Arthur S. Shorr & Associates, Inc.

Health Care Consulting Practice	Hospital Expert Witness Practice
Medical Practice Management	Hospitals, Nursing Homes, Assisted Living,
Operational Assessments	Home Health Care, Psychiatric Units
Physician/Hospital Collaboration	Administrative Community Standards
Medical Staff Development	Staff Training and Competence
Appraisals of Medical Practices & IPAs	Policies and Procedures
Medical Practice Acquisitions & Sales	Environment of Care, Patient Safety
Delivery System Development	Patient Rights, Informed Consent
Medical Group Formation & Consolidation	Elder Abuse; Patient Neglect
HIPAA Compliance Planning & Audits	Medical Staff Bylaws
Risk Prevention Analysis	Wrongful Termination
Strategic Planning	Physician Credentialing & Privileges
Governing Board Retreats	Governance, Regulatory Compliance, JCAHO

Company Profile

Founded in 1983, Arthur S. Shorr & Associates, Inc. is a management consulting firm specializing in providing professional business and strategic planning services to Hospitals, Medical Groups, Physicians, and Healthcare Organizations.

The founder and President of the firm, Arthur S. Shorr, is a Veteran of 30 years experience in the health care field, serving in senior executive positions for leading university affiliated teaching medical centers in Southern California, Wisconsin, and Michigan.

The consulting group’s Associates are experienced senior professionals in healthcare administration, accounting, computer systems, practice management, and finance to support specific client projects.

The emphasis at Arthur S. Shorr & Associates, Inc. is on creative decision making that reflects sound, implementable recommendations that result in positive bottom-line financial results for clients; namely, maximum profitability in a rapidly changing health care marketplace.

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Hospital Consulting Services

Principals and Associates at Arthur S. Shorr & Associates, Inc. are former senior hospital executives and former senior medical group administrators. We possess the insight and firsthand experience in Hospital/Physician economic relations, while appreciating the complexity of the goals and objectives of both parties.

We are Economic Advocates for Private Practitioners.

Successful Physicians and Hospitals are natural partners who must share the same economic agenda. Economic viability of hospitals and their associated physicians depends upon the establishment of mutually accepted objectives, while recognizing the sensitive burdens of the failed relationships and suspicions of the past.

Our background and experience enables us to serve as independent third party facilitators, educators, and consensus builders who can establish the level of trust that is essential in order for hospitals and physicians to collaborate successfully within the context of today’s economic environment.

Hospital Operational Consulting

Successfully completed hospital-sponsored projects include:

Board of Trustees Strategic Planning Retreats
Medical Staff Strategic Planning Retreats
Delivery System Development & Expansion
Medical Staff Perception Surveys & Focus Groups
Economic Grand Rounds/Medical Staff Education Seminars
MSO Development & Implementation
PHO Development & Implementation
IPA Appraisal & Acquisition
Catchment Area Demographic Analysis
Medical Staff Demographic Need Analysis
Contract Negotiation & Representation
Medical Practice Appraisal & Acquisition
Medical Practice Mergers & Group Formation
Business Plans/Feasibility Studies
Medical Practice Operational Assessments

Medical Practice Operational Assessments are used to:

Reduce Operating Overhead
Identify areas of potential Cost Savings and Profits
Pinpoint strengths and weaknesses of the practice
Set and maximize staff productivity
Streamline the organization to achieve optimal decision making and profitability
Prepare the practice for the impact of capitation contracts

Strategic Business Development

To maximize success, physicians must offer Managed Care companies appropriate inducements. Usually, providers with the largest Provider Footprint succeed in contracting opportunities. This allows for the orderly replacement of patients who have left the practice, and expansion of the practice in order to maintain and enhance profitability. We assist physicians evaluate:

Consolidation with other practices
Acquisition of other practices
Expansion to additional practice sites
IPA formation
Strategies that enhance economic success

Medical Practice Appraisals

Our Practice Appraisal and Valuations define and justify economic value. This is an essential element in any successful transaction in which a professional practice changes ownership. Appraisals are also used as the basis for buy-in of new associates, buy-out of retiring partners, the merger or consolidation of two or more practices, the charitable donation of a practice, or the division of community property.

Our method includes a site visit to the practice, interview with the physician-owner and other key personnel, and review of the practice’s financial, operating, and demographic data.

This information is analyzed within the context of the local medical community, and is synthesized to create a document that describes the practice and its value. IRS-approved methods are used, with all conclusions documented by definitive supporting data. The Appraisal assures all parties of an objective basis on which to begin their negotiations.

Medical Practice Merger Acquistions & Sales

Arthur S. Shorr & Associates, Inc. has successfully consulted to both Buyers and Sellers in the complex tasks of buying, selling, or consolidating medical practices. Starting with a comprehensive Operational Assessment/Practice Appraisal, a detailed analysis of the practice is developed that is suitable for bank financing, probate, partnership valuation, merger, or sale. Market value is determined by analyzing potential growth, changes in reimbursement regulations, and understanding the dynamic impact of managed care and prospective reimbursement.

