The Dynamics of Implementing HIPAA in the AR –..ppt

* Operational Ideas Can ancillary areas ‘see’ the order is for observation vs inpatient? Ensure there is a cost benefit of OT vs having the pt stay in non-billable hrs How does the nurse bed-side case manager ‘see’ the interprets are complete? How does the physician know they are ready to be acted on ? Watch for 1-day inpt admits – 10% Medicare threshold. * Celebrate the baby steps Determine objectives –compliance, revenue, patient satisfaction. (Where does the patient want to be??) Determine if current billing should continue or if a break during corrective action plan. Determine how to continue to share the message after the initial kick off plan. Celebrate as each area: nursing, physician, administration –live the message. * Roll out Key Elements Use ‘real life’ examples for ed. Determine timeline to start Attack Team Determine timelines for ed, daily process, ongoing process. * AR System’s Contact Info Day Egusquiza, President Daylee1@ 208-423-9036 Free HIPAA Help Line – informal updates, process ideas, etc. Free APC Info Line HAVE FUN! * Aggressive operational “new thoughts” Dedicated OBS bed or unit: medical, post procedure, OB, Tele (ideas) Super trained nursing to ‘actively move the pt” as well as “active physician involvement.” New action oriented pre-printed physician order form. HINT: Use for all outside PACU recovery, late case services, etc. * * Making it Happen Physician must order ‘observation.’ Order clearly indicates status: Inpatient versus Observation Initial order clearly indicates intent: why the patient needs assessed what is the goal for the care what are the ‘triggers’ that will indicate to the care team-order met, contact the physician. * Moving thru the observation environment Non-surgical = ER, direct admits Surgical admits/post procedure Nursing actively manages the patient at the bedside With ongoing interventions with the physician – updates, new orders, home safely or admitted as an inpt * Each hour needs tied to the phys