Don Paulson, CFO at University Hospitals Health System, knew he could not sustain the financial longevity of the six-hospital delivery system indefinitely. The Cleveland-based organization had multiple revenue cycle systems in place, and to make matters worse, it had different chargemasters in place--a dozen in total--across its hospitals. Standardized processes were lacking, and the organization's ability to generate valid, enterprise-wide business metrics was minimal.

In 2006, the health system began a four-year journey to consolidate its revenue cycle systems, looking to standardize on the Soarian platform from Siemens Healthcare. It deployed Soarian on a staged basis, completing the installation at its 1,000-bed flagship academic medical center in 2010. "We did not want to put all of our cash flow at risk at one time," Paulson told attendees at HIMSS11.

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