Tom Galarowicz is Director of Revenue Management at ThedaCare, a four-hospital community health system based in Appleton, Wis., employing almost 5,300 people.


The revenue cycle team at ThedaCare has used Lean management techniques for the past seven years, and Galarowicz spoke recently with editor Richard Pizzi to discuss how Lean can work in healthcare.

How is the revenue cycle team organized at ThedaCare?
Our business office is still decentralized. We have four hospitals – two larger hospitals and two critical access hospitals. We also have approximately 21 primary care clinics of various sizes, with 150 primary care providers who are ThedaCare employees. One

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