Avoidable Day Analyzer, Second Edition: Data Identification Tools for Effective Case Management Gayle Riley

ISBN: 9781601466440

Published: July 1st 2009

Paperback

134 pages


Description

Avoidable Day Analyzer, Second Edition: Data Identification Tools for Effective Case Management  by  Gayle Riley

Avoidable Day Analyzer, Second Edition: Data Identification Tools for Effective Case Management by Gayle Riley
July 1st 2009 | Paperback | PDF, EPUB, FB2, DjVu, talking book, mp3, RTF | 134 pages | ISBN: 9781601466440 | 4.29 Mb

Avoidable Day Analyzer: Data Identification Tools for Effective Case Management, Second EditionGayle Riley, RN, PHN, MPA-HASAs of June 20, 2014, contact hours for nurses are no longer available with this product.Avoidable days cost more than dollarsMoreAvoidable Day Analyzer: Data Identification Tools for Effective Case Management, Second EditionGayle Riley, RN, PHN, MPA-HASAs of June 20, 2014, contact hours for nurses are no longer available with this product.Avoidable days cost more than dollars on the bottom line—They put patients at risk for hospital-acquired conditions, create bed grid-lock, and increase scrutiny from regulatory agencies and recovery audit contractors.Discover why avoidable hospitalization days occur, whos responsible for them, and how to tackle the problem head on with HCPros Avoidable Day Analyzer: Data Management Tools for Effective Case Management, Second Edition.

This new edition of a best seller and the accompanying tools have been updated to become powerful weapons against current case management concerns. Author Gayle Rileys hands-on expertise will help case managers analyze and improve performance in the form of avoidable days.This updated second edition features:Clear instructions about how to use the tools in the Avoidable Day AnalyzerEasy to follow step-by-step processesAbility to plug in your hospital’s unique data and instantly get the detailed analysis you need to make process decisionsTake a look at what’s covered:Section 1: The Avoidable Day AnalyzerMoving from an ordinary case management system to an extraordinary oneAvoidable days and hospital-acquired conditionsAvoidable days and recovery audit contractorsSection 2: The potentially avoidable day (PAD) indicator reportUsing your PAD indicator reportWhat the PAD indicator report can tell youSection 3: Conducting your validation auditThe processAudit basicsCase study: Interpreting one hospital’s validation audit resultsSection 4: Avoidable-Day TrackingUnderstanding how to document using medical necessity criteriaEducating staffSteps for effective utilization reviewSection 5: Ensuring SuccessStrategies for avoidable day data collectionKickoff: Using your Avoidable Day Analyzer databaseInformation for Access 2007 usersTools and forms included in this second edition: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 for its fiscal year 2009.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.PAD Access Database: An original Access database created by HCPro staff under the author guidance.Sample PAD Access Database: Includes fictitious data in a PAD database to demonstrate how data might appear.PAD Indicator Report: 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 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.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.



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