Operations Review
Providing quality care: patients demand no less of you. It is the essence of your organization's reason for being.
Achieving care excellence builds reputations and fosters pride institution-wide. Yet the challenge underlying most
decisions you make involves bridging the gap between quality and cost. Cost pressures cannot simply be ignored.
QHR’s Case Management consultants analyze patient outcomes from the perspective of quality and economic
performance. We combine this information with our expertise and help you transform ineffective utilization review
functions into an effective resource management model.
Achievable Benefits include:
■ Decreased length of stay
■ Improved continuum management
■ Reduced compliance exposures
■ Measurable outcomes of case
management effectiveness
■ Reduced flow of lost revenue
■ Bottom line cost reduction per case
■ Active link to Revenue Cycle
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Case Management Seminars at
the QHR Learning Institute
■ Case Management Operations
■ Structure and Systems
■ Intermediate and Advanced CM Levels
■ Just-in-Time Case Management (on-site training)
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Case Management Assessment
QHR's Case Management Services include an in-depth review of current operations, a detailed report with action
steps for improvement, and education/implementation support if needed.
■ ER Case Management
■ Patient 'through-put'
■ Managed care clinical updates
■ Regulatory compliance
■ Observation bed management
■ Referral screening process
■ Levels of care planning
■ Data management | ■ Concurrent Documentation/DRG Management for
accurate coding
■ Staffing with appropriate RN/social worker
skill mix
■Guidelines/protocols integrated into patient care
■ Physician advisor coaching/development
■ Length of stay monitoring/reduction techniques |
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For more information on QHR Case Management Services, contact:
Pat Cooper, Practice Leader, 800-233-1470 ext. 4775.
 | © 2008 QHR
105 Continental Place | Brentwood TN 37027 | 1-800-233-1470 | | | | |  |
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