Clinical Solutions

Capacity & Throughput

To enhance hospital efficiency and patient care amid staff shortages and fluctuating patient demands, hospitals can adopt several strategies. Effective capacity management involves streamlining patient flow, improving discharge processes, and optimizing bed management. This is achieved by enhancing patient throughput, clinical progression, and care transitions, ensuring timely and appropriate care. Key strategies include improving care coordination through a multidisciplinary approach to establish proactive care plans and smooth transitions. Enhancing post-acute care planning by identifying and stratifying patients at risk for poor transitions or readmissions is also crucial.

Care Management, UR/UM

Seamless care transitions are crucial for ensuring the best possible outcomes for patients while also addressing the financial challenges faced by healthcare providers. Our tailored, collaborative and interdisciplinary approach focuses on optimizing patient throughput and managing Length of Stay effectively. By conducting assessments based on six leading practice pillars, we help inpatient care providers achieve accuracy in patient status assignments, reduce avoidable denials or delays and improve patient safety:

• Status Assignment at Portals of Entry
• Utilization Review and Documentation
• Care Coordination and Discharge Planning
• Care Progression and Multidisciplinary Collaboration
• Physician Escalation and Governance
• Data and Technology Driven Process

This not only improves patient care but also leads to significant cost savings and better resource utilization, ensuring that patients receive the right care, in the right setting, at the right time—every time.

Observation, ED, Transfer Center

Improve your healthcare system's operational efficiency and financial outcomes through expert management of observation services, ED and transfer center. Our tailored approach includes assessing, redesigning and implementing these services in inpatient, surgical and emergency settings to improve patient flow, increase capacity and boost satisfaction. We focus on effective staffing models, accurate revenue capture and strategic use of performance metrics to elevate care quality and financial performance. Keep your commitment to delivering high-value care by aligning costs, quality and market demands.

Mortality, Hospice & Palliative Care

Designed to significantly reduce preventable mortality in healthcare systems, our integrated and advanced strategies such as enhanced documentation, optimized transfer processes and superior hospice care, are tailored to meet the unique needs of each facility. By focusing on operational efficiency, clinical quality and staff engagement, we help health systems improve mortality rates and deliver exceptional care.

National Scorecard Optimization

Optimize your hospital's performance with our National Quality Scorecard Optimization (NQSO), tailored to the unique needs of your health system. This solution is dedicated to improving your public ratings by enhancing both the perception and reality of your healthcare services. Through a comprehensive analysis of your performance across major national scoring systems like CMS Stars, Leapfrog rating, Vizient Q&A ranking and U.S. News and World Report hospital rankings, we identify the metrics that most impact these ratings and provide a strategic roadmap to elevate your scores and quality of care. Whether you need support identifying the critical metrics or implementing clinical improvements in care or adjustments in documentation and coding, we are here to assist. Boost your hospital's ratings and ensure top-tier care for your community with our expert guidance.

Hospital Acquired Conditions (HAC) & Patient Safety Indicators (PSI-90)

Significantly reduce hospital-acquired conditions (HACs) and boost patient safety through expert-driven, process-oriented solutions. We start by conducting detailed data evaluations and on-site assessments to deliver effective, process-driven solutions that significantly reduce HACs and their associated clinical impacts and financial penalties. Achievements include an average of 50% to 90% reduction in HACs, with a systematic approach that improves patient care and safety. The approach aligns strategic system planning with practical care improvements, involving stakeholders to ensure adoption of new processes. Additionally, certified infection prevention consultants are available to meet regulatory demands and sustain infection prevention efforts, while also providing mentoring and coaching to educate emerging professionals in infection prevention.

Readmissions

Tackle hospital readmissions effectively while enhancing patient care and addressing quality issues. This program equips healthcare providers with insights into the drivers of their readmission rates, enabling them to predict and improve care quality. By identifying key clinical cohorts, evaluating risk management and implementing specialized post-acute patient management strategies, you can boost clinical outcomes, reduce penalties and improve public scorecard standings. This initiative not only forecasts future CMS scores but also actively improves healthcare delivery.

Surgical Quality and Variation

Boost patient outcomes and operational margins by improving operating room efficiency, optimizing clinical staffing and refining scheduling processes. Focusing on fostering collaboration and standardizing processes and supplies, you can effectively reduce costs while maintaining high-quality care. Address critical issues like staff burnout and clinical variation, improve perioperative workflows and align healthcare teams to achieve financial and quality improvements. Using advanced data analytics, strategic insights aid in decision-making and promote the growth of healthcare services, ensuring both patient and staff satisfaction.

Peri-Op Optimization

Improve the efficiency and effectiveness of your operating room (OR) by adopting a data-driven approach that includes a thorough evaluation of existing procedures such as scheduling and supply management. Multidisciplinary teams work together to involve all stakeholders in process redesign. Our approach includes partnering with OR leaders and staff for effective deployment, emphasizing ongoing communication and standard procedures. Sustained improvement efforts feature continuous coaching, data management and visual systems to maintain high standards in OR operations, ultimately enhancing clinical quality, operational efficiency and cost management.

To effectively grow procedure volumes in ambulatory care, it's crucial to adapt to the increasing shift of procedures from inpatient to outpatient settings, a trend accelerated by payer dynamics and pandemic-related safety concerns. Healthcare leaders should focus on using strong data, comparative benchmarking and analytics to improve clinical and financial outcomes. Additionally, fostering collaborative intelligence and peer networking will aid in developing innovative solutions, preparing healthcare systems for the expected increase in outpatient procedures in the coming years.

Advanced Practice Provider (APP) Top of License

The APP Advisory Services offers an annual membership designed to enhance the management and strategic planning of healthcare organizations' APP workforce. Clients benefit from a collaborative platform, educational resources and expert advisory services. Programs are tailored to support workforce development and management strategies for APPs.

High Reliability is a “socio-technical” model. HROs deliver failure-free performance, consistently, over time. Culture change management beginning with a shared mental model of High Reliability is essential. Our structured consulting approach is based on our Framework for High Reliability Healthcare ©2022, developed and improved over the last two decades. Our differentiators include:

• Decades of HRO Culture, Process Improvement and Management System Consulting expertise.
• High Reliability Academies – create High Reliability behaviors with shared understanding and accountability for executive, senior and local-level leadership.
• SCORE™ – the most validated and comprehensive Employee Culture and Engagement Survey in healthcare.
• LENS™ – a real-time Digital Visual Management platform that takes your HRO Culture and Visual Daily Management System to a new level.