Description

We will start with a historical perspective on reimbursement and length of stay concerns, followed by a definition and discussion of what constitutes avoidable days.  Methods for identifying and categorizing avoidable days will be reviewed with the goal of developing metrics (codes and categories) to identify opportunities for length-of-stay reduction and measuring the outcomes of interventions.  We will then look at the concept of patient flow and reactive vs proactive approaches to improving the movement of patients through the system.
We will then look at the role of case management in identifying opportunities and achieving institutional objectives of timeliness, efficiency, and fully reimbursed care. and how case management aligns with these objectives and with patient flow initiatives.

Areas Covered in the Session:-

• Optimizing  patient flow
• Care coordination
• Length of stay reduction opportunities
• Avoidable delay categories
• Integrating care coordination and avoidable delays
• Managing avoidable delays- the process
• Entering avoidable delay data into a database
• Aggregating and reporting avoidable delay data.

Background:-

• RNs
• MDs
• Finance staff
• Revenue management
• Administrators
• Nurse managers
• Case managers
• Physicians
• Administrators
• Patient finance