急性后护理策略

LBMC’s Post-Acute Care Consulting Team of experts assist with the coordination of care among ambulatory, 急性和急性后护理(PAC)提供者从操作的角度. LBMC’s team provides services to post-acute care providers to help them effectively respond to strategic, 监管和报销方面的挑战. We also partner with hospitals to develop post-acute care network strategies and focus on more coordinated less-costly continuum of care.

发展中的后急症护理网络的新世界

Acute care hospitals are working to find new ways to collaborate with post-acute care providers. 受非处方药患病率上升的推动, 基于事件的报销模式, 再入院处罚, 这些关系至关重要. 在本指南中, we’ll explore the new operational demands and offer insights and solutions on how to address them.

LBMC差异

The LBMC team of experts has served in various C-suite healthcare leadership roles. This expertise enables our LBMC experts to understand the major operational challenges of all healthcare post-acute providers, bringing practical expertise to improve operational performance and boost the bottom-line.

教育

As reimbursement challenges continue to rise amid the increasing financial constraints imposed by recurring cuts to Medicare and Medicaid, providers must develop new fiscally strong strategies to preserve and increase revenue. Regardless of the downward pressure on revenue, the patients need and must receive high quality care.
Coordination of care among ambulatory, acute and post-acute care providers is critical. Effective strategies begin with managing care prior to an acute episode and collaborating with all providers and the patient throughout the continuum to ensure safe transition back into the community.
LBMC’s Care Continuum Coordination model provides the framework for physicians, acute care hospitals and post-acute care providers to achieve the highest quality patient care.

谁能从急症后护理战略机会中受益?

医疗保健提供者，包括医生和非医生提供者
医院
急症后护理提供者, 包括长期医院(ltch), 住院康复设施(irf), 专业护理机构(snf)和家庭保健机构

与LBMC合作急诊后护理策略的优势

在整个医疗保健连续体中更好地管理患者
在捆绑支付和基于价值的支付模式下控制成本
提高患者质量
额外收入来源
增加还款

制定急性期后护理策略

Many hospitals are turning to outside organizations to guide them in the development and management of their post-acute care (PAC) strategy. 再入院的处罚越来越多, the growing prevalence of accountable care organizations (ACOs) and the advancement of bundled payment programs, hospitals are expected to provide care and guidance to their patients for 30 to 90 days after discharge. Whether the need is to better manage bundled payment models or address escalating readmission penalties, most hospitals lack the internal expertise and/or technology necessary to effectively manage these strategies.

如果没有可用的内部资源, many hospitals turn to professional service firms and technology companies that provide post-acute care network support services. The solutions range from providing software only to full PAC network management, 包括软件, 数据分析, 医院流程重组, PAC供应商网络的开发和管理, 护理重新设计服务, 以及临床过渡性护理支持.

医院 seeking outside resources often opt for the minimum support to save money. 然而, they may be paying a lot more down the road if they choose a solution based solely on cost. The less provided by an outside organization, the more hospital resources must be used. 很多时候，成本最低的解决方案并不能提供最佳价值.

有一次, 一家医院遴选委员会向潜在的外部合作伙伴表示, 他们正在寻找一种解决方案来购买和运营自己. 虽然这听起来像是减少开支的可靠方法, it underestimates the hospital staff time and resources required to effectively use the solution. 很少有医院, 如果有任何, have idle staff who can operate the software and apply the necessary decision support. The cost of training hospital staff to implement the solution must also be considered, as well as the potential for the turnover of skilled staff and the training of new staff.

A hospital CFO recently recounted his experience using a “technical only” solution. The software helped the hospital decide what PAC provider would provide the best expected patient outcomes. 然而, the CFO stated that the process required significant hospital staff time to download data from CMS, 输入到软件中, 解读数据, 将临床洞察力应用于数据, provide operational input into the PAC provider selection (from only the acute-care perspective), provide clinical transitional care support to guide the patient through the care continuum, and receive and interpret the outcomes from the overall patient encounter. 解决方案需要的不仅仅是按下一个按钮.

Another hospital executive stated that while the technology solution they used was effective at providing 数据分析 and informative dashboards, 它没有在操作上指导他们. “它为我们提供了大量信息, 我们可以看到所有的杠杆, 但我们不知道该拉哪根杠杆,他说. 就像没有操作手册一样. 如果你不知道如何使用一个系统，那它还有什么用?

医院正在进入一个护理连续性管理的新时代. 不能期望他们只使用软件来导航PAC. A full PAC network management partner might yield the best outcomes for hospital patients and might end up costing less in the long run.