Reducing GI Surgery Re-Admissions, While Increasing Patient Satisfaction. D. Leigh Webb, DrPH, MPH, CTR WellStar Health System, Marietta, GA
|
|
- Chastity Dawson
- 5 years ago
- Views:
Transcription
1 Reducing GI Surgery Re-Admissions, While Increasing Patient Satisfaction D. Leigh Webb, DrPH, MPH, CTR WellStar Health System, Marietta, GA
2 Nothing to disclose Disclosures
3 Learning Objectives Identify the value of consistent messaging to inform patients of post-operative information and reinforcement through the continuum of care List two interventions initiated by Nurse Navigators to limit re-admissions Identify the financial impact of reducing re-admission rates
4 Background The Surgical Oncologists at WellStar Health System noticed an increase in GI Oncology Surgical re-admissions. Our re-admission rate was 13 percent, which is slightly higher than the national benchmark average of 12 percent
5 Project Approach define measure analyze improve control
6 Problem Statement The re-admission rate for 5S for GI Oncology surgeries January-June 1, 2015 was percent, which exceeds the national re-admission threshold of 12 percent Total direct cost for all of the re-admissions for the same time period was $145,355 Oncology surgeons felt that the number of readmissions within the first 30 days following surgery, was higher than the national average following GI Oncology surgeries
7 Beginning January 1, 2016 Strategic Goals 1. To decrease re-admission rate for GI Oncology surgeries on 5 South to less than 10 percent by December 31, To decrease the direct cost of re-admissions by $50,000 by December 31, 2016
8 Process Map Patient receives AVS Patient goes home Patient receives call from customer service Complication? Yes Readmission if needed No
9 SIPOC Suppliers Inputs Process Outputs Customers Provider Input requirements and measures Start: Output requirements and measures Receiver Printer Documentation of understanding Patient/ Family EMR Nurse MD Nurse Patient/Family AVS Patient receives AVS Paper orders EMR EMR Discharge order Empty Bed Next patient MD Physical criteria LOS/ DRG $ MD Care Coordinator Nurse Discharge nurse Hospital Patient/ Family WS Staff Home Other patients Return of function Discharge destination Patient goes home Decrease HAI Insurance company EMR Employees Happy customer Patient/ Family HR Patient Perception of caring Customer Service dept Press Ganey Surgical date MD Surgical type Survey tool Patient receives call from Customer Service Unhappy customer Anyone patient/family talks to
10 Plant Fishbone Diagram People Process TMI at teaching session Patient re-admitted Waited until last minute Didn t follow AVS instructions No pre-adm education Lack of understanding Extra visit for patient Not a priority Fragmented services No process owner Specialization of professionals Complex surgeries CMS driven Resource allocation Complex diagnosis Cost quality of care Comorbidities Limited resources Ineffective gatekeeping policies Policy The re-admission rate for GI Oncology Surgeries Jan-June, 2015 was 14.77%, exceeding national readmission threshold 12%. Total direct cost for all of the re-admissions for the same time period was $145, Oncology surgeons felt re-admissions within first 30 days following surgery, was higher than the national 10 average following GI Oncology surgeries.
