Services Board:

The County Board has administrative oversight responsibilities for 45 mental health and substance abuse agencies throughout the county.  They have a $50,000,000 budget and fund the delivery of over 55,000 services to 25,000 clients each year.  Johnson Consulting Services, Inc. was engaged to assist with the design, evaluation and selection of a $1,500,000 system for client tracking, agency reimbursements, and budgetary accounting for the Board, as well as, automating key behavioral healthcare agencies.  The project also included a county-wide information network which linked the Board, its contract agencies and the Department of Mental Health. 

Information Technology Acquisition for a County Alcohol, Drug Addiction and Mental Health Services Board: 

The County Board has administrative oversight responsibilities for 20 mental health and substance abuse agencies throughout the county.  They have a $30,000,000 budget and fund the delivery of over 5,000 services annually.  Johnson Consulting Services, Inc. was engaged to assist with the design, evaluation and selection of an $800,000 system for client tracking, agency reimbursements, and budgetary accounting for the Board, as well as, automation of its lead agencies.  The project also included the design and implementation of a county-wide network which linked the Board, its contract agencies and the Department of Mental Health. 

Information Technology Acquisition for a County Auditor: 

The County Auditor is the fiscal agent for all county departments and agencies.  He provides accounting services for over 30 departments that include 121 funds and 161 cost centers.  He manages a $150,000,000 budget and processes over 3,000 vouchers, 3,000 payables, and payroll for 2,700.  Johnson Consulting Services, Inc. was engaged to assist the county’s data processing department with the design, evaluation, selection and implementation of a budgetary accounting system.  JCS also developed an Implementation Plan, managed the acquisition process and helped design an Open Systems compliant wide-area network.

Information Technology Acquisition for a County Mental Health and Developmental Disabilities Board:

This Michigan Board operates on a $20,000,000 budget and provides MH and MR/DD services to over 5,000 clients annually.  They support 21 programs at 30 different sites.  Johnson Consulting Services, Inc. was awarded the contract to assist the Board with the design, evaluation, selection and implementation of a new management information system. The implementation phase of the project also included a review of business processes and workflow.

Information Technology Acquisition for a County Developmental Disabilities Board: 

This Board is responsible for a $45,000,000 budget and provides support, programs and services to over 6,000 clients.  They serve both children and adults through a series of 12 programs and 40 different services.  Johnson Consulting Services, Inc. won the contract to assist the Board with their automation process.  The project included conducting a state wide automation survey, development of a Strategic Automation Plan, preparation of an RFP and system selection. 

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Survey and Analytical Research:

Health care Claims Cost Analysis Study:

Mr. Johnson undertook a project to build a 500,000 record, claims database and design the statistical analyses required to identify the "drivers" of cost in the system.  Analyses were run to identify outliers based on overall cost.  These high cost cases were then characterized in terms of their diagnosis, procedures received and demographic variables.  Results of the study were used to assure that appropriate care management services were made available to these populations.  Future studies were proposed to link outcomes and satisfaction to claims.

Regional Consumer Satisfaction Surveys for a provider network:

Mr. Johnson managed a process improvement project to redesign the survey instrument, procedures and analyses for a service bureau that conducted consumer satisfaction surveys.  The survey instrument was redesigned to include additional items and domains (categories) were created for similar questions.  The domains were tested for reliability using Cronbach's alpha with an average alpha score of over 80.  New policies and procedures were also developed and the surveys were distributed electronically to all participating agencies.  As a consequence of the new administration procedures, the response rate increased by over 600%.  Statistical analyses of the data indicated that satisfaction was highly correlated with several of the new domains created.

Regional Referral Source Satisfaction Surveys for a provider network:

Mr. Johnson managed a process improvement project to redesign the survey instrument, procedures and analyses for a referral source satisfaction survey.  The survey instrument was redesigned to include domains or categories of similar questions.  The domains were tested for reliability using Cronbach's alpha which demonstrated an average alpha score of over 80.  New policies and procedures were developed, as well as a referral source database  The surveys were distributed via mail and entered into a database when returned.  Mr. Johnson then analyzed the data using SPSS and provided reports to all of the participating organizations.  As a consequence of the new administration procedures, the response rate increased by over 200%.  Correlational analyses of the data indicated that satisfaction was highly correlated with several of the new domains created.  This helped the providers identify the "drivers" of satisfaction with the intent of providing a better service to their referral sources.

National Automation Survey of State Departments of Mental Health:

As part of a larger IT acquisition and implementation project (see above), JCS conducted a national IT survey of state departments of mental health.  The survey, conducted by phone and through a direct mail questionnaire, provided valuable insight into the automation process.  New vendors and applications were identified, along with information on their successes and problems. 

Regional Automation Surveys of Behavioral Health and MRDD Organizations:

JCS has conducted numerous IT surveys for behavioral healthcare, children's services and MRDD boards and agencies.  The projects typically involve the design of the survey questionnaire, creation of a recipient database, mailing of the survey, data collection, analysis and reporting.  The results are used to identify appropriate vendors, learn about new applications of technology and to build an informal support network of IT resources.  Surveys have also been implemented on Websites, PDAs and laptops.

Customer Satisfaction and Personnel Evaluations:

Mr. Johnson has also designed and implemented Web-based surveys for customer satisfaction and personnel evaluations.  Invitations to take the survey are sent via email and the surveys can be taken online using any Web browser.  The results are immediately available online to the client.

Medical Device R & D Company Clinical Trials Management:

Our consultant worked with a medical device R & D company to write a successful NIH grant to conduct clinical trials for a new device being developed as a screen for Alzheimer's disease.  Our consultant was the project manager responsible for monitoring the project, data collection and compilation, and overseeing the data analysis by their statistician and research assistants.

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