This webinar will focus on the role of the case manager in identifying avoidable delays. Capturing avoidable delays is the process used to ensure that patients experience good flow through the hospital stay and that delays are reduced or eliminated. We will review the common categories used to aggregate these delays and report on them. In addition, we will review the role of avoidable delay capture in the process of care coordination.
Optimizing care coordination is key to reducing and managing length of stay but is sometimes overlooked or diminished in importance. How do case managers integrate these processes into their daily routines? First we must identify the delay and then we must work to correct it. We will review exactly how this is done. In addition, we will discuss how length of stay management is also key in managing the CMS Efficiency Measure which scores your hospital on cost and length of stay. We will look at avoidable delays from the perspectives of access, through-put and discharge. We will conclude the program with examples of aggregated data and how this data can be used for quality improvement.
So many things can cause delays as patients progress through their stay and it’s our job to identify and correct these barriers to care. Learn the most streamlined ways in which to integrate avoidable delay management into your day and with all the members of the interdisciplinary care team. Finally we will review some examples of report cards that can be used to understand the data you have collected.
After attending the session, participants will be able to
- Identification of avoidable delays
- Use avoidable delay date for care coordination and patient flow
- Understand the role of RN and Social Work case managers in identifying and managing avoidable delays
- Discuss the Efficiency Measure and how avoidable delays can help improve this
- Review the use of avoidable delay data in report cards
- Describe other ways in which to report and use avoidable delay data
- Understand how avoidable delay data can be used for process improvement
Areas Covered in the Session:
- Define patient flow
- Care coordination
- Length of stay and the efficiency measure
- 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
- Patient flow scorecard
- Case management report card
- Directors of Case Management
- Directors of Social Work
- RN Case Managers
- Social Workers
- Directors of Quality Management
- Emergency Department leaders
- Vice Presidents of Nursing
- Directors of Finance
- Vice Presidents of Operations
About the Presenter:
Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, provides education on case management and related topics, and on-site assistance to case management departments.
The author of nine books, and a frequently sought after speaker, lecturer and consultant, Dr. Cesta is considered one of the primary thought leaders in the field of case management.
Dr. Cesta writes a monthly column called “Case Management Insider” in the Hospital Case Management journal in which she shares insights and information on current issues and trends in case management.
Prior to her current work as a case management consultant, Dr. Cesta was Senior Vice President – Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York. Prior to her position as Senior Vice President at Lutheran Medical Center, Dr. Cesta has held positions as Corporate Vice President for Patient Flow Optimization at the North Shore-Long Island Jewish Health System and Director of Case Management, Saint Vincents Catholic Medical Centers of New York, in New York City and also designed and implemented a Master’s of Nursing in Case Management Program and Post-Master’s Certificate Program in Case Management at Pace University in Pleasantville, New York. Dr. Cesta completed seven years as a Commissioner for the Commission for Case Manager Certification.
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