Page 1 of 2
** This Event Has Been Approved for 8.0 Physician CME, 8.0 Contact Hours for Nurses and 15 CE Contact Hours for Case Managers **
Day One, May 10, 2018
7:15am – 8:00am
Conference Registration & Networking Breakfast
8:00am – 8:15am
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. 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 and ensure successful care transition.
9:45am – 10:15am
Morning Networking & Refreshments Break
10:15am – 11:00am
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.
11:00am – 11:45am
The Hartford HealthCare Care Logistics Center controls the flow of patients across the system’s five acute care hospitals from one centralized location while ensuring a more even distribution of patients throughout the network. By collocating RNs, Environment Services and Transport staff from all the hospitals, the CLC staff is able to communicate with one another in real time to make quick and appropriate patient throughput decisions for 1800 beds. Centralizing the logistics functions has allowed staff to identify inefficiencies and create standardized processes, which has reduced wait times system wide and boosted revenues across the network of community hospitals. We will discuss our implementation as well as how Epic technology and lean management tools have helped us to achieve our results.
11:45am – 12:45pm
12:45pm – 1:30pm
Using Data, Quality Metrics and Performance Improvement Tools to Leverage Empirical Outcomes in the ED
In a fast- paced, high stress Emergency Department, it is inevitable that nurses, physicians and ancillary personnel play a crucial role in figuring out ways to solve the patient challenges in patient flow. Healthcare organizations are embracing data analytics to improve and facilitate efficient, safe and quality-centric patient care.
Although, institutions are becoming more and more data driven, not every staff member is well-versed in data and quality tools. Also, an integral question that needs to be answered is, how important are data metrics and how should emergency departments utilize data to facilitate changes.
More importantly, healthcare leaders must know how to communicate these data metrics and data-driven insights to clinical teams in order for them to drive best practice in the workplace. This workshop will dive into the tools used, and how to creatively communicate data to staff.
- Discuss ED metrics and how it relates to length of stay, transfers, admissions and CMS reportable measures.
- Examine merits and opportunities for different data sources such as surveys, feedback from staff, observational audits and EHR
- Leverage internal and external performance data and benchmarking metrics
- Utilization of quality and technological tools to capture, analyze and communicate results
1:30pm – 2:15pm
2:15pm – 2:45pm
Afternoon Networking & Refreshments Break
2:45pm – 3:45pm
Panel: Successful Care Coordination Strategies Requires Commitments From All Stakeholders to Support Change
- 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
- Learn how to measure results and meet regulatory requirements
- 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
Patrice Callagy, RN, MPA, MSN, CEN
Nursing Director, Emergency Services
Stanford Health Care
3:45pm – 4:30pm
Hospital Discharge Planning Regulation Standards for CMS
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 for CMS’ CoP for Discharge Planning.
4:30pm – 5:15pm
Discharge Planning for Mental Health Patients in the Emergency Department
Psychiatric patients are admitted from the emergency department at twice the rate of medical patients. There are many reasons for this and means to reduce this rate. This presentation will provide an improved process for case managers and discharge planners to deal with psychiatric patients in the emergency setting. The objectives of this presentation will address:
- Identify psychiatric patient types who are at risk for admission and readmission
- Work with case management to provide better service for psychiatric patients in the emergency department
- Address alternative care options for psychiatric patients who present to the emergency department
- Review in the inpatient and outpatient setting to reduce psychiatric admissions and readmissions
End of Day One
- Next >>