©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