CASE MANAGEMENT CONSULTING
Balancing Quality and Cost of Care
Novia Strategies understands the importance of the Case Management function in the provision of high quality and cost effective patient care. Our seasoned consultants utilize an individualized approach so the level of consulting provided is what your hospital needs. We pride ourselves on ensuring the gains are sustained by our consultants transferring knowledge and leaving you with an operational dashboard for Case Management services. Our goal at Novia Strategies is to help you ensure that care is coordinated and revenue cycle is managed:
Key Outcomes:
- Care is coordinated among all disciplines
- Patient access coordinated and effectively managed
- Continuous interdisciplinary communication
- Clinical documentation supports care
- Effective patient progression
- Effective discharge coordination
- Effective utilization management provided
BENEFITS OF OUR CASE MANAGEMENT CONSULTING SERVICES:
- Decreased LOS and decreased cost per case
- Improved management of high-risk , high cost case types
- Decreased recidivism rates
- Improved physician management of LOS, utilization of services and cost of care
- Integrated Case Management Model
- Improved continuum of care
- Optimize Same Day Surgery Patient status and LOS
- Optimize Observation Stay Patient LOS
- Reduced Emergency Department LOS
- Improved patient flow
- Optimize admission status assignments to maximize reimbursement
- Improved clinical documentation to support management of care and reimbursement
- Improved quality of care outcomes
OUR APPROACH – CASE MANAGEMENT CONSULTING SERVICES:
We utilize a four step process in our consulting which is tailored to the level of support you need. These four steps typically are as follows:
- Evaluate your entire case management system or specific areas identified and make recommendations for improvement
- Develop an action plan to guide the improvement work for either your team or a combined hospital-consultant team
- Provide project leadership or hands-on support for implementation as needed
- Provide an operations dashboard and training that allows the organization to monitor and ensure the gains are maintained.
Assessment Planning and Implementation
Phase One – Assessment: Optional areas of focus during our Assessment:
- Coordination and hand-offs of care
- Cost of care by DRG and Physician
- Patterns of care for the high-risk or high cost patient volumes
- Resource utilization
- Discharge coordination
- Standardization of care
- Case Management model
- Patient progression
- Patient flow
- Observation stay patients, holds in ED and PACU
- Patient aggregation
- Clinical documentation practices
- Use of Case Management tools such as:
- Evidence-based practice guidelines
- Clinical pathways
- Multidisciplinary team rounds
- Case management IT systems
Phase Two – Key Components of our detailed Action Plan:
- What work needs to be completed to get the improvements targeted
- Who is on point for each activity/outcome
- Identification of key considerations for success
- By when should work occur with attention paid to both prioritization and sequencing
Phase Three – Implementation Optional Support Available:
- Strategic leadership to assist in positioning and managing barriers
- Project leadership to drive the work to completion
- Case Management Subject Matter Expert support:
- to provide insight into best practice
- to share various approach options and lessons learned from other project experiences
- to provide objectivity
- to challenge the status quo
- Staff support to do the work in organizations where resources are tight
Contact Us to learn more about our Case Management Consulting Services.
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