Exploring the Possibilities with MIDAS+ SmartConnect

Transcription

1 June 1 3, 2009 Westin La Paloma Resort Tucson, Arizona Exploring the Possibilities with MIDAS+ SmartConnect Leverage your existing MIDAS+ Care Management tools and consider automating your transition planning with MIDAS+ SmartConnect. This session will show how SmartConnect can increase staff productivity, reduce length of stay, facilitate compliance with federal regulations, and increase patient and staff satisfaction. In addition, learn how SmartConnect can enhance your organization s reporting capability on preferred provider performance, case management referral initiation, honoring patient choices, and referral turnaround times. Presented by: Patty Dietz RN Regional Consultant, ACS MIDAS+

2 Copyright 2009 MidasPlus, Inc. All Rights Reserved. Contact us at: ACS Healthcare Solutions MIDAS East Broadway, Suite 335 Tucson, Arizona (800) Visit our Web site at: MIDAS+, the MIDAS+ logo, DataVision, ReporTrack, Seeker, SmarTrack, JRepository, SmartConnect, BedReady, are trademarks of MidasPlus, Inc. The ACS logo is a registered trademark of ACS, Inc. Third party trade names, product names, and logos may be the trademarks or registered trademarks of their respective owners.

3 Automating Your Discharge Placement Workflow with MIDAS+ SmartConnect Patty Dietz RN, BSN, CPHQ Regional Consultant, ACS MIDAS+ Mandy Cruz Project Manager, ACS MIDAS+ Objectives Learn how to automate your entire discharge planning/care coordination process across the continuum for a paperless workflow Demonstrate how you can use the MIDAS+ suite of products to meet & report on regulatory requirements related to Medicare Discharge Notice - IM, Patient Choice, & HINN. 18th Annual MIDAS+ User Symposium 1

4 MIDAS+ Product Integration Imperatives for Change: Aging of the American population, and the growing need for post-acute services Patient Safety Efficiency and effectiveness with existing staff resources th Annual MIDAS+ User Symposium

5 U. S Census Bureau - 65 or older: 35 million in million in % hospital patients 65+ are discharged to another institution 11.6% discharged with home care Top Barriers Regardless of Hospital Size Discharge Barriers Physician Buy-in Patient Flow/Throughput LOS Physician Advisor Availability Staffing Need for automation of CM functions ACMA National Hospital Case Management Survey 2005/2007 comparison 18th Annual MIDAS+ User Symposium 3

6 Utilizing Existing Modules to Enhance Workflow HCM Concurrent Review Document Generation - HINN HCM Support Services Entry Daily Note Medicare IM Support Services Entry 4 18th Annual MIDAS+ User Symposium

7 Concurrent Review 18th Annual MIDAS+ User Symposium 5

8 Benefits to case management practice when automating the DCP process. LEGIBILITY Discharge time impact Productivity of individual case managers Improved cross communication within team Access to previous admission data Readmissions Remote access capabilities Response times improved from post acute Ongoing post acute updates prior to transfer DATA for process improvement and feedback 11 Optimize Productivity, Automate Throughput MIDAS+ SmartConnect Seamless Work Flow Single sign-on Automated patient lookup Consistent reporting Seamless Data Flow No duplicate data entry Minimal IT resource needs ADT already in place! Bi-directional electronic data interchange Nationally Recognized, Award Winning Solution Curaspan Health Group s discharge placement solution has been named by the Healthcare Advisory Board in Washington, DC, as the best practice for patient throughput for the past four consecutive years. 6 18th Annual MIDAS+ User Symposium

9 Benefits Reduced length-of-stay 0.5 days for facility placements 0.25 days for home health referrals Maximize throughput potential Maximize asset allocation/utilization Improved compliance Rapid payback significant ROI Post-Acute Recipient Benefits Track all referrals Legible Information Online response Reusable data Mobility 14 18th Annual MIDAS+ User Symposium 7

