Day One, May 10, 2018


7:15am – 8:00am

Conference Registration & Networking Breakfast


8:00am – 8:15am

Chairperson’s Remarks


8:15am – 9:00am

Keynote: 21st Century Care Management Across the Continuum of Care

Effective discharge planning is a vital element in the continuum of services referred to as care management. The scope of care management has evolved as providers have adapted to new payment models (from pay-to-performance to risk life agreements) that include increasing levels of risk. These models are based on a value equation that initiated with quality and cost, but has expanded to include episodes of care and longitudinal care management. Now accountable for the full scope of care delivery, from the inpatient setting to post-acute care and ambulatory services, health systems are focused on identifying key strategies, effective programs and new tools to optimize discharge planning and transitions of care. Value, now driven by integration and coordination of services over time, is enhanced by a series of tools, including health information systems, information technology and data analytics. These systems and tools will be highlighted to illustrate the importance of discharge planning as an element of longitudinal care management in our evolving health care environment.


9:00am – 9:45am

Leveraging Technology to Improve Patient Flow and Discharge Planning Decision Making

Automating the process of placing patients across a hospital or health system can reduce patient wait times and overcrowding, in addition to improving a hospital’s financial performance. In addition, care coordination and communication can now be seamless as patients move step by step through the care continuum despite multiple handoffs and disparate IT systems. The use of technology can also connect the hospital and post-acute care facilities involved in a patient’s care. It is imperative for hospitals to enhance risk mitigation strategies especially as value-based payments continue to impact reimbursements. Finally, enabling technology provides organizations the opportunity to precisely pinpoint which patients have the greatest likelihood for readmission and follow-up with more intense observation, monitoring and high-touch interactions. This session will discuss the various ways to implement technology to improve a hospital’s overall workflow.


9:45am – 10:15am

Networking & Refreshments Break


10:15am – 11:00am

Hospital Wide Patient Flow – Reorganizing Logistics around Patient Care Needs

Achieving hospital wide patient flow requires an appreciation of a hospital as an interconnected, interdependent system of care. To make hospitals more patient-centered, patient flow logistics need to be adjusted. This session will focus on the following:
-       Organization roles supporting patient flow management
-       Hospital physical layouts
-       Capacity planning system
-       Levels of nursing assistance


11:00am – 11:45am

How Optimizing Front-End Emergency Department Patient Flow Can Enhance Patient Care & Satisfaction

Similar to many Emergency Departments in the country, Stanford Health Care experiences overcrowding in the ED due to limited capacity and boarding of inpatients.  During the past several years, SHC has put in place several initiatives to improve patient flow in the ED and mitigate overcrowding.  We will discuss the implementation and results of those efforts in the context of continued rising patient volume.


11:45am – 12:45pm



12:45pm – 1:30pm

Using Telehealth in the Emergency Room to Ease Crowding and Enhance Care

Telehealth provides a cost-effective solution to both long wait times and crowding in the ED. An on-call physician can be easily activated when extra help is needed. This session will discuss the following topics:
-       Strategies to implement a telehealth program
-       Allowing additional healthcare access through the use of telehealth
-       Reduction of emergency room wait times
-       Improvement of quality healthcare through remote access



1:30pm – 2:15pm

Discharge Planning: A Proactive Approach Starts at Admissions

An effective discharge process starts at the moment of admission, whether it is at emergency admission, preadmission or at the admission stage. It begins upon initial contact with the patient and is carried out with the implementation of an informed, timely and cost-efficient transition to logistically placing patients in the next level of care in the proper setting, into the right bed safely and timely. This session will cover the best-case scenario of a successful discharge planning process, including:
-       A high-level screen completed during the initial nursing assessment
-       Key quality measures and information that must be included in the admission assessment
-       Predicted length of stay (LOS) established early on and communicated clearly to the patient and family with decisive expectations regarding anticipated LOS
-       Develop strategies for community collaboration to engage outside resources such as patient placement and transportation


2:15pm – 2:45pm

Networking & Refreshments Break


2:45pm – 3:45pm

Panel: Healthcare Management Strategies from Patient Flow to Discharge Planning – A Commitment from Senior Leadership to Support Change

Efficient patient flow and discharge planning is a result of effective collaboration between care teams and administrators, and is critical in delivering high quality patient centric healthcare. It also requires a commitment from senior leadership to support change. Hospitals are examining how to provide the right quality care, in the right place, and at the right time. In this session learn considerations and strategies to bring care teams together across the continuum of care. Topics to be discussed include:
-       How to identify key players and develop effective methods to communicate throughput priorities to these different hospital stakeholders
-       Discuss approaches to develop and maintain a culture of transparency, respect and accountability among care teams
-       Balance hospital-wide and unit-focused approaches to solve patient flow challenges
-       Streamline ED operations and integrate technology to improve flow and coordination
-       Align priorities of care teams and minimize waste within the system
-       Engage hospital leadership in patient flow strategies and discharge planning to ensure buy-in and support


3:45pm – 4:30pm

Hospital Discharge Planning Regulation Standards for CMS & JCAHO

Medicare sets minimum health and safety standards for hospitals, known as Conditions of Participation (CoP), to protect beneficiaries and ensure quality care. Compliance with the CoP is monitored through a survey and certification process overseen through the Centers for Medicare & Medicaid Services (CMS). These regulations require hospitals to provide better communication and coordination, accurately determine the level of readmission risk of a patient, provide both clinical and non-clinical services to keep the patient well, and maintain communication and patient status at the patient’s care facility, home or other service location. This session will discuss updates the Hospital Discharge Planning Regulation Standards as outlined in the Conditions of Participation for Discharge Planning.


4:30pm – 5:15pm

Improving Pediatric Patient Throughput and Operation Performances

One of the most important parameters that influence patient satisfaction is the perception of throughput time. It is defined as the time from patient arrival to time of discharge. New methods can be used to evaluate and discharge uncomplicated pediatric patients more quickly or initiate diagnostic workup and treatment before patients are placed in beds. This session will focus on the following:
-       Review fundamentals of pediatric hospital healthcare
-       Outline an innovative framework for decision utilizing the tools that have been discussed
-       Improve understanding of care coordination in an ever-changing environment



End of Day One


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