Working DRG Value and Benefits to share with
Description: Working DRG Value and Benefits to share with multidisciplinary teams Jennifer Cavagnac , CCDS Dr. Vishal Tiwari MD FACP Christine Scibelli MS, RN Goals Communicate to key parties the Working DRG GLOS Physicians :Anticipated DC order Case
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slide1. Working DRG Value and Benefits to share with
multidisciplinary teams Jennifer Cavagnac , CCDS
Dr. Vishal Tiwari MD FACP
Christine Scibelli MS, RN<br>
slide2. Goals Communicate to key parties the Working DRG GLOS
Physicians :Anticipated DC order
Case management: Appreciation of LOS data for DC planning<br>
slide3. Benefits Improved patient progress
Identifying early morning discharges
Opening beds for ED boarding
Patient satisfaction
Timely communication of patient needs
Robust provider handover
Accuracy for CMI, O/E, reduced LOS<br>
slide4. Communication Process IPOC rounds/Standard roundtable with teams
Triad meetings (case management, attending and CDI, UM)
Face to Face
Electronic accessibility
Ensure patient awareness of plan – patient satisfaction<br>
slide5. ACDIS Forums – what can we learn? Daily lists w DRG/GLOS and if there is Query to case managers
Meet with Physician Champion to discuss outliers weekly (whether it is medical, family, social, etc.). Track and present at UR meetings/hospitalists meetings
“Always be sure to note the DRG is subject to change”
“We have Meditech and we set it up to pull that information from abstracting onto the physician's rounding report…. It is updated to match most recent documentation of conditions and procedures.”<br>
slide6. Technical Potentials MPage – CIS
Concept
Challenge – users must go in each case
Workaround – static reports and distribution.
Wish: Worklist – patient list
Interface to teletracking<br>
slide7. Survey<br>
slide8. S2 pilot<br>
slide9. Exhibit “13a” Advantages to electronic formats –
Automated!
Accurate!
Available!
…..But is it integrated??<br>
slide10. Important to know Data (DRG) is subject to change…
Interpretation can be dangerous without knowledge and education
Communication is the key
Appreciate:
Observation to INPT
Any status changes<br>
slide11. Barriers to Discharge (but the DRG is right) Insurance
Social determinants of health
Substance , housing, financial, transportation
Community resources
Patient support – family, VNA
Healthcare proxy, guardianship
Behavioral health/Geriatric health<br>
slide12. Case study Working DRG info
LOS management
Query management –Timeliness of response
Clear integration of patient awareness for discharge plan.<br>
slide13. Case example<br>
slide14. Questions/ Thoughts?<br>
multidisciplinary teams Jennifer Cavagnac , CCDS
Dr. Vishal Tiwari MD FACP
Christine Scibelli MS, RN<br>
slide2. Goals Communicate to key parties the Working DRG GLOS
Physicians :Anticipated DC order
Case management: Appreciation of LOS data for DC planning<br>
slide3. Benefits Improved patient progress
Identifying early morning discharges
Opening beds for ED boarding
Patient satisfaction
Timely communication of patient needs
Robust provider handover
Accuracy for CMI, O/E, reduced LOS<br>
slide4. Communication Process IPOC rounds/Standard roundtable with teams
Triad meetings (case management, attending and CDI, UM)
Face to Face
Electronic accessibility
Ensure patient awareness of plan – patient satisfaction<br>
slide5. ACDIS Forums – what can we learn? Daily lists w DRG/GLOS and if there is Query to case managers
Meet with Physician Champion to discuss outliers weekly (whether it is medical, family, social, etc.). Track and present at UR meetings/hospitalists meetings
“Always be sure to note the DRG is subject to change”
“We have Meditech and we set it up to pull that information from abstracting onto the physician's rounding report…. It is updated to match most recent documentation of conditions and procedures.”<br>
slide6. Technical Potentials MPage – CIS
Concept
Challenge – users must go in each case
Workaround – static reports and distribution.
Wish: Worklist – patient list
Interface to teletracking<br>
slide7. Survey<br>
slide8. S2 pilot<br>
slide9. Exhibit “13a” Advantages to electronic formats –
Automated!
Accurate!
Available!
…..But is it integrated??<br>
slide10. Important to know Data (DRG) is subject to change…
Interpretation can be dangerous without knowledge and education
Communication is the key
Appreciate:
Observation to INPT
Any status changes<br>
slide11. Barriers to Discharge (but the DRG is right) Insurance
Social determinants of health
Substance , housing, financial, transportation
Community resources
Patient support – family, VNA
Healthcare proxy, guardianship
Behavioral health/Geriatric health<br>
slide12. Case study Working DRG info
LOS management
Query management –Timeliness of response
Clear integration of patient awareness for discharge plan.<br>
slide13. Case example<br>
slide14. Questions/ Thoughts?<br>