11 Metrics There was consensus among the team that the data collection Process would be the focus of the project A data collection plan was created and executed to include the following primary metrics: 1. Percentage of GI Oncology Surgical patients re-admitted with a post-operative complication within 30 days of the surgical discharge 2. Direct cost of the in-patient admission stay for the readmission visit
12 Analysis During the brainstorming session, the team clarified that the appropriate collection of data would be measured by the percentage of patients who were re-admitted following a GI Oncology surgery for a direct surgical post-operative complication The team determined it was important to capture the amount of the direct cost for the admission for these patients, which is not reimbursable by insurance companies/cms
13 50% Results 45% 40% 35% Percentage of Patients Re-Admitted 30% 25% 20% 15% 10% 5% 0% Month
14 Direct Cost $50, $45, $40, $35, $30, $25, $20, $15, $10, $5, $- Results Direct Cost of Re-Admissions Month
15 Results Time Frame Re-Admission Rate Direct Cost Jan May % $145, June December % $71, CY % $58, CY % $102,484.00
16 Sustaining Results There were four proposed expected deliverables: 1. A system for increasing the frequency of phone calls to the patients following surgery by the physician office staff 2. Post-surgical zones document given at surgical discharge to educate patients on symptoms to watch for and when to notify the physician or emergency care
17 Sustaining Results 3. Develop an education booklet in conjunction with a class that explains the pre-op instructions, what will happen during the hospital stay, and what symptoms to look for after discharge. An insert of an illustration of the specific surgery will be included for each patient with a personalized instruction preop class by the Nurse Navigator. Every patient is provided with a 27 oz. infuser water bottle to encourage hydration following surgery 4. Develop an individualized pre/post-op class based upon the patient's surgical procedure to be facilitated by the Nurse Navigator
18 Barriers: Overcoming Barriers 1.Developing education material for the education booklet that was appropriate for patients and met copyright license agreements 2. Gaining support from physicians to require patients to attend the pre/post-op education class with the Nurse Navigator
19 Future Considerations The education classes have proven to be successful interventions, not only clinically but patients have expressed satisfaction with the classes Other disease sites for complicated surgeries are employing this process
20 Patient Comments I was truly prepared for everything you said was going to happen When I woke up in ICU, I knew what everything attached to me was and why I needed it. I was not afraid since you had explained it all during my class Thank you so much, you made this cancer surgery a lot less scary for me and my family Between the class and having you come check on me in the hospital every day after surgery meant the world to me
Financial Disclosure. Learning Objectives. Reducing GI Surgery Re-Admissions, While Increasing Patient Satisfaction
Reducing GI Surgery Re-Admissions, While Increasing Patient Satisfaction Michelle Guibault, BSN, BS, RN Co-Author: D. Leigh Webb, MPH, CTR WellStar Health System, Marietta, GA Nothing to disclose Financial
More informationDischarge checklist and follow-up phone calls: the foundation to an effective discharge process
Discharge checklist and follow-up phone calls: the foundation to an effective discharge process Shari Aman, BSN, RN, MBA, CPHQ Denise Andrews, MBA Stephanie Storie, BSN, RN, CMSRN Deb Nation, RN, CMSRN
More informationSpecialty Pharmacy: What You Need To Know. William Pong, Pharm.D., MBA
Specialty Pharmacy: What You Need To Know William Pong, Pharm.D., MBA DISCLOSURE I have no actual or potential conflict of interest in relation to this program/ presentation OBJECTIVEs Navigating the landscape
More informationModels for Patient-centered Cancer Care
Models for Patient-centered Cancer Care Ed Wagner, MD, MPH Cancer Research Network CRN Cancer Communication Research Center Supported by: Division of Cancer Control and Population Sciences, NCI Four Perspectives
More informationBundled Payments to Align Providers and Increase Value to Patients
Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is
More informationImproving Hospital Performance Through Clinical Integration
white paper Improving Hospital Performance Through Clinical Integration Rohit Uppal, MD President of Acute Hospital Medicine, TeamHealth In the typical hospital, most clinical service lines operate as
More informationMalnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum. May 2015 avalere.com
Malnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum May 2015 avalere.com Malnutrition Has a Significant Impact on Patient Outcomes MALNUTRITION IS ASSOCIATED WITH
More informationMatching Capacity and Demand:
We have nothing to disclose Matching Capacity and Demand: Using Advanced Analytics for Improvement and ecasting Denise L. White, PhD MBA Assistant Professor Director Quality & Transformation Analytics
More informationManaging Congestive Heart Failure as a Business September 13, 2010 Session M30 Society for Healthcare Strategy and Market Development annual meeting
Managing Congestive Heart Failure as a Business September 13, 2010 Session M30 Society for Healthcare Strategy and Market Development annual meeting Chris Kane SVP, Strategic Business Development WellStar
More informationChoosing and Prioritizing QI Project
Choosing and Prioritizing QI Project July 21, 2017 Anthony T. Petrick MD Director, Minimally Invasive and Bariatric Surgery Geisinger Health System, Danville, PA Co-Chair, MBSAQIP Data and Quality Committee
More informationPhysician Compensation in an Era of New Reimbursement Models
2014 IHA Annual Membership Meeting Physician Compensation in an Era of New Reimbursement Models Taryn E. Stone Ice Miller LLP (317) 236-5872 taryn.stone@ Agenda Background New Reimbursement Models Trends
More informationQuality Assessment and Performance Improvement in the Ophthalmic ASC
Quality Assessment and Performance Improvement in the Ophthalmic ASC ELETHIA DEAN RN,BSN, MBA, PHD Regulatory Requirements QAPI Program required by: Medicare Most states ASC licensing regulations Accrediting
More informationCAHPS Focus on Improvement The Changing Landscape of Health Care. Ann H. Corba Patient Experience Advisor Press Ganey Associates
CAHPS Focus on Improvement The Changing Landscape of Health Care Ann H. Corba Patient Experience Advisor Press Ganey Associates How we will spend our time together Current CAHPS Surveys New CAHPS Surveys
More informationWebinar: Practical Approaches to Improving Patient Pre-Op Preparation
Webinar: Practical Approaches to Improving Patient Pre-Op Preparation Your Presenters Michael Hicks, MD, MBA, FACHE Chief Executive Officer EmCare Anesthesia Services Lisa Kerich, PA-C Vice President Clinical
More informationTRENDS IN CANCER PROGRAMS
A by the Association of Community Cancer Centers 2014 TRENDS IN CANCER PROGRAMS A joint project between ACCC and Lilly Oncology, this report highlights YEAR 5 SURVEY RESULTS. WHO Took ACCC s? One hundred
More informationWalk through a QAPI Project
Walk through a QAPI Project Quality Assessment to Performance Improvement Sandra Jones, CASC, CHPRM, LHRM, CHCQM, FHFMA Sjones@aboutascs.com 1 Types of Quality Measures Outcomes Measures results of care
More informationEHR Enablement for Data Capture
EHR Enablement for Data Capture Baylor Scott & White (15 min) Bonnie Hodges, RN University of Chicago Medicine(15 min) Susan M. Sullivan, RHIA, CPHQ Kaiser Permanente (15 min) Molly P. Clopp, RN Tammy
More informationBasic Skills for CAH Quality Managers
Basic Skills for CAH Quality Managers MARCH 20, 2014 THE BASICS OF DATA MANAGEMENT Data Management Systems COLLECTION AGGREGATION ASSESSMENT REPORTING 1 Some Data Management Terminology Objective data
More informationStart Small, Think Big! Fusing Clinical & Business Metrics to Improve Quality & Effect Change. 44 accc-cancer.org July August 2016 OI
Start Small, Think Big! Fusing Clinical & Business Metrics to Improve Quality & Effect Change 44 accc-cancer.org July August 2016 OI BY MELISSA CRONN AND LORRI SMITH, RN, BSN Words such as tranquility,
More informationAn Initiative to Improve Patient Discharge Satisfaction
An Initiative to Improve Patient Discharge Satisfaction Speaker Disclosure Statement Sally Strong, RN, APN-CNS, CNRN, CRRN Clinical Nurse Specialist Marianjoy Rehabilitation Hospital Adjunct Faculty Elmhurst
More informationDriving High-Value Care via Clinical Pathways. Andrew Buchert, MD Gabriella Butler, MSN, RN
Driving High-Value Care via Clinical Pathways Andrew Buchert, MD Gabriella Butler, MSN, RN 1 Andrew Buchert, MD Medical Director, Clinical Resource Management Children s Hospital of Pittsburgh of UPMC
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #427: Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU) National Quality Strategy Domain: Communication
More informationProposed fy17 LTCH PPS: New rules for Quality & Referrals
