She is teaching a CCM prep course with the Case Management Institute, working with Athena Forum and writing and consulting on case management and related topics. Laura Ostrowsky RN, CCM MUP is the current president of the NYC chapter of CMSA and a Director on the national CMSA board. A comparison of proactive and reactive approaches will be presented.Patient flow initiatives in health care will be discussed with emphasis on multidisciplinary inclusion and the approach from both the business and clinical perspectives.The importance of working in teams and coordination of care will be introduced along with a team approach to standardized work flows by service, diagnosis and procedure.The principles of utilization management will be reviewed with emphasis on the monitoring and conserving of scarce health care resources and the constraints they pose.The use of avoidable days collection, trending and analysis to identify opportunities to improve systems, care delivery and decrease length of stay (LOS).Initiatives to decrease LOS and increase efficiency will include: There will be a short review of technological changes that that have helped not only to shorten hospital stays but to eliminate them as care has shifted from inpatient to ambulatory.Ĭase management’s role in these changes will be discussed. This webinar will begin with a review of the history of reimbursement and policy changes as they affect current care delivery. Couple that with changes in care delivery, the proliferation of sites and levels of care and the move from utilization review to utilization management and the focus became cost efficient care delivery leading to standardization of services and the adoption of business analysis like time and motion studies AKA patient flow. Since the mid 1980’s when hospital reimbursement switched from per diem to case-based payments, the need to decrease length of stay became a financial imperative.
0 Comments
Leave a Reply. |