Commercial risk will be a critical catalyst of progress – it’s complicated, but is it possible? We think so.



Perfecting CV Short-Stay Patient Management

As CV program leaders seek to position their programs for future growth, finding efficiencies and opportunities in the outpatient sector will be increasingly important to the overall value of a CV program.

Read this white paper to get nine lessons that support CV programs not only in responding to payer scrutiny of short-stay inpatient cases, but also in delivering high-quality and efficient care to CV patients.

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9 lessons for optimal low-risk patient throughput

Manage CV patients in the ED

The five lessons below detail how to develop principled direct discharge pathways, and create protocols for optimization observation utilization.

1. Identify patients for home discharge (p. 14)

2. Assuage physician concerns (p. 16)

3. Triage to clinics (p.17)

4. Provide decision support for chest pain testing (p. 21)

5. Standardize protocols for complex patients (p. 23)

 Supporting resources: Use The HEART Pathway and AF Care Pathways: Society of Cardiovascular Patient Care, as well as these resources from our profiled organizations for further guidance on managing CV patients in the ED: AF Triage Protocol: Baptist Health Lexington and Stress Test Guidelines for Observation Chest Pain Patients: Emory Healthcare.

Streamline observation care operations

The four lessons below break down what CV programs can do to ensure that observation services—whether provided in a dedicated unit or via "virtual" observation units—are efficient and yield benefits for patients as well as the CV service line.

6. Hardwire responsibility for observation patients (p. 31)

7. Ensure timely rounding (p. 32)

8. Exercise principled management of observation unit resources (p. 34)

9. Measure observation unit performance (p. 36)

 Supporting resources: See how Emory Healthcare designed Clinical Decision Unit Protocols for the following: Patient Care Flow Map, Rounding Principles, Rounding Schedule, "Holding" Principles, Staffing Guidelines, and Quality Assurance and Utilization Review.

Special report: Virtual observation units

This report delves into the challenges associated with virtual units, where it is inherently difficult to keep track of patients and hold staff accountable for patient management. When considering how to best streamline observation care operations, it is important to address the these inefficiencies. Read more on p. 39.

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