Proposed fy17 LTCH PPS: New rules for Quality & Referrals Mary Dalrymple Managing Director, LTRAX Kristen Smith, MHA, PT Senior Consultant, Fleming-AOD Overview Objectives Describe updates to the LTCH
More informationHow Allina Saved $13 Million By Optimizing Length of Stay
Success Story How Allina Saved $13 Million By Optimizing Length of Stay EXECUTIVE SUMMARY Like most large healthcare systems throughout the country, Allina Health s financial health improves dramatically
More informationHow an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics
Success Story How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics HEALTHCARE ORGANIZATION Accountable Care Organization (ACO) TOP RESULTS Clinical and operational
More informationWhat is CDI? 2016 HTH FL Boot Camp. HIM/Documentation: Endurance in the Clinical Documentation Improvement (CDI) Race
HIM/Documentation: Endurance in the Clinical Documentation Improvement (CDI) Race Presented By: Sandy Sage Developed by Annie Lee Sallee Endurance in the Clinical Documentation Improvement (CDI) Race Learning
More informationAdministrative Approval: Vice President of Professional Services
Title: Psychosocial Distress Screening Policy Aspect of Care/Service: Continuum of Cancer Care Submitted by: Senior Oncology Nurse Navigator Committee Review: Clinical Practice (preliminary review 1/9/14)
More informationHardwiring Processes to Improve Patient Outcomes
Hardwiring Processes to Improve Patient Outcomes Barbara Adcock Mohr, Administrative Director, Rehabilitation Services Mark Prochazka, Assistant Director, Rehabilitation Services UNC Hospitals FIM, UDSMR,
More information... Real Time Demand Capacity (RTDC) Approach. Months: Shift/Add Capacity to Address Large Mismatches
Real Time Demand Capacity (RTDC) Approach Months: 3 6 9 12 24 Real-Time Matching of Capacity to Demand Shift/Add Capacity to Address Large Mismatches Identify Barriers to Accomplishing Plans Focused Improvements
More informationAdvanced Illness Management Leveraging Person Centered Care and Reengineering the Care Team Across the Continuum
Advanced Illness Management Leveraging Person Centered Care and Reengineering the Care Team Across the Continuum Betsy Gornet, FACHE Chief Advanced Illness Management Executive Sutter Health / Sutter Care
More informationPerioperative Surgical Home
None Disclosures Debnath Chatterjee, M.D. Associate Professor of Anesthesiology CRASH 2015 - Vail, Colorado 2 Learning Objectives What is the PSH model? Describe the concept of the Perioperative Surgical
More informationShared Decision Making
Shared Decision Making WHY PATIENTS PREFERENCES MATTER Angela Coulter Director of Global Initiatives November 2012 Outline Why patients preferences matter Shared decision making Personalised care planning
More informationQuality Improvement Initiative (QII): 2018 Options
Quality Improvement Implementation, Option A: Increase Surgeon Engagement Outcome Measure: SSI Summary: Surgeon Engagement is essential for the success of quality improvement programs within hospitals.
More informationMedicare P4P -- Medicare Quality Reporting, Incentive and Penalty Programs
Medicare P4P -- Medicare Quality Reporting, Incentive and Penalty Programs Presenter: Daniel J. Hettich King & Spalding; Washington, DC dhettich@kslaw.com 1 I. Introduction Evolution of Medicare as a Purchaser
More informationMERCY MEDICAL CENTER. Mercy Medical Center Improves Patient Care, Lowers Costs with the Hospital Operating System
MERCY MEDICAL CENTER Mercy Medical Center Improves Patient Care, Lowers Costs with the Hospital Operating System Success Snapshot Reduced acute LOS from 4.6 to 3.74 and observation LOS from 1.51 to 1.31
More informationTargeted Solutions Tools
TARGETED SOLUTIONS TOOL NOW AVAILABLE FOR OUR INTERNATIONAL CUSTOMERS! Joint Commission Center for Transforming Healthcare Targeted Solutions Tools Hand Hygiene Safe Surgery Hand-off Communications Preventing
More informationThe Patient Experience at Florida Hospital Learning Module for Students
The Patient Experience at Florida Hospital Learning Module for Students 1 Introduction Adventist Health System and its East Florida Region hospitals welcome the privilege to provide a wellrounded learning
More informationPayer s Perspective on Clinical Pathways and Value-based Care
Payer s Perspective on Clinical Pathways and Value-based Care Faculty Stephen Perkins, MD Chief Medical Officer Commercial & Medicare Services UPMC Health Plan Pittsburgh, Pennsylvania perkinss@upmc.edu
More informationPATIENT SATISFACTION REPORT HCAHPS 1 - Inpatient Adult Units MARCH DATA - Final Report 2