10 Outcomes Prevent network leakage Reduce non-billable days Improve bed management & throughput Increase case manager and discharge planning productivity Drive down placement cycle time Increase patient volume without additional staff Increase patient and staff satisfaction ACS MIDAS+ & Curaspan Health Group SmartConnect An addition to the MIDAS+ suite of solutions A web-based application designed to maximize your hospital s patient throughput potential by reducing transaction cycle time and increasing staff efficiency Purchased as an Addendum to your hospital s existing agreement with ACS MIDAS+ Curaspan Health Group Our exclusive OEM partner in this new transition management offering Known for their outstanding performance in reducing LOS and maximizing patient throughput resulting in industry leading ROI 8 18th Annual MIDAS+ User Symposium

11 The Web-enabled Care Continuum Hospitals Payers Primary Care Physicians Two way communication platform Reporting Forms Library & Custom Forms Integration Engine State Agencies DME, Other Services Post-Acute Care Providers Transportation Value Proposition Faster Patient Placements This is accomplished by reducing the transaction cycle time between the Acute and Non-Acute Providers. The transaction cycle time is comprised of Provider Identification, Transmission of Patient Information (Clinical and Financial), Provider Approval, Patient Choice, and Logistics Planning. Defining, setting, and measuring mutually agreed upon goals between the two parties. Slide 18 18th Annual MIDAS+ User Symposium 9

12 Key Success Factors High Utilization of the System Workflow Automation Leverage technology to generate efficiencies in transition management Electronic Transition Management Plan significant time savings Tangible benefits to users to promote adoption/utilization Up-to-date Post-acute Provider profiles Enabled Post-acute Provider Network ADT interface already established Forms Library with auto-population of key data Document sharing edoc Printer Secure Messaging Slide 19 Key Success Factors Network Adoption Streamlined Communication (Unique Functionality) Matching vs. broadcast referrals level of care geographic preference payer source key clinical services Plus advanced clinical parameters Align hospital goals for rapid response with postacute provider s goals for pre-qualified referrals 10 18th Annual MIDAS+ User Symposium

13 Key Success Factors Valuable Data and Metrics Robust Reporting Capabilities Greater adoption on acute and post-acute sides allows for the development of a high quality and valuable database Preformatted reports on key performance measures to develop performance guidelines and best practices Manage the provider/hospital relationship using data Post-acute Provider Profiles Measure turn-around-time Referral to Response Percent Response to Total Volume of Referrals Slide 21 Product Differentiation - Highlights Pre-qualified Targeted referrals Influence behavior; drive greater adoption on both sides Post acute providers use the system as primary mode of communication Levels the playing field for hospitals Better data mining (provider response times, acceptance times, patient referral patterns and readmits) Complete set of tools to complete on-line placement Ability to produce statistically significant reports on response and placement times Unique design and functionality drives industry-leading ROI Our clients see an ROI multiple of 10 > Our clients see a reduction in LOS of.05 days per facility placement Slide 22 18th Annual MIDAS+ User Symposium 11

14 Hospital Case Management Certification Concurrent Review Avoidable/Denied Days Discharge Planning Support Services Rules-based Review Assignment Automatic System Generated Worklist Alerts Observation Status, Readmits, Priority Payers Client Customizable Worklist Notifications Important Message from Medicare Embedded Third-Party Review Criteria InterQual (CERMe) Milliman CareWeb QI MCAP Physician Advisor Referrals Comments Templates Extended User Fields File Attachments Document Generation Concurrent Review Used primarily to collect data to support Medical Necessity for assigned level of care th Annual MIDAS+ User Symposium

15 Certification Payer-centric Pre-certification Number and Days Continued Stay Certification Type, Status, Reference #, Dates of Coverage Detailed Communication Notes Date, Time, Contact Person Phone Fax Payer Details Group ID, Coverage Option, Subscriber Info Document Generation Used primarily to record Payer Certified Days. Avoidable & Denied Days Type, Dates, Location, Case Mgr, Dollars Payer Assignment Attribution Cause & Days Department, Physician, Non-Attributed Appeals Status, Recovered Type, Days, Dollars Appeals History Log Extended User Fields File Attachments Document Generation Used primarily to coordinate the process of Denials Management, including RAC. 18th Annual MIDAS+ User Symposium 13

