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A cure for back-office pain

KPMG helped rapidly growing U.S. Anesthesia Partners make Workday an operational backbone for HR and accounting.


U.S. Anesthesia Partners




Full platform Workday implementation

Client challenge

Growing at a brisk pace, U.S. Anesthesia Partners (USAP) is a multistate practice of anesthesiologists, doctors, nurses, and specialists providing superior care to more than two million patients per year. With rapid expansion also came growing pains. Accounting, HR, and other back-office teams operated with a mix of disparate systems that increased labor-intensive efforts to produce overall month end reporting and physician compensation reports. On the clinical side, physicians struggled with inconsistent practices for hiring, managing, and rewarding employees, which made it harder to attract, engage, and retain talent.

USAP needed a cure for its back-office pain. Their goal was to implement a solution enabling growth with scale and producing measurable benefits for its physician-owners. Enter KPMG.

The KPMG Powered Enterprise approach was very helpful to us in speeding up the project, helping us hit our milestones on time and on budget.

Amy Messersmith

U.S. Anesthesia Partners Chief Human Resources Officer


KPMG helped USAP design and implement an innovative operating model that standardized HR and accounting processes across their many physician practices in nine states.

The key to achieving alignment among these independent physician groups was presenting healthcare-specific leading practices and asking, “why wouldn’t we adopt what we know works really well?” We leveraged KPMG Powered Enterprise, a project implementation approach that incorporates these leading practices with Workday cloud technology for human capital management (HCM) and financial management (FIN).

But driving behavior change required more than good process design and technology. Together, USAP and KPMG invested significant time to understand how the new operating model and implementation of Workday would change the job of each USAP stakeholder. From there, we developed and executed a thorough change management strategy including training, communications, and leadership involvement. And we involved each stakeholder group in the design and testing phases to build shared ownership.

Benefits to client

USAP transformed their HR and Accounting functions with Workday as their operational backbone, one system—one source of truth. Today, corporate services and clinicians lean on the new operating model and Workday to spend less time on administrative work and more time on patient care. Beyond achieving economies of scale and scope as USAP grows, the Workday-enabled transformation:


Automated service line and physician reports, including physician compensation reporting and monthly accounting reconciliations, provide leadership with new and necessary visibility into the organization’s profitability.


Reduced cycle times from days to minutes in ACH Settlements and Receivables Billing.


    Improved work time capture by 25 percent.


    Reduced the need for contract workers through clear visibility into work schedules.


    Reduced time-to-hire and clinician onboarding duration.


    Produced powerful operational insights to support executive decision-making.

    Why KPMG?

    • Transformation is designed into our implementation approach

      KPMG invests more than $5 million each year into KPMG Powered Enterprise, which is underpinned by our extensive research in leading practices. We supplement primary research with our own experience working across many industries to identify leading practices. This not only helps our clients implement the best way of working across Finance, Supply Chain, HR, and IT, but it also speeds up technology design and configuration. Powered Enterprise is one big reason that all 18 healthcare clients with whom we have implemented Workday over the past three years are referenceable.

    • We have one of the most experienced Workday healthcare implementation teams in the ecosystem

      We’ve implemented Workday since 2008 serving more than 200 clients with 550 Workday consultants who have more than 1,500 certifications. Our consultants are experienced not only in Workday, but also in Healthcare, leading the transformation of HR, FIN, SCM, and IT, and managing change. This combination of skills is essential to achieving our clients’ goals for Workday-enabled transformations.

    • Healthcare is our focus

      KPMG is one of the largest providers of professional services to healthcare organizations. We serve more than 70 percent of healthcare organizations in the U.S. We know the healthcare industry is rapidly changing, and remaining ahead of the curve requires proactive thinking, planning, and action. Process improvement experts are no longer solely focused on technology but bring a wealth of knowledge on how to utilize data and analytics to create lasting change across the organization.

    Meet our team

    Image of Viktor Reznicek
    Viktor Reznicek
    Principal, Enterprise Solutions, KPMG US

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