JAN FEB MAR 201-01 201-02 201-03 n=123 n=113 n=119 PATIENT SATISFACTION REPORT HCAHPS 1 - Inpatient Adult Units MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top
More informationInnovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination
Innovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination November 15, 2017 RRHA Healthcare Innovations Conference Agenda Arnot Health Overview
More informationMeeting the Needs of Vulnerable Patients at Discharge
Meeting the Needs of Vulnerable Patients at Discharge Institute for Health Care Improvement - Annual Conference December 12 th, 2017 Presented by Shelley Yoder, MSW - Program Manager, Community Health
More informationReducing Surgical Site Infections in Colon Surgery Patients
Reducing Surgical Site Infections in Colon Surgery Patients Mercy Health St. Elizabeth Boardman Hospital A Catholic healthcare ministry serving Ohio and Kentucky Mercy Health St. Elizabeth Boardman Hospital
More informationThe Development of the Oncology Symptom Management Clinic
The Development of the Oncology Symptom Management Clinic Submitted by: Catherine Brady-Copertino BSN, MS, OCN Executive Director Anne Arundel Medical Center s Geaton and JoAnn DeCesaris Cancer Institute
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationTotal Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD
WHITE PAPER Accelero Health Partners, 2013 Total Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD ABSTRACT The volume of total hip and knee replacements
More informationTransformational Patient Care Redesign Project
Transformational Patient Care Redesign Project Kaveh Houshmand Azad 1 Summary In 2008 2009, Providence Holy Cross Medical Center, a 340- bed hospital located in Mission Hills, California embarked upon
More informationObjectives. Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004
Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004 Session: C658 2013 ANCC National Magnet Conference Thursday, October 3, 2013
More informationElectronic Surgical Scheduling Improves Patient Safety and Productivity
Electronic Surgical Scheduling Improves Patient Safety and Productivity Katrina Spears, MA, Manager Business & Informatics Surgical Services Lina Munoz, BSN, RN, CPAN Manger Presurgical Testing, PACU,
More informationCKHA Quality Improvement Plan (QIP) Scorecard
CKHA Quality Improvement Plan () Scorecard 217-18 Quality dimension Performance Indicator 217-18 Performance Goals results where available Current Value Page Safety Medication Reconciliation completed
More informationWhat s Wrong with Healthcare?
What s Wrong with Healthcare? Dan Murrey, MD, MPP Chief Executive Officer Agenda What s wrong with healthcare in the US? What would make it better? How can you help? What s wrong with US healthcare? What
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #426: Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) National Quality Strategy Domain: Communication and Care Coordination 2018 OPTIONS FOR INDIVIDUAL
More informationDocumentation 101: CDI JULY 19, 2017
Documentation 101: CDI THE FIFTH NATIONAL PHYSICIAN ADVISOR AND UTILIZATION REVIEW BOOT CAMP JULY 19, 2017 Infirmary Health: About Us Infirmary Health is the largest non-governmental healthcare system
More informationAirStrip ONE Cardiology
AirStrip ONE Cardiology A Synchronized View of the Vital Patient Data Needed to Improve Care Heart disease is the leading cause of death in the U.S. The associated costs exceed $100 billion annually. AirStrip
More informationpaymentbasics The IPPS payment rates are intended to cover the costs that reasonably efficient providers would incur in furnishing highquality
Hospital ACUTE inpatient services system basics Revised: October 2015 This document does not reflect proposed legislation or regulatory actions. 425 I Street, NW Suite 701 Washington, DC 20001 ph: 202-220-3700
More informationPatient Navigation Programs Leveraging Care Pathways. Tina Evans, RN, BS Director of Nursing,Onco-Nav
Patient Navigation Programs Leveraging Care Pathways Tina Evans, RN, BS Director of Nursing,Onco-Nav Welcome Thank you for joining us today for our webinar. Patient navigation has become an important component
More informationStructural Heart Program Staffing Considerations- Effective Models for Clinic, Procedure and Post Procedure Care
Structural Heart Program Staffing Considerations- Effective Models for Clinic, Procedure and Post Procedure Care Deborah Campbell Inova Fairfax Medical Campus Edwards Healthcare Leadership Series September
More informationQuality and Safety. David V. Condoluci, DO., M.A.C.O.I.
