The Challenges
After a thorough program assessment, HNI Healthcare diagnosed the following issues that were affecting quality of care and facility revenue generation.
Poor Hand-Off Process
Lack of communication during hospitalist shift exchange increased LOS.
Lack of Multidisciplinary Collaboration
This resulted in poor care coordination and disposition planning.
No Performance Reporting
The hospital lacked reporting tools to evaluate group and individual physician metric performance.
Financial Loss From Excessive LOS
ALOS historically trended at 1 day over GMLOS.
Our Solutions
- Deployed our technology suite, VitalsMD®. HNI’s on-boarding team provided training to the hospitalist team to ensure each physician could immediately integrate the use of VitalsMD® into their daily workflow.
- Provided a comprehensive orientation program to educate providers on Value-Based Quality Panels, Documentation Integrity, and MACRA/MIPs.
- Implemented daily huddles with case management and initiated weekend discharge planning strategy.
- Placement of medical and administrative leadership on-site for daily support and monitoring of physician performance.
LOS/GMLOS Variance Results
The variance between ALOS and GMLOS reduced from 0.80 to 0.48 within the first 90 days under HNI management.
Case Mix Index Results
Within the first 90 days under HNI management, the case mix index increased from 1.37 to 1.45.
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