CASE STUDY #5

The Challenge: Client Large Six Hospital Community Healthcare System with Management Outsourcing
• Optimize care coordination and discharge planning to reduce hospital-wide LOS and increase virtual bed capacity
• Improve communication and coordination between departments in the room turnaround process
• Improve Compliance Management Program
• Develop Physician Advisor Program
• Redesign Case Management Program

The Improvement Strategies
• Provide LHC management team
• Adjusted nurses and physicians staffing patterns within Vascular Access Team
• Established centralized support center to perform non-clinical functions
• Develop case management education series addressing compliance oriented processes and procedures
• Institute competency testing and validation of performance
• Implement medical necessity screening
• Implement utilization of InterQual and CERMe software