Discharge planning handbook for healthcare : top 10 secret to unlocking a new revenue pipeline

Library	Item Barcode	Call Number	Material Type	Item Category 1	Status
Searching... PSZ JB	30000010202703	RA971.8 B46 2009	Open Access Book	Book	Searching... Unknown
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Hidden opportunities to improve profits in the healthcare industry abound in the area of discharge planning. The Discharge Planning Handbook for Healthcare: Top Ten Secrets to Unlocking a New Revenue Pipeline provides innovative new solutions that will show hospital administrators how to turn one of the most antiquated aspects of healthcare into one of the most productive. The performance-improvement concepts and approaches discussed in this volume balance all aspects of existing business models and provide a new approach to managing the discharge planning process.

Management engineer and Six Sigma Black Belt Ali Birjandi and registered nurse and administrative director Lisa M. Bragg employ innovative solutions to help readers:

Redefine the concept of discharge planning Assign the proper metrics The COS-Q snapshot - a new tool for success Employ Lean concepts in redesign Apply a practical approach to improvement Create a culture that produces results

An extended case study invites managers and administrators to take an interactive approach to the learning and applying of these concepts. A spreadsheet tool is included to help readers stay on task in their quest to improve efficiency and quality of care. The approach and methods taught in this book have led to dramatic results in a number of institutions. When adopted by your organization, they can help to improve performance and boost revenue.

Preface	p. xiii
Acknowledgment	p. xv
Introduction	p. xvii
1 Discharge Planning Defined	p. 1
Discharge Planning Defined	p. 1
Key Stakeholders	p. 2
Team Members of the Discharge Planning Department	p. 3
Discharge Planning Models	p. 6
COS-Q: The Most Important Letters in Optimizing Discharge Planning	p. 8
Impacts of Discharge Planning on COS-Q	p. 9
The Future State of Discharge Planning	p. 11
References	p. 12
2 How Optimized Is Your Current Model?	p. 13
Key Elements of an Optimized Discharge Planning Department	p. 14
Standardized Tools	p. 14
Efficient Process Flow	p. 15
Technology Utilization	p. 17
Efficient Communication Systems	p. 18
Interactive vs. Reactive Organizations	p. 19
Transparency	p. 19
Accountability	p. 20
Business Intelligence	p. 20
Labor Productivity	p. 22
Quality Metrics	p. 24
Financial Performance	p. 25
Customer Service	p. 26
Benchmarking	p. 26
Maximized vs. Optimized	p. 28
3 New Metrics for Success	p. 29
Expanded Metrics	p. 31
Inflow/Admission Data	p. 31
Length-of-Stay Data	p. 31
Variance Data	p. 31
Medical-Necessity Data	p. 31
Discharge Data	p. 35
Denial-and-Appeal Data	p. 35
Readmit Data	p. 35
Customer Service Data	p. 39
Referral Data	p. 40
Quality Data	p. 41
References	p. 48
4 Uncovering the Data Story	p. 49
Inflow/Outflow Assessment	p. 50
Step 1 Discharge Data	p. 50
Step 2 Admission Data	p. 50
Step 3 The Relationship of the Admit and Discharge Data	p. 51
Step 4 Look at Other Related Data	p. 51
Throughput Management Assessment	p. 52
Step 1 Length-of-Stay Data	p. 52
Step 2 Relationship between Day of Admission and Length-of-Stay Data	p. 52
Step 3 Average Length of Stay for Patients Requiring Post-Acute Care	p. 53
Step 4 Bed Turnover Rate	p. 53
Step 5 Variance Data	p. 54
Step 6 Percentage of Days Meeting Medical Necessity/Not Meeting Medical Necessity	p. 56
Step 7 Concurrent Denial Rates	p. 56
Step 8 Observation Conversion Rate Data	p. 57
Step 9 Observation > 24 Hours	p. 57
Step 10 Days-Saved Data	p. 58
Discharge Data Assessment	p. 58
Step 1 Discharge Trends	p. 58
Step 2 Average Length of Discharge	p. 59
Step 3 Discharge Delay Reasons	p. 60
Step 4 Cancelled Discharges	p. 60
Utilization Review Assessment	p. 61
Step 1 Percentage of Cases Denied for Medical Necessity	p. 61
Step 2 Average Dollars per Denied Case	p. 61
Step 3 Percentage of Cases Overturned	p. 62
Discharge Planning Outcomes Assessment	p. 63
Step 1 Readmit Rate/Reason	p. 63
Step 2 Referral Tracking	p. 63
Quality Assessment	p. 64
Core Measures	p. 64
Customer Service Assessment	p. 66
Customer Service Survey	p. 66
Discharge Planning Team: COS-Q Snapshot	p. 66
References	p. 67
5 Lean Concepts for Discharge Planning	p. 69
Overview of Lean Concepts	p. 70
The Seven Wastes	p. 71
Popular Lean Tools	p. 75
Poka-Yoke	p. 75
Value Stream Mapping	p. 76
5S Methodology	p. 77
Spaghetti Diagram	p. 79
Visual Workplace	p. 79
Kanban	p. 80
The House of Lean	p. 81
6 The Top 10 Secrets to a New Revenue Pipeline	p. 83
Secret 1 Less Is More	p. 83
Secret 2 Put "Aces" in Their Places	p. 85
Secret 3 Learn the Language of the Payer	p. 86
Secret 4 Understand Medicare Observation Status	p. 87
Secret 5 Attack Variance Days	p. 89
Secret 6 Capture the Flag	p. 90
Secret 7 Learn to Tell Your Story	p. 91
Secret 8 The 48-Hour Drill	p. 93
Secret 9 Know the Code	p. 95
Secret 10 Be Aggressive (Proactive Denial Management)	p. 96
Conclusion	p. 98
7 The Results-Oriented Job Description	p. 99
Why Job Descriptions Matter	p. 99
Job Description vs. Job Function vs. Job Focus	p. 101
Preparing a Results-Oriented Job Description	p. 101
8 Interactive Discharge Planning	p. 107
Reactive to Proactive	p. 108
Proactive to Interactive	p. 108
Empowered to Perform: Being Interactive	p. 110
Leadership Support	p. 111
References	p. 112
9 Tipping toward Technology	p. 115
Resistance to Change	p. 116
Change Matrix	p. 117
Automation: The Cornerstone of Process Reengineering	p. 118
Gap Analysis	p. 120
Technology Vendor Selection Process	p. 121
10 Six Sigma Simplified	p. 125
The DMAIC Model	p. 127
The Pillars of Six Sigma	p. 129
Statistical Tools	p. 131
The Lean-Six Sigma Action Workout: Speed, Simplicity, and Strength	p. 133
11 Creating a Culture of Accountability	p. 139
Identifying Lost Accountability	p. 140
What Is Accountability?	p. 141
Gaining Systems Accountability	p. 143
Gaining a Culture of Team Accountability	p. 143
Maintaining Accountability	p. 144
References	p. 146
12 The Final Steps to Success	p. 147
The Next Steps to Success	p. 148
Maintain the Gain	p. 151
Case Study: Reshaping Care Delivery at Hospital "A"	p. 153
Background	p. 153
Assessment and Findings	p. 154
Strategic Challenge	p. 156
The Key	p. 157
Acronyms	p. 163
Bibliography	p. 167
Index	p. 171
Authors	p. 185

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Table of Contents