The physician leader acting in this role works with care coordinators/UM nurses and the care team to triage patients to the appropriate level of care, manages length of stay, facilitates patient flow, educates providers on documentation issues, and acts as a liaison between their physician peers, hospital administration, and payers. Our Consulting Associates are located throughout the country and are experts in the hospitalized care of children, have pioneered innovative approaches to high-value care at their hospitals, are thought leaders in the field, and have presented nationally on inpatient pediatric operations. This is a national trend that has significant impact on hospital reimbursement. To tackle this chronic issue that exists at almost every hospital, we’ll partner with our data scientists to analyze your severity-adjusted length-of-stay (LOS) data, compare it to pediatric specific expected LOS benchmarks, identify where the opportunities for improvement may be, process map suspected inefficient services in your hospital, and then use all of that information to implement interventions that can work within your hospital’s priorities, processes, and culture. Moving patients forward in their plan of care in an efficient manner without delays is beneficial to patients, families, and the hospital. An increase in the hospital observation rate is affecting many adult and pediatric facilities. August 2018. Define the role of the pediatric physician advisor in CDI Explain pediatric terminology and clinical concepts Provide education to physicians regarding pediatric documentation needs Identify pertinent clinical indicators in the pediatric medical record to optimize query opportunities Accurate documentation of the patient’s care is important for the sharing of information amongst the clinical team to provide the best care possible. Moving patients forward in their plan of care in an efficient manner without delays is beneficial to patients, families, and the hospital. Let us know how Pediatric Resource Group can partner with you. December 2018. New Coding Clinic Q4 2017 and Institutional Defintions. The consulting associates at PRG have been at the forefront of the pediatric physician advisor movement and can help your organization design and implement a program that best serves your strategic priorities. A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. Hospitalists and intensive care unit physicians are often physician advisors for CDI programs. 307. bmurphy@hcpro.com. Phone 7. Our physician UM leaders can work with your UM team on systems (i.e. Please leave this field empty. hrodenberg. Name* In addition, complete documentation also ensures that the appropriate acuity of the patient is reflected in the chart, which drives the severity-adjustment for quality and operational metrics and can also significantly impact hospital reimbursement. A physician advisor can work side-by-side with physician peers as the liaison with many other stakeholders to provide the highest value care possible, Physician Advisor responsibilities and priorities for your organization, Helping physicians and UM nurses with appropriate placement in the correct status (inpatient vs observation), Length-of-stay (LOS) optimization and managing to expected LOS, Overcoming barriers to patient flow by minimizing or preventing avoidable delays, Improving proactive discharge planning and discharge timeliness, CDI query follow up and documentation education, Concurrent denials prevention and peer-to-peer discussions with payers, Retrospective denials appeal letter writing, Job description development based on priorities of the role. February 2017. Sheldon Berkowitz, MD, FAAP is a Pediatrician and the Medical Director (Physician Advisor) for Case Management, Utilization Management and Clinical Documentation Improvement (CDI) at Children’s Minnesota, which is a free standing, tertiary children’s hospital serving the upper Midwest. March 2018. What Is a Pediatric Physician Assistant? … Students interested in becoming pediatric physician assistants consider the associate's degree program, which is aimed toward students with a bachelor's degree and experience in … Hospital/Organization* We can implement or redesign your inpatient access center to minimize missed admissions due to inefficient processes, improve the timeliness of transferring patients to your organization, enhance communication to and from referring providers, and create tracking systems to ensure the improvements are sustained. bmurphy@hcpro.com. August 2018.

The safe and efficient intake and placement of admission requests is a critical function for all hospitals.

The safe and efficient intake and placement of admission requests is a critical function for all hospitals. Accurate documentation of the patient’s care is important for the sharing of information amongst the clinical team to provide the best care possible. Check out our new physician advisor's role in CDI boot camp pre-con! It’s important for hospitals to have an effective utilization management (UM) program that evaluates the medical necessity of admissions, ensures the patient is placed in the appropriate administrative status (inpatient, outpatient, observation services), monitors the efficiency of the use of health care services and interfaces with payers throughout the stay. Clinical Documentation Improvement (CDI) Programs, THE ONLY PEDIATRIC FOCUSED HOSPITAL OPERATIONS CONSULTING FIRM IN THE COUNTRY, PEDIATRIC RESOURCE GROUP WILL USE ITS EXPERIENCE AND EXPERTISE IN THE FOLLOWING AREAS TO HELP YOU DEVELOP AND OPTIMIZE THESE PROGRAMS AT YOUR HOSPITAL. Respected by the medical staff. The consulting associates at PRG have been at the forefront of the pediatric physician advisor movement and can help your organization design and implement a program that best serves your strategic priorities. Email* 2.

The consulting associates at PRG have been at the forefront of the pediatric physician advisor movement and can help your organization design and implement a program that best serves your strategic priorities. 311. nayloram . hrodenberg. To tackle this chronic issue that exists at almost every hospital, we’ll partner with our data scientists to analyze your severity-adjusted length-of-stay (LOS) data, compare it to pediatric specific expected LOS benchmarks, identify where the opportunities for improvement may be, process map suspected inefficient services in your hospital, and then use all of that information to implement interventions that can work within your hospital’s priorities, processes, and culture. 0. A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. InterQual™ or MCG (Milliman™)) and processes that can create a streamlined and effective UM program to ensure your hospital is optimizing its processes and progressing towards best practice in status determination. PRG has years of experience in starting and leading successful pediatric CDI programs at children’s hospitals and pediatric units around the country. Hospitalist hand off. We’re not just consultants.

Our physician UM leaders can work with your UM team on systems (i.e. We’re pediatricians who live and breathe pediatrics and understand the cultural and operational challenges in this space. CDI comes with some clinical gray zones, and your physician advisor can help move through those with his or her clinical experience. Across the country, many state Medicaid programs, Medicaid managed care programs, and commercial payers are moving to the DRG payment model. A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. In addition, complete documentation also ensures that the appropriate acuity of the patient is reflected in the chart, which drives the severity-adjustment for quality and operational metrics and can also significantly impact hospital reimbursement. 765. lprescott1. A physician advisor can work side-by-side with physician peers as the liaison with many other stakeholders to provide the highest value care possible A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. Clinical Documentation Improvement (CDI) Programs, PEDIATRIC RESOURCE GROUP HAS EXPERIENCE AND EXPERTISE IN THE FOLLOWING AREAS, Pediatric Clinical Documentation Improvement (CDI) Programs. Verbal queries...out of the box.

The Physician Advisory Board (PAB) is a collaborative committee sponsored by Arkansas Children’s Hospital and the UAMS Department of Pediatrics. PRG has years of experience in starting and leading successful pediatric CDI programs at children’s hospitals and pediatric units around the country. For more information, please contact the ACH Physician Services office at 501-364-5901.

The physician leader acting in this role works with care coordinators/UM nurses and the care team to triage patients to the appropriate level of care, manages length of stay, facilitates patient flow, educates providers on documentation issues, and acts as a liaison between their physician peers, hospital administration, and payers. In this environment, it’s important for hospitals to have an effective utilization management (UM) program that evaluates the medical necessity of admissions in a timely manner, ensures the patient is placed in the appropriate status (inpatient, outpatient, observation services), interfaces with payers throughout the stay with peer-to-peer contact, and also provides for a strong written appeals program if a formal denial is received.