Improving the precision and efficiency of the revenue contracts review by integrating a structured template and streamlined issue management

This action research aims to address the inefficiencies of the Revenue Contracts (RC) Review Process of Genesys’ APAC Revenue Team. Through meaningful collaborations, we identified that our unstructured RC review template and decentralized issue management were the main challenges we should target to improve our process’ precision and efficiency. We applied the Awareness, Desire, Knowledge, Ability, and Reinforcement (ADKAR) Framework to guide our transformation journey. In the first cycle of redesigning our RC review template, we discussed our inadequacies in our previous state. From there, we refreshed our knowledge of the ASC 606 and our company’s Revenue Policy to ensure accuracy in our proposed design. To streamline our Issue Management process, we targeted the most common issues identified through Root-Cause Analysis (RCA) and resolved these from the source systems. In doing so, we needed to communicate our observations and analysis to the involved parties outside our team and ask for their cooperation and commitment as we advocate for the initiative of this action research. In the second cycle, we encountered flaws and limitations in our proposed template that triggered us to revert to our original approach. This required us to revamp our RC review template to be more flexible and coherent. On the other hand, the Transformation Team willingly accepted and executed our Streamlined Issue Management project by re-engineering system logic that resulted in more precise revenue recognition, reduced RC issues, and improved overall revenue operations

How we provide transfusion support for neonatal and pediatric patients on extracorporeal membrane oxygenation

Extracorporeal membrane oxygenation (ECMO) provides lifesaving hemodynamic and respiratory support to neonatal and pediatric patients with a variety of congenital or acquired cardiopulmonary defects. Successful ECMO support requires close collaboration among multiple services, including critical care medicine, perfusion, and transfusion medicine services. Neonatal and pediatric ECMO patients require significant transfusion support, both at the time of cannulation and after the ECMO circuit has been established, often with little advance notice. Thus a number of communication and logistic issues must be addressed through a multidisciplinary approach to ensure both good patient outcome and judicious use of resources. In this article, we describe our protocol for transfusion support for ECMO and potential ECMO patients, which was developed to address a number of issues, including identifying and stratifiying ECMO candidate patients, streamlining the ordering and communication processes, and improving blood product turnaround times and availability. Additional measures of quality improvement are also discussed. As the number of centers performing ECMO procedures remains high, we believe that our experience may be of interest to our colleagues in transfusion medicine and critical care