The Inner loop: Drive Volume by Keeping Patients Within Your Network and Physicians Satisfied

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Transcript of The Inner loop: Drive Volume by Keeping Patients Within Your Network and Physicians Satisfied

The Inner Loop: Drive Volume by Keeping Patients within

Your Network and Physicians Satisfied Tammi Preziosi

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Every encounter counts!

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The Referral and Transfer BreakdownWhy is it challenged?

• Communication and Process• Abandonment Rate/Capture Rate• Network Leakage

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Paper-Driven Process

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Typical Manual Process: An Opportunity for Communication Barriers

Source: Womack J, Jones D. Lean Thinking. 2nd ed. New York: The Free Press; 2003. AAFP

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How Do We Rank?

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Leakage: What It Is & How It Hurts

Only 35-45% of referrals for adult inpatient care go to a partner hospital.

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Leakage Real Issue: Hard Cost$

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Looking for Opportunities • Referral Tracking• Transfer Tracking• Automated Medical Record Sharing• Analytical Approach to Understanding Your Market

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A Referral and Transfer Tracking System: Achieve Strategic Objectives• Track referrals to and from employed/affiliated physicians

• Improve outcomes for both patients and providers• Positive experiences build loyalty – critical to success • Network optimization• Enhance the medical staff planning process• Improve the accuracy of utilization and financial forecasts

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Improve the Process – Track it

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Data-Driven Results

Receving Facilty Response Time Time to Transfer Acceptance Total Transfer Turn Around Time 0

0.5

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1.5

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2.5

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3.5

Transfer Metrics

Hospital A Hosptial B Hospital C

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Referral Tracking: Improve the Workflow

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Take the Burden from the Patient and Provider

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Analyze Patterns: Achieve Network Optimization

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Why Change Now?

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• Increasing accountability for outcomes and “care quality” has become a crucial factor for referrals and for payment

• Essential to drive volume and patient satisfaction

• Competition is fierce, and driving brand through increased satisfaction is KEY

• Metrics are available to drive the patient into your facility and back into system

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