Enhancing Communication and Patient Care through Working DRG Implementation
Discover the value and benefits of utilizing Working DRG methodology within multidisciplinary healthcare teams. Learn about goals, benefits, communication processes, ACDIS insights, technical potentials, and key data considerations. Understand the significance of accurate data interpretation, effective communication strategies, and patient-focused care delivery.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Working DRG Value and Benefits to share with multidisciplinary teams Jennifer Cavagnac , CCDS Dr. Vishal Tiwari MD FACP Christine Scibelli MS, RN
Goals Communicate to key parties the Working DRG GLOS Physicians :Anticipated DC order Case management: Appreciation of LOS data for DC planning
Benefits Improved patient progress Identifying early morning discharges Opening beds for ED boarding Patient satisfaction Timely communication of patient needs Robust provider handover Accuracy for CMI, O/E, reduced LOS
Communication Process IPOC rounds/Standard roundtable with teams Triad meetings (case management, attending and CDI, UM) Face to Face Electronic accessibility Ensure patient awareness of plan patient satisfaction
ACDIS Forums what can we learn? Daily lists w DRG/GLOS and if there is Query to case managers Meet with Physician Champion to discuss outliers weekly (whether it is medical, family, social, etc.). Track and present at UR meetings/hospitalists meetings Always be sure to note the DRG is subject to change We have Meditech and we set it up to pull that information from abstracting onto the physician's rounding report . It is updated to match most recent documentation of conditions and procedures.
Technical Potentials MPage CIS Concept Challenge users must go in each case Workaround static reports and distribution. Wish: Worklist patient list Interface to teletracking
Exhibit 13a W APR SOI Financial Class Med Rec Number Visit Number Attend MD W APR ROM W DRG Est Reimb W DRG GLOS LOSLOS Variance Current Room Transfer MSDRG Name Admit Dt Reviewer W DRG Advantages to electronic formats Automated! Accurate! Available! ..But is it integrated??
Important to know Data (DRG) is subject to change Interpretation can be dangerous without knowledge and education Communication is the key Appreciate: Observation to INPT Any status changes
Barriers to Discharge (but the DRG is right) Insurance Social determinants of health Substance , housing, financial, transportation Community resources Patient support family, VNA Healthcare proxy, guardianship Behavioral health/Geriatric health
Case study Working DRG info LOS management Query management Timeliness of response Clear integration of patient awareness for discharge plan.
Case example Pt ID Admit LOS GLO DRG MD Q? Notes S J.Doe 2/1 4 3.4 179 W.Smith Yes Pt needs arrangements for renal specialist follow up After DONE Pt needs arrangements for renal specialist follow up completed. Discharge planned tomorrow am J.Doe 2/1 4 4.5 178 W.Smith
