©2013 The Advisory Board Companyadvisory.com 1 CDI Key Metrics January implemented multidisciplinary CDI focus on Sepsis Crimson Clinical Advantage Continuum.

Slides:



Advertisements
Similar presentations
Maintaining patient health after a hospital stay….
Advertisements

Projecting Hospital Acute Bed Needs for Workshop organized by US Embassy and the Belgian Health Federal Public Service March 21, 2006 Prof. Dr.
WEST GTA LHIN STROKE REPORT CARDS. Stroke Report Card Indicators 20 indicators Integral to access, efficiency, effectiveness and integration that span.
Figure ES-1. Select Practice* over Time Percent of hospitals * Hospitals in the top two quintiles for both quality and efficiency. Source: Authors’ analysis.
Redefining the H Survey Responses by Region Total649 Region 1 57 Region 2 61 Region 3 62 Region 4 54 Region 5 92 Region Region 7 77 Region 8 57 Region.
January 6. January 7 January 8 January 9 January 10.
Reducing Hospital Readmissions August 2014 Regional Networking Meetings Breakout Session.
W ELCOME TO THE C ALIFORNIA ACDIS C HAPTER. PEPPER B ASICS Cheryl Ericson, MS, RN, CCDS, CDIP Associate Director of Education, ACDIS CDI Education Director,
EDIS Emergency Department Information System
Helping Hospitals Understand and Embrace Bundled Payments Gloria Kupferman, Vice President, DataGen Kelly Price, Director, DataGen Group A 2 HA March 20,
Applying Transition Management Tools to Care for Chronic Patients Vera Dvorak, MD Julie Garcia, MSW, ACM, LNHA Inova January 28-29, 2013 Integrated Transitional.
Patient Centered Care: Beyond the Hospital The San Diego Readmissions Summit February 5, 2015.
Literature Review: Readmissions and how geographical location of the hospitals affects the rate of readmissions -Shubhshankar.
Readmissions Experience Hunterdon Medical Center CMO Roundtable October 2014.
Care Coordination Program for Heart Failure Susan Levine RN Director Clinical Resource Management Carolyn Timmons BSN,RN Lead Clinical Care Coordinator.
Clinical Documentation. Objectives Upon completion of this presentation participants will be able to: Define Clinical Documentation State the purpose.
Jean S. Clark RHIA. Roper St. Francis Healthcare Private, not-for-profit community health system in Charleston, SC Two acute care hospitals, a third on.
August 2012 If you have an Emergency Department, you are in the Behavioral Health Business…..
0 Prepared by (15pt Arial) [Insert name of presenter 15pt Arial Bold] [Insert title] [Insert Hospital name] Month 200X (12pt Arial Bold) Understanding.
The Big Puzzle Evolving the Continuum of Care. Agenda Goal Pre Acute Care Intra Hospital Care Post Hospital Care Grading the Value of Post Acute Providers.
RECOVERY STRATEGY Home Town Health Anderson Goodwill Conference Center Macon, Georgia Prepared by: Sherry A. Milton, RHIA Milton & Associates, LLC Erin,
Analysis of Adult Bed Capacity for Milwaukee County Behavioral Health System September 2014 Human Services Research Institute Technical Assistance Collaborative.
Washington State Hospital Association Washington state is one of the leaders in efficient use of services. Year-to-year differences in inpatient use patterns.
1 The San Diego Readmissions Summit February 5, 2015.
Sickle Cell Pain Management in the Emergency Department B. Probst, MD; J. Williams, RN; D. Speed, RN, MSN; M. Cichon, DO; C. Jackson, MD; M. Pearlman,
Collaboration for Improved Clinical Outcomes Patients’ Needs Vibra, ARU, SNFs, HHA, et al Clinical/Financial Stability and Patient/Resident/Client Satisfaction.
Safe Transitions Of Care STOC 2011 MHA Pilot- 4Q 2010 Transition responsibility belongs to the sending clinician/organization, until the receiving practitioners.
Global Healthcare Trends
DUAL CHAPTER CONFERENCE – HFMA CENTAL OHIO / SOUTHWESTERN OHIO DAYTON, OH – SEPTEMBER 25, 2014 {Bundled Payments.}
The Nevada Partnership for Value Driven Healthcare So, What About the Data? Emily Sim, MS Healthcare Analyst HealthInsight.
Scorecard Tool Steve Kisiel, MS Vince Placido, BSE Jeffery K. Cochran, PhD James R. Broyles, BSE.
A Member of Daughters of Charity Health System Clinical Excellence Report Quality Improvement Committee February 25, 2015 George Block, MD, CMO Clinical.
Excellent Transitions: Reducing Readmissions Lana McKinney RN, Continuity of Care Service Director Mark Taylor MD, Hospital-Based Services Kaiser Permanente.