Quality and Safety David V. Condoluci, DO., M.A.C.O.I. Objectives: Quality and Safety What does it mean? 1. What is quality and safety in medical care 2. What is a High Reliable Organization 3. Help me
More informationBuilding Referring Physician Loyalty. NACCDO-PAN April 2013
Building Referring Physician Loyalty NACCDO-PAN April 2013 Agenda 1. Background 2. Approach 3. Insights 4. Insights to Action 5. A Sustainable Process PAGE 2 1 BACKGROUND OSUCCC-James Background NCI-designated
More informationImpact of an Innovative ADC System on Medication Administration
Impact of an Innovative ADC System on Medication Administration March 1, 2016 Nilesh Desai, BS, RPh, MBA Administrator Pharmacy and Clinical Operations Hackensack University Medical Center Conflict of
More informationMEASURING POST ACUTE CARE OUTCOMES IN SNFS. David Gifford MD MPH American Health Care Association Atlantic City, NJ Mar 17 th, 2015
MEASURING POST ACUTE CARE OUTCOMES IN SNFS David Gifford MD MPH American Health Care Association Atlantic City, NJ Mar 17 th, 2015 Principles Guiding Measure Selection PAC quality measures need to Reflect
More informationUniversity of Michigan Health System Program and Operations Analysis. Analysis of Pre-Operation Process for UMHS Surgical Oncology Patients
University of Michigan Health System Program and Operations Analysis Analysis of Pre-Operation Process for UMHS Surgical Oncology Patients Final Report Draft To: Roxanne Cross, Nurse Practitioner, UMHS
More informationUnderstanding the PEPPER
Understanding the PEPPER and What It Means to Your IRF FIM, UDS-PRO, and UDSMR are trademarks of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. Sue Gehrman,
More informationPhysician Performance Analytics: A Key to Cost Savings
Physician Performance Analytics: A Key to Cost Savings Session #90, February 21, 2017 Jim Gera, SVP of Business Development, Signature Medical Group, Inc. 1 Speaker Introduction Jim Gera, MBA SVP of Business
More informationThe Link Between Patient Experience and Patient and Family Engagement
The Link Between Patient Experience and Patient and Family Engagement Powerful Partnerships: Improving Quality and Outcomes Mission to Care Florida Hospital Association Hospital Improvement Innovation
More informationUsing Lean, Six Sigma to Improve Surgical Services James Pearson J.O.P. Consulting
Using Lean, Six Sigma to Improve Surgical Services James Pearson J.O.P. Consulting How many times have we heard that it s easy to apply Lean and Six Sigma techniques to hospital processes, and specifically
More informationRedesigning Post-Acute Care: Value Based Payment Models
Redesigning Post-Acute Care: Value Based Payment Models Liz Almeida-Sanborn, MS, PT President Preferred Therapy Solutions This session will address: Discussion of the emergence of voluntary and mandatory
More informationIf you feel your patient should not be on the protocol, other options for activity restrictions are available within this order.
ORDERS AND POWERPLANS Mobility Protocol New Activity Order Recently, a mobility protocol was approved to facilitate increased patient activity/mobility as early as possible during the hospital stay. In
More informationReducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN
Reducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN Session Objectives At the end of the session the learner will be able to: 1. Discuss the history of hospital readmission
More informationHealth Reform and IRFs
American Medical Rehabilitation Providers Association 8 th Annual AMRPA Educational Conference New Orleans, LA Health Reform and IRFs Planning Today for Success Tomorrow October 14, 2010 Agenda Introduce
More informationBenefit Criteria for Outpatient Observation Services to Change for Texas Medicaid
Benefit Criteria for Outpatient Observation Services to Change for Texas Medicaid Information posted on October 8, 2010 Effective for dates of service on or after December 1, 2010, the benefit criteria
More informationCMS -1599F. The 2 Midnight Rule Effective October 1, 2013
Joseph Nitti, M.D. Medical Director/Physician Advisor Continuum of Care Dept. Morristown Medical Center 973-971-4004 CMS -1599F The 2 Midnight Rule Effective October 1, 2013 Determination of Inpatient
More informationAn economic - quality business case for infection control & Prof. dr. Dominique Vandijck
An economic - quality business case for infection control & prevention @VandijckD Prof. dr. Dominique Vandijck What you/we all know, (hopefully) but do our healthcare executives, and politicians know this?
