Care Coordination Operations Review
Consulting Services | Clinical Operations | Care Coordination Operations ReviewDon’t let cost pressures pressure quality.
Bridging the gap between quality and cost can be a real challenge, but it can be done. By streamlining your Case Management operations, you can better serve your patients and your bottom line.
Here’s how QHR can help.
Effective care coordination.
In today’s reimbursement environment, cost pressures are real. But you can’t allow quality to suffer. QHR’s case management consultants help you expedite care processes, driving efficiency, quality and safety enhancements.
We examine your patient outcomes from clinical process and economic performance perspectives. We help you transform ineffective utilization review and reactive discharge planning into effective care coordination.
We help you:
- Measure the effectiveness of your clinical case management processes and procedures
- Decrease your average length of stay
- Improve continuum management
- Reduce compliance exposures
- Improve patient status accuracy
- Reduce lost revenue
- Reduce bottom line cost per case
- Achieve an active link to your revenue cycle
QHR’s case management specialists conduct an in-depth data analysis and an intensive review of current operations. We then provide a detailed report with action steps for improvement and offer education/implementation support, as needed. Your Case Management Assessment includes:
- Leadership, structure and staffing
- ER case management
- Patient throughput
- Observation bed management
- Bed access management
- Length of stay monitoring/reduction techniques
- Staffing with appropriate RN/social worker skill mix
- Guidelines/protocols integrated into patient care
- Clinical documentation
- Case management systems support capability
- Operations supporting accurate levels of care and acuity determination with appropriate reimbursement
- Data management
- Managed care clinical updates
- Regulatory compliance
- Physician advisor coaching/development
Top-quality care, cost-effectively delivered.
QHR can help you achieve new levels of excellence, to build your hospital’s reputation and foster pride institution-wide… while you bridge the gap between quality and cost.
