Jenny Sippel-Tompkins MHA MSL

Doctor Kelvin Muthami from Muthami Family Hospital shares how the Ilara Health Management Information System has helped streamline his facility operations and management. Watch his story!

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This article describes the nation's medical supply chain as "fragile." I believe we see evidence of that but we also see frontline workers, manufacturers, and supply chain leaders in the healthcare industry doing what they do best - finding a way forward because patients' lives are at stake. ⚡ THE PROBLEM: "A survey conducted earlier this week found that 86% of U.S. health care providers are experiencing shortages, with smaller providers (those with fewer than 25 beds) being most likely to not have received any IV solutions they had ordered this week. About half of providers have ten days or less of fluid supplies, down from an average of 15-22 days of supplies, according to the survey of 257 providers." The IV fluid shortage is also affecting those who receive peritoneal dialysis and IV nutrition at home. ⏩ THE WAY FORWARD: Hospitals have been conserving IV fluids by prioritizing the most critical patients while encouraging oral intake of fluids with electrolytes (e.g. Gatorade) for patients who are able. According to the article, "Baxter had ended a shipment hold it had placed last week, was resuming up to 60% of its shipments of fluids to hospitals and dialysis providers, and was scaling up production at its other facilities [including international if approved by the FDA] with hopes of increasing allocations." https://lnkd.in/e6NtTK-9

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Key Strategic Insights = A Successful OP CDI Program The challenge of value-based care starts with a collaborative approach, when launching an Outpatient Clinical Documentation Integrity (OP CDI) program. Here are some key strategic insights to success: 1. Engage with Population Health Understand Pain Points: Begin by understanding the specific challenges faced. This fosters collaboration. Tailored Questions: Use customized questions to facilitate productive discussions and ensure alignment with needs. 2. Effective Software Implementation Manage Patient (Pt.) Volumes: Implement software solutions to efficiently handle pt. volumes. OP CDI Calculator: Utilize a calculator to determine Full-Time Equivalent (FTE) needs. Data Analytics and Reporting: Emphasize the importance of continuous improvement via data analytics. 3. Workflow Creation Establish Robust Workflows: Create strong workflows before integrating reviewers. 4. Collaboration & Communication Promote Strong Collaboration: Encourage robust communication between key stakeholders. Leverage Software: Use technology to reduce physician burnout & streamline communication. 5. Patient-Centered Approach Address social determinants of health (SDOH) & ensure accurate documentation of conditions and care plans. Patient Outcomes: Keep patient care at the center of all doc. & workflow processes. 6. Regulatory Compliance Adhere to Guidelines: Follow regulatory requirements such as CMS guidelines on Hierarchical Condition Categories (HCC) coding to avoid penalties and enhance credibility. 7. Measurable Outcomes Set Clear Goals: Aim for measurable outcomes like improved HCC recapture rates, enhanced RAF scores, better HEDIS measures, and addressing SDOH needs. 8. Stakeholder Engagement Involve All Stakeholders: Ensure that executives, clinicians, and other relevant parties are involved in planning and implementation process. Success Stories Recently, I helped several CDI directors validate their cases for OP CDI programs within Accountable Care Organizations (ACOs). By engaging with population health leadership, we identified key issues such as RAF gaps and HEDIS measures, and tailored processes to address them. For instance, a CDI director I guided successfully identified HCC and HEDIS recapture as their biggest pain points. With strategic solutions in place, they are now ready to implement the project for the 2025 budget yr., aiming to improve their HCC recapture rate by 20%, leveraging data analytics for outcomes and improvement needs. Benefits of Implementing These Strategies Align Risk Stratification: Properly align risk stratification with chronic conditions and healthcare needs. Quality Measures: Improve quality measures and address SDOH. Collaborative Team: Ensure success with a collaborative team supported by technology. Overall, these strategic actions will enhance patient care and operational efficiency. #Healthcare #Leadership #CDI #PatientCare #ValueBasedCare #HealthcareInnovation

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Day 11: The Importance of Preventive Care at FQHCs Preventive care is a fundamental component of the services provided by Federally Qualified Health Centers (FQHCs). Through regular check-ups, screenings, and vaccinations, we play a crucial role in maintaining our communities' health and preventing disease onset. By prioritizing preventive care, FQHCs ensure that individuals receive timely interventions, leading to better health outcomes and reduced healthcare costs. #PreventiveCare #FQHC #CommunityHealth #HealthForAll

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Is your health system worried about cost but only innovating for “providers”? You know who controls the majority of cost in the system? Nurses. And guess what. They got the answer you need. So maybe focus on engaging them in the change, improvement, optimization and innovation a bit. You will uncover millions of dollars of waste and practical ways to fix it. Improving revenue is great. But not if you bleed it out the other end. Everything in healthcare runs through a nurse.

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