To achieve high-quality care AND a positive bottom line you must implement a clinical management structure that manages by outcomes data and internal clinical protocols. These protocols will ensure appropriate oversight of clinical staff oversight and timely outcome-driven remote case conferencing. The strategies for clinical and financial success must also include a primary care clinical model and a well designed quality program that is integrated throughout your organization. This program identifies the road map to success and the steps to get you there and prepare for value based purchasing!
Objectives:
- Identify an optimum clinical and case conference model that is consistent with an efficient and cost effective primary care clinician model, including staff to supervisor ratios and their responsibilities
- Discuss the components of an optimum quality review department, responsible for all OASIS and coding activities as well as any QAPI requirements as identified in the Proposed Conditions of Participation
- Review clinician reporting that indicates successful clinical and financial outcomes or opportunities for improvement
Faculty: Pat Laff, CPA, Managing Principal, Laff Associates; Carolyn Flietstra, RN, BSN, Vice President- Home and Community Services, Holland Home
Continuing education units are not available for this module