More informationCOPD & Pneumonia Readmission Reduction Program. October 25, 2017
COPD & Pneumonia Readmission Reduction Program October 25, 2017 Susan J. Bowers, MBA, BSN, RN Chief Quality Officer Mercy Health - Lorain 2 Locations Mercy Health Lorain Hospital Lorain, Ohio 250 bed community
More informationMedicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015
Medicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015 Steve Neorr Chief Administrative Officer, Triad HealthCare Network Jeff Jones Chief Financial Officer, Cone Health
More informationHow and Why We Implemented a Preop Anemia Service as Part of our Patient Blood Management Program
How and Why We Implemented a Preop Anemia Service as Part of our Patient Blood Management Program Katie Dettenwanger, MLS (ASCP) CM Transfusion Safety Officer University of Missouri Health Care Emily Coberly,
More informationIncorporating Clinical Outcomes. Plan. Barbara S. Prosser, RPh V.P. Clinical Services, Critical Care Systems. Kevin L.
Incorporating Clinical Outcomes into a Performance Improvement Plan Barbara S. Prosser, RPh V.P. Clinical Services, Critical Care Systems Kevin L. Ross, RN, BSN Top 5 Things to Know for CE: Make sure your
More informationAdministrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
More informationFY2018 Proposed Rule: Payment and Quality Reporting
FY2018 Proposed Rule: Payment and Quality Reporting Mary Dalrymple Managing Director, LTRAX Objectives Describe effects of reimbursement updates Look at new short stay payment system Touch on miscellaneous
More informationMeasuring Patient Reported Outcomes
Putting the Patient First: Measuring Patient Reported Outcomes Matt Hutter, MD, MPH Director, The Codman Center for Clinical Effectiveness in Surgery Codman- Warshaw Endowed Chair in Surgery ASMBS Secretary/Treasurer
More informationEvaluating Your Anesthesia Services What to Expect From Your Anesthesia Team
Evaluating Your Anesthesia Services What to Expect From Your Anesthesia Team Tuesday, May 8, 2012, 2:15pm EST Today s Speakers Syed Ishaq VP, Client Development Somnia Anesthesia David Perlstein, MD, MBA
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/15/2016
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/15/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationNEW INNOVATIONS TO IMPROVE PATIENT FLOW IN THE ED AND HOSPITAL OCTOBER 12, Mike Williams, MPH/HSA The Abaris Group
NEW INNOVATIONS TO IMPROVE PATIENT FLOW IN THE ED AND HOSPITAL OCTOBER 12, 2010 Mike Williams, MPH/HSA The Abaris Group Outline Page 2 1. Top Innovations ED and Hospital 2. Top Barriers 3. Steps to Eliminate
More informationGreetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE
IN THIS ISSUE: Create Raving Fans of Your Idea P. 1 Where is our waste? P. 1 Sepsis Update P. 3 Quality Updates P. 4 APeX quality tips P.5 Division Incentive Metrics P. 6 Focus Group Findings P. 2 The
More informationCMS New Standards for Hospital Inpatient Admissions October Physician Admission Order Check List Detail
Providing technologically supported physician advisory and case management services to healthcare providers and payors CMS New Standards for Hospital Inpatient Admissions October 2013 Physician Admission
More informationOUTPATIENT JOINT REPLACEMENT & BUNDLED PAYMENTS. Chris Bishop, CEO Regent Surgical Health
OUTPATIENT JOINT REPLACEMENT & BUNDLED PAYMENTS Chris Bishop, CEO Regent Surgical Health HISTORY OF JOINTS IN THE OUTPATIENT SETTING Initial Headwinds to Change Payors Surgeons Clinical Staff Strong leadership
More informationLESSONS LEARNED IN LENGTH OF STAY (LOS)
FEBRUARY 2014 LESSONS LEARNED IN LENGTH OF STAY (LOS) USING ANALYTICS & KEY BEST PRACTICES TO DRIVE IMPROVEMENT Overview Healthcare systems will greatly enhance their financial status with a renewed focus
