Discharge Planning Handbook for Healthcare : Top 10 Secrets to Unlocking a New Revenue Pipeline

ISBN-13: 9781563273926 / Angielski / Miękka / 2008 / 206 str.

Ali Birjandi

Opis

Hidden opportunities to improve profits in the healthcare industry abound in the area of discharge planning. The Discharge Planning Handbook for Healthcare: Top Ten Secrets to Unlocking a New Revenue Pipeline provides innovative new solutions that will show hospital administrators how to turn one of the most antiquated aspects of healthcare into one of the most productive. The performance-improvement concepts and approaches discussed in this volume balance all aspects of existing business models and provide a new approach to managing the discharge planning process. Management engineer and Six Sigma Black Belt Ali Birjandi and registered nurse and administrative director Lisa M. Bragg employ innovative solutions to help readers: Redefine the concept of discharge planning Assign the proper metrics The COS-Q snapshot – a new tool for success Employ Lean concepts in redesign Apply a practical approach to improvement Create a culture that produces results An extended case study invites managers and administrators to take an interactive approach to the learning and applying of these concepts. A spreadsheet tool is included to help readers stay on task in their quest to improve efficiency and quality of care. The approach and methods taught in this book have led to dramatic results in a number of institutions. When adopted by your organization, they can help to improve performance and boost revenue.

Spis treści

Discharge Planning Defined Discharge Planning Defined Key Stakeholders Team Members of the Discharge Planning Department Discharge Planning Models COS-Q: The Most Important Letters in Optimizing Discharge Planning Impacts of Discharge Planning on COS-Q The Future State of Discharge Planning References How Optimized Is Your Current Model? Key Elements of an Optimized Discharge Planning Department Standardized Tools Efficient Process Flow Technology Utilization Efficient Communication Systems Proactive vs. Reactive Organizations Transparency Accountability Business Intelligence Labor Productivity Quality Metrics Financial Performance Customer Service Benchmarking Maximized vs. Optimized New Metrics for Success Expanded Metrics Inflow/Admission Data Length-of-Stay Data Variance Data Medical-Necessity Data Discharge Data Denial-and-Appeal Data Readmit Data Customer Service Data Referral Data Quality Data References Uncovering the Data Story Inflow/Outflow Assessment Step 1: Discharge Data Step 2: Admission Data Step 3: The Relationship of the Admit and Discharge Data Step 4: Look at Other Related Data Throughput Management Assessment Step 1: Length-of-Stay Data Step 2: Relationship between Day of Admission and Length-of-Stay Data Step 3: Average Length of Stay for Patients Requiring Post-Acute Care Step 4: Bed Turnover Rate Step 5: Variance Data Step 6: Percentage of Days Meeting Medical Necessity/ Not Meeting Medical Necessity Step 7: Concurrent Denial Rates Step 8: Observation Conversion Rate Data Step 9: Observation > Hours Step 10: Days-Saved Data Discharge Data Assessment Step 1: Discharge Trends Step 2: Average Length of Discharge Step 3: Discharge Delay Reasons Step 4: Cancelled Discharges Utilization Review Assessment Step 1: Percentage of Cases Denied for Medical Necessity Step 2: Average Dollars per Denied Case Step 3: Percentage of Cases Overturned Discharge Planning Outcomes Assessment Step 1: Readmit Rate/Reason Step 2: Referral Tracking Quality Assessment Core Measures Customer Service Assessment Customer Service Survey Discharge Planning Team: COS-Q Snapshot References Lean Concepts for Discharge Planning Overview of Lean Concepts The Seven Wastes Popular Lean Tools Poka-Yoke Value Stream Mapping S Methodology Spaghetti Diagram Visual Workplace Kanban The House of Lean The Top  Secrets to a New Revenue Pipeline Secret 1: Less is More Secret 2: Put “Aces” in Their Places Secret 3: Learn the Language of the Payer Secret 4: Understand Medicare Observation Status Secret 5: Attack Variance Days Secret 6: Capture the Flag Secret 7: Learn to Tell Your Story Secret 8: The -Hour Drill Secret 9: Know the Code Secret 10: Be Aggressive (Proactive Denial Management) Conclusion The Results-Oriented Job Description Why Job Descriptions Matter Job Description vs. Job Function vs. Job Focus Preparing a Results-Oriented Job Description Interactive Discharge Planning Reactive To Proactive Proactive to Interactive Empowered to Perform: Being Interactive Leadership Support References Tipping toward Technology Resistance to Change Change Matrix Automation: The Cornerstone of Process Reengineering Gap Analysis Technology Vendor Selection Process Six Sigma Simplified The DMAIC Model The Pillars of Six Sigma Statistical Tools The Lean–Six Sigma Action Workout: Speed, Simplicity, and Strength Creating a Culture of Accountability Identifying Lost Accountability What is Accountability? Gaining Systems Accountability Gaining a Culture of Team Accountability Maintaining Accountability References The Final Steps to Success The Next Steps to Success Maintain the Gain Case Study: Reshaping Care Delivery at Hospital “A” Background Assessment and Findings Strategic Challenge The Key Acronyms Bibliography Index Authors