Operations Review
Consulting Services | Clinical Operations | 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 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 the perspective of clinical quality and economic performance. Combining this information with our expertise, we can help you transform ineffective utilization review and reactive discharge planning into effective care coordination. We can help you achieve your goals:
- Decreased length of stay
- Improved continuum management
- Reduced compliance exposures
- Improved patient status accuracy
- Measurable outcomes of case management effectiveness
- Reduced lost revenue
- Bottom line cost reduction per case
- Active link to 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 requested. Your assessment includes:
- Leadership, structure and staffing
- ER case management
- Patient throughput
- Managed care clinical updates
- Regulatory compliance
- Observation bed management
- Case management systems support capability
- Bed access management
- Data management
- Clinical documentation
- Operations supporting accurate levels of care and acuity determination with appropriate reimbursement
- Staffing with appropriate RN/social worker skill mix
- Guidelines/protocols integrated into patient care
- Physician advisor coaching/development
- Length of stay monitoring/reduction techniques
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.
