Overview:
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 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.
Why you should Attend:
Efficiency and quality are tied together. To operate efficiently means you are providing the right care at the right time, avoiding delays, duplication of effort, unnecessary costs while providing timely quality patient care.
Areas Covered in the Session:
Who Will Benefit:
Laura Ostrowsky Laura Ostrowsky RN, CCM MUP FCM is the immediate past president of the NYC chapter of CMSA and a past Director on the national CMSA board. She was the recipient of the CMSA 2012 Case Manager of the Year award. She currently teaches a CCM prep course with the Case Management Institute, works with Athena Forum and writes, teaches, presents and consults on all things case management.
Laura has 40 years of health care experience, including time as a staff nurse, QA Coordinator, Director of UR and QA, followed by directorships in CM at New York Presbyterian (NYP) and Memorial Sloan Kettering Cancer Center.