5 Keys to Managing Total Cost of Care for Acute Episodes
With 50% of Medicare spending taking place in acute episode of care to 90 days post-discharge, having a value-based care strategy in place for when a patient admits to the hospital is essential. At Sound Physicians, we have learned many lessons in developing our value-based care strategy through managing over 400,000 episodes and $10 billion in at-risk spend. This webinar discusses our 5 keys to managing total cost of care for acute episodes, which help improve care continuity, lower overutilization and adverse outcomes, and support risk-adjustment and quality star ratings.
Elective Surgery, Status, and Throughput
Elective surgery, especially outpatient surgery is continuously involving in technology, outcomes and what we call that time in the facility. Medicare with its 2 MN rule and its planned elimination of the inpatient only list has only further complicated this reality. Learn the evolution of outpatient surgery and how payers have adapted to those changes, how to consider appropriate status for elective surgeries and how that status can change as cases progress, and challenges to efficient throughput and possible solutions.
SNFs: It’s Time to Deliver More Complex Care. Are you Ready?
The paradigm of post-acute care is shifting, with hospitals, payers, and patients looking for alternatives to skilled nursing stays. To thrive in this changing landscape, SNFs must successfully care for sicker residents with more complex needs. Your success now requires an innovative, multidisciplinary approach and a higher level of physician engagement.
Managing Length of Stay in the ICU
Managing length of stay in the ICU can be challenging given the medical needs of ICU patients. While a minority of hospital patients spend time in the ICU, care for those patients is costly and labor intensive and can have a large impact on a hospital’s length of stay. Understanding key obstacles to discharging from the ICU, and ways to manage those are important to improve throughput in your hospital.
How ICU Performance Leads to Hospital Growth
Intensive care units care for the sickest of patients and are essential to the communities they serve. That said, many hospitals don’t recognize that the ICU can be a catalyst for growth. Learn how to implement change in your ICU, drive quality, and improve your hospital’s reputation from Dr. Sergio Zanotti, Sound’s CMO of critical care.
Making Denial an Opportunity
Describing the differences in documentation for Inpatient per commercial guidelines are sometimes quite different from what we learned about in medical school or during training in residency. Documenting the presence of certain relevant findings can help promote approvals for Inpatient can minimize denials. It is important to not over and/or under document.
Improving Throughput Efficiency & Resource Use
Placing patients in observation (OBS) and then efficiently and effectively caring for them are great challenges for hospitals. In this webinar we will help make this challenge more manageable as we discuss what stays are appropriate for OBS and how hospitals can manage OBS patients differently. In this webinar, learn how to review an OBS case, how to determine if it should inpatient, and ways to improve flow from a case manager perspective.
Supporting Clinical Diagnoses for Medical Necessity
Clear and concise disease-specific clinical documentation is essential to support medical necessity, but how to properly document this can be a challenge for many hospitals. In this webinar, we will address the importance of collaboration across care management and clinical teams, key documentation points a CDI specialist looks for that help document the level of severity of illness, and examples of proper documentation to minimize payer denials.