16 Discharge Planning Living Status & Setting ADL Limits DME Dependant Care Patient Care Discharge Risk Factors Anticipated Discharge Date Extended User Fields Document Generation Launch to SmartConnect Used primarily to record Discharge Planning Assessments. Support Services Data pre-populated based on SmartConnect Referrals Provider, Date, LOC, Status, Case Mgr Comments Templates Extended User Fields File Attachments Document Generation Drive referrals & workflow Used primarily to store data that is interfaced from SmartConnect th Annual MIDAS+ User Symposium

17 SmartConnect Electronic Transition Management Up to date Post-acute Provider profiles Enabled Post-acute Provider Network Forms Library with auto-population of key data Document sharing edoc Printer Efficient Placement post Discharge Secure Messaging Streamlined Communication Automated Notifications Needs Specific Matching Targeted Referrals level of care geographic preference payer source key clinical services Plus advanced clinical parameters Robust Reporting Integration the added value Bidirectional Data Exchange ADT interface auto-populates Patient Transfer Forms Key assessment, referral and placement data is shared Streamlined Workflow Document Assessment in Care Management then launch to SmartConnect Automated Choice Letter Documented Communication History Improved Communication Automatic notification when referral has been updated by PAP Details of the Discharge Plan available to all CM Team members Comprehensive Reporting Fourteen Standard Reports available in SmartConnect Customized Ad Hoc reports using SmarTrack & ReporTrack HCM worksheet will include SmartConnect referrals 18th Annual MIDAS+ User Symposium 15

18 Care Management SmartConnect Data Integration Provider Name >>>>> SS Agency (and DP Placement) Level of Care >>>>> SS Type Requester Status >>>>> SS Region Provider Status >>>>> SS Comments Discharge Delay Reason >>>>> DP Attribution Delay SS Case Worker defaults to first entry in the DP Case Worker multiple. Worklist date defaults to 1/1/06. Care Management SmartConnect Data Integration For the following Levels of Care, Provider will be populated to both DP Placement & SS Agency 1 Sub-Acute/Skilled Nursing Facility 2 Rehab Unit/Facility 3 Nursing Home 4 Hospice Facility 6 Assisted Living 26 Long-Term Care 27 Acute Care Hospital 28 LTACH 11 Psych Care Inpatient For the following Levels of Care, Provider will be populated only to SS Agency 5 Clinic 7 Shelters 8 Group Home 9 In-Home 10 Outpatient Services 12 Chronic Care 13 Transport 29 Dialysis 14 DME 16 18th Annual MIDAS+ User Symposium

19 Return of all Referral History/Attempts View all post acute care providers communicated with during specific encounter Care Management SmartConnect Additional Data Integration V8.0 Requester Status >>>>> SS Referral Status Provider Status >>>>> SS Agency Status Accepted Level of Care >>>>> SS Assigned Level of Care Bed Type >>>>> SS Assigned Bed Type Anticipated Start Date >>>>> SS Anticipated Start Date Actual Start Date >>>>> SS Actual Start Date Discharge Status >>>>> DP Discharge Status 18th Annual MIDAS+ User Symposium 17

20 Support Services v8.0 Discharge Planning v th Annual MIDAS+ User Symposium

21 SmartConnect Launch Document Transfer SmartConnect Demo Slide 38 18th Annual MIDAS+ User Symposium 19

22 Diagnostic Site Assessment ACS MIDAS+ and Curaspan Health Group are teaming up to provide ACS MIDAS+ customers with a Diagnostic Visit by an experienced transition planning professional free of charge Onsite meeting with consultant and hospital managers, staff and senior leaders Purpose: to better understand your current workflow for transition management, identify challenges and organizational objectives to determine if any opportunities exist to help provide efficiencies in patient flow, and patient & staff satisfaction while improving the bottom line. Slide 39 For more Information about MIDAS+ SmartConnect Mike Kutrik Office mkutrik@curaspan.com 20 18th Annual MIDAS+ User Symposium

23 Questions Slide 41 18th Annual MIDAS+ User Symposium 21