Using Data to Drive Improvement Comprehensive Care for Joint Replacement Model June 14, 2018 Comprehensive Care for Joint Replacement Model Audio available through device speakers OR by dialing (800) 832-0736 Conference Room:*2657582# Access Code: 061418#
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Using Data to Drive Improvement€¦ · Operating Physician DRG Fracture First PAC Episode Count Average Net Episode Payment Average Target Amount Variance To Target Percent of Episodes
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Transcript
Using Data to Drive Improvement
Comprehensive Care for Joint Replacement Model
June 14, 2018
Comprehensive Care for Joint Replacement Model
Audio available through device speakers OR by dialing (800) 832-0736
Conference Room:*2657582#Access Code: 061418#
Welcome
Kathy Woods, BSN, RNCJR Learning System Team
The Lewin Group
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Laura Maynard, M.Div.CJR Learning System Team
The Lewin Group
Comprehensive Care for Joint Replacement Model
Webinar Agenda
• Welcome
• Meeting Logistics
• St. Francis Medical Center Presentation
• Questions, Answers, & Discussion
• Announcements & Reminders
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Comprehensive Care for Joint Replacement Model
Meeting Logistics
• All telephone lines are muted• We encourage comments, questions, and
reactions via Chat• Participate!
– Chat– Polls– Post-Event Survey
Comprehensive Care for Joint Replacement Model 4
Introduction to Adobe Connect
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Comprehensive Care for Joint Replacement Model
Download Available Resources
Closed Captioning
To Ask Questions
or Send Messages
To Dial In Via
Telephone
To Raise Your Hand
Let’s Chat!
• Use the Chat pod to submit anyquestions or comments
• Please use “@” if yourquestion/comment is directed to aspecific presenter
• Submit your question/comment byclicking the chat bubble icon
• Please share in Chat now:– Organization– State– A CJR improvement activity currently
in progress at your organization
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Comprehensive Care for Joint Replacement Model
St. Francis Medical Center Presentation
Comprehensive Care for Joint Replacement Model
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Hailey Hill, MHAManager of Special Projects & Joint
Replacement Coordination
CJR Data Driven Improvement
Hailey Hill, MHAManager of Special Projects & Joint Replacement Coordination
St. Francis Medical Center – Monroe, LA
St. Francis Medical CenterFranciscan Missionaries of Our Lady Health System
• Located in Monroe, LA• 352 licensed beds• Volume FY17 410 (DRG 469 & 470)
• 60% of volume is CJR• Hospital owned SNF & IRF• Non-Employed Orthopedic
Surgeons
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CJR Data Drivers
• Data-Driven Continuous Quality Improvement
• Right Care, Right Time• Coordination Across the
Care Continuum
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Data Driven Continuous Quality Improvement
Dashboards• Utilized in Various Committees
– Care Redesign Committee– Gainsharing Committee– Executive Committee– Post Acute Community Meetings
• Utilizes a combination of CMS Claims Data andInternally Tracked Data
• Template has evolved over time
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Dashboard Example
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2017Q2 2017Q3 2017Q4
Description Num Den % Num Den % Num Den % Num Den % Num Den % Num Den
*INDICATES A CRITICAL ACCESS HOSPITAL SWING BEDDirect Readmission for SNF/IP Rehab is when the discharge day of SNF/IP Rehab equals admit date of an acute inpatient claimDirect Readmission for HHA is an acute inpatient claim during a HHA claim
Goal: Home Health 2 weeks of PT Only, 3 Visits Per Week, Transition to Outpatient
Expectation: Inpatient for Medical Necessity Only, 5-7 Days + Daily Weekend PT
Non-Fractures Only for Performance Year 2
Right Care, Right Time1. Standardized, evidence-informed clinical protocols
a. Use fewer disabling medicationsb. Ambulate patients early and oftenc. Eliminate/Reduce use of Foley Catheters
2. Risk Stratificationa. Patient Expectations – Post Acute Setting
Initiated: FMOL Health System LevelFocus: Health Leaders Network (HLN) ACONeed: High Quality & Cost Efficient Post Acute Providers
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Value Based Partners Initiative Timeline
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Value Based Partners Initiative
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Application Data Elements:• Hospital Admission Rate• Emergency Room Visit Rate• Follow-up Appointment with MD• Admits Patients on Weekends &
Evenings• Prevention of Harm• Average Number of Recertification's• Oasis Assessment• Patient Satisfaction• Reimbursement per Beneficiary• Fall Rate• UTI Rate