Our services include:

Discovery and identification of practices available for sale
Discovery and identification of potential buyers
Medical practice valuation and appraisal
Negotiation of price, terms and conditions
Practice transition and Succession Planning

Medicare Compliance Planning & Audits

The Health Insurance Portability Act of 1996 provides funding for Medicare’s fiscal intermediaries to carry out increased audits of physicians’ Part B billings. The Compliance Program for Individual and Small Group Physician Practices, developed by the Office of the Inspector General (OIG) requires that physicians:

Designate a Medicare Compliance Officer
Develop a Compliance Policy & Procedure Manual
Implement a Compliance Plan
Provide Documentation to Support Billing Submitted to Medicare
Provide Education & Training to Employees about Compliance Requirements
Use Audits to Monitor Compliance

Working with our experienced nursing associates, we provide complete Compliance Planning services, including chart documentation and billing review, ongoing audits, staff training, and development of policies, procedures, and a Compliance Plan structured to meet the OIG requirements.

Arthur Shorr is Board Certified in Health Care Administration, and a Fellow of the American College of Healthcare Executives. He has been a Health Care Professional for more than 30 years, having held senior executive positions in University-affiliated, community-based, tertiary care teaching hospitals. He served as Chief Operating Officer and Senior Vice President for Administration of Cedars-Sinai Medical Center in Los Angeles; Administrator and Chief Operating Officer of The Mount Sinai Medical Center in Milwaukee; and Assistant Hospital Director of Hutzel Hospital: The Detroit Medical Center in Detroit.

Since 1983 he has been President of Arthur S. Shorr & Associates, Inc., Consultants to Healthcare Providers, which provides consulting services to hospitals and physicians.

Mr. Shorr is courtroom-qualified and is experienced in pre-trial strategic case planning and preparation of declarations and affidavits, deposition, and trial testimony.

He is the author of numerous articles and a frequent lecturer on contemporary issues in Health Care. He is an Associate Clinical Professor at the University of Southern California, School of Policy, Planning & Development, Graduate Program in Health Administration; and Visiting Professor and Guest Lecturer at The George Washington University School of Public Health & Health Services. Click here for Arthur Shorr CV

Bonnie Siler is an accomplished Nurse Executive with experience in administration, clinical care, quality assurance, utilization management, and program development. She was Chief Operating Officer and Chief Nursing Officer at Mission Community Hospital in Panorama City, CA; Director of Case Management at Marion General Hospital in Marion, OH; and Director of Patient Care Services in Fostoria Ohio. She is a Certified Nursing Administrator, Certified Professional in Healthcare Quality, and Certified Legal Nurse Consultant. Click here for Bonnie Siler CV

Dan Herlinger is an experienced acute care hospital and healthcare systems executive. He was President and CEO of Catholic Healthcare West Central Coast Region; President and CEO of Mercy Healthcare in Ventura, CA; and President and CEO of St. John’s Regional Medical Center in Oxnard, CA. Mr. Herlinger is Board Certified in Healthcare Administration, and a Fellow of the American College of Healthcare Executives. Click here for Daniel Herlinger CV

Mr. Boyar is an expert in Long Term Care Administration. He is a licensed and currently employed as a nursing home administrator. He is experienced in the administration of long term care facilities, including skilled, intermediate, assisted living, independent living, and psychiatric. Mr. Boyar is Board Certified, and a Fellow of the American College of Health Care Administrators. Click here for Paul Boyar CV

Mr. Andrews is a Hospital CEO, medical group administrator, and a Registered Nurse. He has been President of Clovis Community Hospital in Fresno, CA; Administrator of Priority Health Services in Fresno, CA; CEO of Oak Valley Hospital District in Stockton, CA; and Senior Vice President for Operations at Antelope Valley Healthcare District in Lancaster, CA. He is a Fellow of the American College of Healthcare Executives, and Board Certified in Healthcare Administration. Click here for Norman Andrews CV

Dr. Sweet is a clinical and forensic psychologist. He has been Chief Psychologist in a General Hospital Psychiatric Unit and Consulting Psychologist to a General Hospital Emergency Room. He is experienced in both clinical and administrative standards of care for psychiatric facilities. Click here for Gerald Sweet CV.

Ms. Roberts is an expert in Home Health Care and Hospice Care. She has been a surveyor for the JCAHO; President and CEO of the Livingston Memorial Visiting Nurse Association in Ventura, CA; and General Manager of Option Care, a home infusion company, in Thousand Oaks, CA. Click here for Deborah Roberts CV.

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Medical Practice Merger Acquistions & Sales

Types of Cases
Hospitals, Nursing Homes, Assisted Living Home Health Care, Psychiatric Units Administrative Community Standards Policies and Procedures Staff Training & Competence Environment of Care Medical Staff Bylaws Physician Credentialing & Privileges	Wrongful Termination Sexual Assault Abuse & Neglect Patient Safety Governance, Regulatory Compliance, JCAHO Negligent Hiring & Supervision Patient Rights, Informed Consent Plaintiff/Defense