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You are here > Home > Reading Lists > Nursing Management > Avoidable Delay Day Analyzer: Data Identification Tools for Effective Case Management with CD-ROM

Avoidable Delay Day Analyzer: Data Identification Tools for Effective Case Management with CD-ROM, 2nd Edition
Gail Riley, RN, PHN, MPA-HSA

CD-ROM with User's Guidebook
Size: 11" x 8.5" 
ISBN 1601466447
978-1601466440 
HCPro Inc
August 2009
(click button below for the very best currently available price for this important resource)

Does your facility struggle to reduce the number of avoidable hospitalization days for your Medicare patients? Are those avoidable days hacking away at your bottom line? Are they hindering your quality of care?

Now you don't have to struggle! Here's a proven solution for reducing the number of unnecessary days Medicare patients spend in the hospital - Avoidable Delay Day Analyzer: Data Identification Tools for Effective Case Management. It's a user-friendly CD-ROM with a step-by-step user's guidebook. Needless hospitalization days often result in:

  • Poor clinical outcomes for patients

  • An increased risk of infection for the patient

  • Unnecessary tests and procedures

  • Higher incidents of legal difficulty

Did you know that every unnecessary day a Medicare patient spends in the hospital can cost anywhere from $600 to $1000? This book will help you determine why you have avoidable delay days and how to combat the problem. This one of a kind resource will help you:

  • Collect valuable data—so you can determine the monetary value of the days your hospital is saving

  • Identify poor practices that are resulting in avoidable days

With this book and CD-ROM you'll also have at your disposal: The Potential Avoidable Day Indicator spreadsheet formula. It's an innovative excel spreadsheet tool that will help you determine the monetary value of the days your hospital can save based on CMS length of stay criteria - great for CEO/CFO buy-in!
 

It provides Interqual education and criteria documentation, walking you through the criteria CMS uses to determine when a patient is ready for discharge and tell you how to get case managers to apply the criteria effectively and consistently. You will be able to perform validation audits. Instructions for conducting an audit of records to help you establish attainable goals. You'll have utilization management policy and procedure for a solid base to help you minimize avoidable hospitalization days. Plus, you'll get a collection of case studies. This CD-ROM is jam-packed with tools like:

  • Potential Avoidable Day (PAD) Indicator Report

  • Sample PAD Indicator Report

  • Sample utilization management policy: Provides procedures for consistent, reliable utilization review (UR) case referral for medical staff review and action as part of an effective case management program

  • PAD Access Database: An original Access database

  • Sample PAD Access Database: Includes fictitious data in a PAD database to demonstrate how data might appear

  • PAD Indicator Report Quick Reference Guide - A preformatted report that computes a hospital’s PAD Indicator, the monetary value of the days you will save and the additional bed-days your hospital will gain

  • Sample audit sheet: A tool you can customize and use to audit medical records and help validate your PAD Indicator, following the step-by-step audit instructions in the book

  • Sample policy and procedure for avoidable days

  • Base DRG Spreadsheet: A preformatted report containing all of the DRGs needed to compute the PAD Indicator, including the geometric mean length of stay (GMLOS) and 90th Percentile LOS as provided by the Centers for Medicare & Medicaid Services

  • Sample of UR data collection tools: Small charts to imbed in your current review sheets to standardize collection of potential avoidable days (PADs) and be the source used for data entry into your PAD Access database

The CD-ROM also includes The Potential Avoidable Day Database. It's an easy-to-use Access Database - accompanied by step-by-step instructions - that will allow you to:

  • IDENTIFY, TRACK and CODE potentially avoidable hospital days involving Medicare patients

  • Create letters that allow you to share your data with the right people (e.g., department managers and physicians) to affect change

  • Tailor forms and letters to your organization's needs

Avoidable Delay Day Analyzer will help you discover why avoidable hospitalization days occur, who's responsible for them, and how to tackle the problem head on. This one-of-a-kind tool will help you gain buy-in and support for avoidable day reduction initiatives from other members of the healthcare team and your hospital's management because Avoidable Delay Day Analyzer will allow you to clearly communicate the effects of avoidable days.

With these ingenious tools and easy-to-implement techniques, your facility can begin to reduce delay days and increase revenue. Catholic Healthcare West in San Francisco used the methods found in Avoidable Delay Day Analyzer and reports phenomenal results. Take a look at their results:

  • $18.4 million annual cost savings (using only $350/day saved per patient)

  • Greater than 52,000 bed-days increase annually

  • $21.6 million in new revenue annually due to increased admissions

Gail Riley, RN, PHN, MPA-HSA, has been a leader in case management for more than 20 years. Currently an independent consultant, she made her mark creating a hugely successful medical management and case management program for Catholic Healthcare West (CHW) one that helped the San Francisco-based system find $18.4 million in annual cost savings, and $21.6 million in new revenue from increased admissions and efficiency. She also developed an electronic avoidable day program for all of CHW's hospitals, and an electronic physician practice analysis severity-adjusted system that provided information to physicians relative to their efficacy in length of stay and costs when compared to the average physician in the state of California.

 

With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety.

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