A critical access hospital dedicated to providing compassionate, community-centered healthcare to residents west of the Brazos in Brazoria County, Texas. The hospital offers a comprehensive range of services, including emergency medicine, inpatient care, primary care, diagnostic imaging, physical therapy, assisted living, laboratory services, general surgery, cardiopulmonary care and wound care.
Challenge
Sweeny Community Hospital (Sweeny) was confronting significant operational and financial pressures. The organization was experiencing a noticeable decline in cash reserves, while key revenue cycle positions were undergoing turnover and transition, creating instability in essential processes. Emerging payor requirements highlighted the need for new reimbursement and contract strategies. At the same time, the hospital’s electronic health record (EHR) system relied heavily on non‑standard, highly customized workflows that hindered efficiency and consistency. Additionally, charge services productivity required substantial improvement, including streamlined processes and the development of clear, standardized workflows to support accurate and timely charge capture.
The Accomplishments
- Implemented a comprehensive RCM Sustainability Roadmap designed to strengthen cash collections, reduce contractual allowances and maintain long‑term financial stability.
- Enhanced cash collection processes against industry best practices, delivering improvements that reduced days in AR and increased cash collection rates through JTS’ nCREAS RCM Intelligence Engine.
- Re‑engineered end‑to‑end RCM workflows with a clinically-driven approach—from patient access to patient financial services—identifying and resolving duplication, bottlenecks and productivity inefficiencies.
- Optimized the organization’s Oracle Health | Cerner system capabilities and integrated processes to enhance automation and workflow standardization.
- Conducted detailed analyses of top payor reimbursement strategies and improved charge reconciliation processes to strengthen financial accuracy and performance.
- Surpassed targeted key performance indicators (KPIs) aligned with industry standards, demonstrating measurable operational and financial improvement.