More informationpaymentbasics Defining the inpatient acute care products Medicare buys Under the IPPS, Medicare sets perdischarge
Hospital ACUTE inpatient services system basics Revised: October 2007 This document does not reflect proposed legislation or regulatory actions. 601 New Jersey Ave., NW Suite 9000 Washington, DC 20001
More informationBetter has no limit: Partnering for a Quality Health System
A THREE-YEAR STRATEGIC PLAN 2016-2019 Better has no limit: Partnering for a Quality Health System Let s make our health system healthier Who is Health Quality Ontario Health Quality Ontario is the provincial
More informationCPAs & ADVISORS. experience support // ADVANCED PAYMENT MODELS: CJR
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Andy M. Williams Partner BKD Eric M. Rogers Managing Consultant BKD Will McLeod VP of Patient Services McLeod Health Emily Adams Associate
More informationSFGH Strategic Plan
SFGH Strategic Plan 2015-2018 Iman Nazeeri Simmons, Chief Operating Officer James Marks, Chief of Medical Staff 1 2 1 SFGH Strategy 2015-2018 3.5 Years of Lean Management Creating value for our patients
More informationMEDICARE UPDATES: VBP, SNF QRP, BUNDLING
MEDICARE UPDATES: VBP, SNF QRP, BUNDLING PRESENTED BY: ROBIN L. HILLIER, CPA, STNA, LNHA, RAC-MT ROBIN@RLH-CONSULTING.COM (330)807-2850 MEDICARE VALUE BASED PURCHASING 1 PROTECTING ACCESS TO MEDICARE ACT
More informationAdopting Standardized Definitions The Future of Data Collection and Benchmarking in Alternate Site Infusion Must Start Now!
Adopting Standardized Definitions The Future of Data Collection and Benchmarking in Alternate Site Infusion Must Start Now! Connie Sullivan, RPh Infusion Director, Heartland IV Care Lyons, CO CE Credit
More informationCAMDEN CLARK MEDICAL CENTER:
INSIGHT DRIVEN HEALTH CAMDEN CLARK MEDICAL CENTER: CARE MANAGEMENT TRANSFORMATION GENERATES SAVINGS AND ENHANCES CARE OVERVIEW Accenture helped Camden Clark Medical Center, (CCMC), a West Virginia-based
More informationPerformance Scorecard 2013
NORTHWESTERN LAKE FOREST HOSPITAL Performance Scorecard 2013 updated May 2013 Northwestern Lake Forest Hospital is committed to providing the communities we serve the highest quality health care through
More informationGoals: Hospital Medicine at the Edges: A Specialty in Evolution Robert Harrington, MD, SFHM President, SHM
Hospital Medicine at the Edges: A Specialty in Evolution Robert Harrington, MD, SFHM President, SHM Goals: Understand the expanding scope of the hospitalist, particularly as it relates to specialist shortages
More informationTools & Resources for QI Success
Tools & Resources for QI Success Pediatric Hospital Medicine National Conference Kiran Kulkarni, MD Cynthia Castiglioni, MD, MS (HQPS) Sangeeta Schroeder, MD, MS (HQPS) Anu Subramony, MD MBA July 22, 2017
More informationUsing A Data Warehouse and Analytics to Drive Population Health Management
Success Story Using A Data Warehouse and Analytics to Drive Population Health Management HEALTHCARE ORGANIZATION Large Medical Center TOP RESULTS Enabled pay-for-performance (P4P) incentive payment reporting
More informationWhy Focus on Perioperative Services?
1 Why Focus on Perioperative Services? 80% 60% 40% 20% 0% Perioperative Services are key to a hospital/system's success 68% % better performers revenue from perioperative services Perioperative Services
More informationCMS Observation vs. Inpatient Admission Big Impacts of January Changes
CMS Observation vs. Inpatient Admission Big Impacts of January Changes Linda Corley, BS, MBA, CPC Vice President Compliance and Quality Assurance 706 577-2256 Cellular 800 882-1325 Ext. 2028 Office Agenda
More informationNational Blood Clot Alliance
National Blood Clot Alliance National Survey About Deep Vein Thrombosis and Pulmonary Embolism Awareness, Information, Prevention, Adherence Gaps in Hospital VTE Prophylaxis Demonstrate Need for Technology
More information