How we can help transform your quality program
Our team of experts will help you implement an effective quality program that drives:
- Better care and outcomes for patients
- Improved financial performance
- Greater physician alignment
- Improved efficiency
- Enhanced ability to attract and retain nurses & staff
- Improved reputation
- Ability to better manage risk
- Improved market share
- More leverage with payers
Clinical quality improvement in healthcare areas of focus
- Financial: Commercial plans have put your revenue at risk, whether it's a penalty, incentive or annual rate increase. While CMS quality improvements won't hit your bottom line for several years, commercial revenue will impact your bottom-line next year.
- National quality scorecard optimization (NQSO): Identify the top quality improvement opportunities that will improve national scorecard performance and prioritize improvement efforts. Our NQSO offering will help you identify the 15-25 most important metrics to focus on to improve national scorecard performance the fastest.
- Clinical Documentation Improvement (CDI): Improves the expected values for quality improvement initiatives, such as mortality and length of stay. CDI also ensures maximum compliant revenue and assists organizations in capturing risk adjustment for CMS Stars, USNWR, and Vizient's Quality & Accountability rankings. CDI also improves the capture of Hierarchal Condition Categories (HCC) for Medicare and Medicare Advantage.
- Readmission reduction: Reduce hospital readmissions, improve patient experience, and reduce penalties. Both CMS and commercial payers impose a significant financial burden on acute care hospitals.
- Infection prevention: Reduce hospital-acquired infections, improve patient outcomes, and improve the patient experience while reducing penalties. Both CMS and commercial payers impose a significant financial burden on acute care hospitals for high rates of CLABSI, CAUTI, C. difficile, and many others.
- Mortality optimization: Improving your organization's mortality does not only encompass the reduction of unnecessary deaths but has a direct effect on length of stay, capacity, and readmissions. Mortality is highly weighted on most national scorecards, which affects an organization's reputation and leverage during contractual negotiations. It is imperative to improve the adoption of hospice & palliative care while implementing transfer center protocols and mortality reviews to address observed mortalities.
- Surgical Quality Optimization (SQO): Apply evidence-based best practices to improve perioperative systems and processes, reduce complications, LOS, and costs, and improve patient experience and surgeon satisfaction.
- Quality organizational function: Design the optimal quality department structure, function, and resources improve quality governance, and improve effectiveness and appropriate use of hospital resources.
- Accreditation, Regulatory Compliance, Patient Safety Organization (PSO): Strengthen cultures of safety through collaborative learning and proactively embedding standards into work.
- High Reliability Organization (HRO): Develop leaders and teams to transform culture, leverage data to drive improvement, organize work through management systems to improve consistency and sustainability, and increase transparency to build community.