To implement a goal directed protocol as a Patient Centered Medical Home (PCMH) allowing for more effective and personalized management of high impact diseases in the perioperative phase, thereby drastically reducing non-reimbursable hospital charges, increasing physician and other health care providers’ revenue and, most importantly, progressing towards Value-based care.
Prevalence and Consequences of OSALearn More
Increase Safety with Vigilance, Monitoring and Collaboration + Preventing Gaps, & Creating FailsafesLearn More
Demonstrate Safety with Reportable Measures: Hospitals/ACO's + Physicians'/GroupsLearn More
Demonstrate Economic Value: Reduced Healthcare Utilization + Reduced LiabilityLearn More
Longitudinal Measures: Long term impact on Co-Morbid conditionsLearn More
- to audit current procedures
- customized for each hospital system
- of protocol to integrate with existing EHR
- paving the way for increased safety
- to assist with accurate reports & measures
CLINICAL EXPERTISE: By auditing current procedures and preventing “GAPS” with the creation of proper “HANDOFFS.”
FAIL SAFES: These will be customized to each Hospital system by working closely with various departments as Pre-op Holding, Risk Management Team, Intra-op team, PACU staff, Respiratory Staff, Pharmacy Staff and Nursing Care. Close communication between Engineers and IT staff with various departments would ensure a smooth transition into this system.
INTEGRATION: The skill set in integrating a Software merging with the existing EMR which would then communicate via a cloud base network to Mobile App. This would enable compiling of reporting measures for both the Hospital to CMS and Individual Physician groups to specific practice based registries. Additionally, integration into the physician billing system.
DECREASED LIABILITY: Meticulous but easy to follow/apply ORDER SETS created at EACH LEVEL to continually increase the safety in this high risk Pop. By successive handoffs and fail safes, documentation would demonstrate clarity to potential examiners/reviewers of high quality care.
A SOFTWARE: That would sequentially capture individual measures at various stages of care therein enable Anesthesia groups to report these to CMS registries demonstrating quality care. This in turn would prevent decrease in Medicare reimbursement by 2% to 4%.
THE SOLUTION PERI-OPERATIVE SURGICAL HOME (PSH) FOR OSA PATIENTS A PHYSICIAN-LED MULTIDISCIPLINARY AND TEAM-BASED SYSTEM OF COORDINATED CARE FOR OSA PATIENTS’
A PATIENT CENTRIC PLATFORM THAT WILL HEIGHTEN PATIENT SAFETY!
A platform that will enable SCREENING of ALL surgical patients. Will endeavor to set Screening hospital wide (i.e.: add-on surgical cases, VCU patients, GI suite patients, ER patients and Pain Management patients).
A platform that would send NOTICE TO different systems ensuring vigilance at every level of care at present and in the future.
A platform that would send an NOTICE TO Surgery Scheduling to enable advance identification of the patient inducing vigilance!
A Platform that WOULD NOT CALL FOR CANCELLATION OF ANY SURGERIES!!
A platform that would ENABLE ADVANCED preventive measures, enable ASSESSMENT and enable TIMELY TREATMENT.
A platform that would DECREASE HEALTH CARE UTILIZATION, would CO-ORDINATE care & that would enable ADHERENCE to CPAP by continual education. It would enable FOLLOW-UP by DATA ACQUISITION from various systems by pulling data and pushing alerts and thus reduce risk of post discharge complications by following them longitudinally.
A platform that would COLLECT REPORTING MEASURES for multiple physician groups to demonstrate quality care and cost containment and, for the hospital, ACO MEASURES in the advent of the hospital joining one.
A platform that would MINE THE DATA key in deciding Value Based Payment Models, Merit Based Incentive Payment System (MIPPS: stressing meaningful use and clinical practice improvement activities) & efficient participation in Medicare Shared Savings Program.
A platform that would define the hospital as a RISK MITIGATION CENTER with an enhanced recovery protocol and a TOP PERFORMING CENTER enhancing a greater share in revenue and decreasing costs at multiple levels. In other words, CMS will "feed the winners and starve the losers".