Colorado Trauma Registry Colorado Trauma Network Prepared by Health and Safety Data Services July 2014.
The Health Roundtable 3-3a_HRT1215-Session_NEILSON_AUSTIN_VIC Care of the Patient with a Fractured Neck of Femur Presenter: Fiona Nielsen Hospital Austin.
ED and AS Data Reporting OSHPD Healthcare Information Division Patient Data Section May 23, 2005.
California Perspectives In Healthcare Presenter: Charlene Parham.
Nurse Executive Case Management Workshop Home Town Health Anderson Goodwill Conference Center Macon, Georgia Prepared by: Sherry A. Milton, RHIA Milton.
READMISSION MANAGEMENT Jacquelyn Paynter, RN, MPH, CCM Executive Director of Care Management.
Overview of Hospice Payment Reform For VNAA Roundtable Robert J. Simione Managing Principal Simione Healthcare Consultants HOSPICE.
22670 Haggerty Road, Suite 100, Farmington Hills, MI l Save Your Census: Strategies to Prevent Re-hospitalization March 30, 2010 Joint.
Readmissions: Process Improvement using the INTERACT II Tools Linda Denison Bub MSN, RN, GCNS-BC Director of Senior Health Services.
SEMTAC Colorado Trauma Registry Colorado Trauma Network Prepared by Health and Safety Data Services April 2014.
1 Does the Supply of Long-term Acute Care Hospitals Matter? Geographic Location and Outcomes of Care for Medicare Ventilator Cases Presented by Kathleen.
HLNDV Spring Institute 2014 May 2, 2014, 1:15-2:45pm Readmission Session.
Provide the right care for each patient at the right time in the right care setting Transitions in Care: Caring for our Patients Connecting our Partners.
1 North West Toronto Health Links. 2 1.Primary care attachment 2.Coordinated care planning 3.7-Day post-discharge primary care follow-up 4.Reduce avoidable.
Measuring the Output of Health in the United States Workshop on Measurement of Non-Market Output in Education and Health Michael S. Christian U.S. Bureau.
1 New Inpatient Billing Guidance For Inpatient Services Provided Under VA/DoD Health Care Resource Sharing Agreements Presented by the UBO Support Team.
The Health Roundtable Improving the patient journey through ED Presenter: Kate Jurd Health Service: Toowoomba Hospital Innovation Poster Session HRT1215.
Unlocking the Potential CDI We Have the Key Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDIS, CCDS.
The Health Roundtable 4-4c_HRT1215-Session_TRENTINO_CG_WA Reporting Hospital Acquired Complications using CHADx: Our Experience Presenter: Kevin Trentino.
Informing Medicare Policy on Post- acute Care: The “Missing Million” AcademyHealth 2004 Annual Research Meeting Sharon Bee Cheng, MS Christopher Hogan,
Utilizing the Patient Safety Indicators for Improvement Anita Gottlieb, MA, APN, CPHQ St. Joseph’s Mercy Health System Hot Springs, Arkansas.
© 2008 Delmar Cengage Learning. Chapter 6 Length of Stay/Discharge Days.
Vantage Care Positioning System®: Make Your Case with Medicare Spending Data November 2014 avalere.com.
VP Quarterly Report on Strategies Q3 – 2015/16 Vision: Healthy people, families and communities. Acting VP: Dawn Calder Integrated Health Services – Clinical.
TMF Quality Innovation Network Quality Improvement Organization Coordination of Care and Medication Safety Project August 18, 2015.
Building a Bridge between Clinic and Hospital Taking the lead in Service Line Development Sara Brice, Director Texas Health Resources Presbyterian Plano.
John Doe MD Director of Hospitalist Program John Doe MD Director of Hospitalist Program Hospitalists at Your Health System.
SNF Circle Back Shannon M. Jackson MSW, LISW, ACM Jacqueline Mikuleza, RN BSN CPHM.
/ ©2015 NAVIGANT CONSULTING, INC. ALL RIGHTS RESERVED 1 TERRANCE GOVENDER MD CLINICAL DOCUMENTATION INTEGRITY.
 Passed by the Florida Legislature in 2012  Transitioned Medicaid hospital inpatient payment from per diem to a DRG system. Payments are now made based.
Emergency Department Admission Refusals Requiring Readmission at an Academic Medical Center David R. Kumar MD, Adam E. Nevel MD/MBA, John P. Riordan MD.
Mercy Health System Tele-Medicine 2012.
Session Overview - Introduction - Significance of Post‐Acute Care - Impacts of Post‐Acute Care Performance - Mandatory Elements of Reform - Understanding.
2017 Hospital Quality Goals
Evaluating Sepsis Guidelines and Patient Outcomes
Brain Injury and Opioid Epidemic
Clinical Documentation Improvement Program In-Patient Status
Presentation transcript:

©2013 The Advisory Board Companyadvisory.com 1 CDI Key Metrics January implemented multidisciplinary CDI focus on Sepsis Crimson Clinical Advantage Continuum of Care Metric 7/2012 to 12/2012 Case Volume 1/2013 to 6/2013 Case Volume LOS Charges$32,909148$30, Complications of Condition3.38%5/ %11/186 Complications of Care2.70%4/ %4/186 Mortality Rate8.78%13/ %26/186 Mortality Rate with Exclusions8.78%13/ %25/185 Mortality O:E0.6813/ /186

©2013 The Advisory Board Companyadvisory.com 2 Case Volume Across Triplet Increasing capture rate DRG Case Volume 7/12 – 12/12 Case Volume 1/13-6/ Septicemia or Severe Sepsis with 96+ hours MV Septicemia or Severe Sepsis w/o Mv 96+ hours w/Mcc Septicemia or Severe Sepsis w/o Mv 96+ hours w/o Mcc3453 Total % increase in case volume Sepsis Only Case Mix Index Before = 1.93 Case Mix Index After = 1.83 All Cases Case Mix Index Before = 1.05 Case Mix Index After = 1.11

©2013 The Advisory Board Companyadvisory.com 3 Length of Stay by Discharge disposition Case Management educated regarding use of LTAC in March Crimson Clinical Advantage Continuum of Care Discharge Disposition1/2013 to 3/2013Case Volume4/2013 to 6/2013Case Volume Home Expired SNF Home Health General hospital transfer ICF Rehab Hospice home Hospice facility Psych transfer4.001N/A0 AMA LTAC22.001N/A0

©2013 The Advisory Board Companyadvisory.com $592,488 4 Overall changes CDI changes (January), Meeting with Hospitalists (February), Case Management awareness (March) Crimson Clinical Advantage Continuum of Care Metric 10/2012 to 12/2012 Case Volume 4/2013 to 6/2013 Case Volume LOS Charges$32,92480$27, Readmission (30 day Any APR)21.13%15/ %16/94 $43,680 Inpatient Days Saved Decrease in Readmissions Length of Stay Savings 15% Readmission Rates 87 Length of Stay Charges $5,697 Per Case Charge Savings Quarterly Realized Charge Savings