slide presentation kissito post acute 1 14 2009
TRANSCRIPT
Meeting the Challenges of Hospitals,
Physicians, Insurers and Patients ©2009 Kissito
Healthcare TrendsHealthcare Trends
US expends 16.2% of GDP on Health Care US expends 16.2% of GDP on Health Care
Advantage Plans cover more than 20% of Advantage Plans cover more than 20% of all Medicare Beneficiariesall Medicare Beneficiaries
Medicare no longer (Oct 2008) pays for Medicare no longer (Oct 2008) pays for avoidable conditions incurred in hospitalsavoidable conditions incurred in hospitals
CBO proposes Bundled Hospital payment CBO proposes Bundled Hospital payment for Acute and Post Acute servicesfor Acute and Post Acute services
Who We Are?Who We Are?
Comprehensive Post Acute services focused on getting the patient home quickly, safely, and cost-effectively.
• Medicare only SNF/HHA model
• High professional skill mix
• Collaboration with Hospitals, Physicians, Patients, and Insurers
Our GoalsOur Goals
Provide our Provide our Post Acute Post Acute SolutionSolution, creating value and , creating value and benefit for hospitals, physicians, benefit for hospitals, physicians, insurers and patientsinsurers and patients
Realize optimal clinical outcomes Realize optimal clinical outcomes in a cost-effective environmentin a cost-effective environment
Post Acute SolutionPost Acute Solution
Hospital Hospital CollaborationCollaboration reduces Acute LOS, reduces Acute LOS, minimizes losses from avoidable conditions, and minimizes losses from avoidable conditions, and provides for timely and efficient patient transferprovides for timely and efficient patient transfer
Post Acute trained physicians, nurse practitioners, Post Acute trained physicians, nurse practitioners, therapists, and nurses in private room settingtherapists, and nurses in private room setting
Clinical Practice Guidelines and Evidence Based Clinical Practice Guidelines and Evidence Based Medicine enhances patient outcomesMedicine enhances patient outcomes
Medicare only SNF/HHA platform offers cost Medicare only SNF/HHA platform offers cost advantages on rehabilitation and complex medical advantages on rehabilitation and complex medical services when compared to Post Acute peer groupservices when compared to Post Acute peer group
Our SNF/HHA continuum of care gets the patient Our SNF/HHA continuum of care gets the patient back up safely and quicklyback up safely and quickly
The ChallengesThe Challenges
Minimize avoidable condition Minimize avoidable condition losses/excess LOS losses/excess LOS
Positioning for Hospital Bundled PaymentsPositioning for Hospital Bundled Payments
Provide cost-effective continuum of careProvide cost-effective continuum of care
Establish standards of Post Acute care Establish standards of Post Acute care
Respond to patient adversity to Respond to patient adversity to nursing nursing home home Post Acute carePost Acute care
Hospital SolutionsHospital Solutions
Reduced cost/New revenue sources
Minimize avoidable condition losses/excess LOS
Positioning for Bundled Acute/Post Acute Medicare payments
Hospital Based solutions or on campus
Electronic patient transfer systems
Insurer SolutionsInsurer Solutions
Capitated Post Acute Capitated Post Acute
arrangementsarrangements Scope of Practice Scope of Practice
allows Advantage Plans allows Advantage Plans to avoid Acute to avoid Acute admissionsadmissions
Lower cost Lower cost model/Documented model/Documented outcomesoutcomes
Physician SolutionsPhysician Solutions
High nurse staffing High nurse staffing ratios support ratios support complex casescomplex cases
Use of Evidence Use of Evidence Based Based Medicine/Clinical Medicine/Clinical Practice GuidelinesPractice Guidelines
High discharge to High discharge to home ratioshome ratios
Nurse Practitioner Nurse Practitioner SupportSupport
Post Acute not nursing home Focus
Patient SolutionsPatient Solutions
Private rooms with Private rooms with hotel like amenitieshotel like amenities
Highly trained staff in Highly trained staff in Post Acute Post Acute rehabilitationrehabilitation
Post Acute only Post Acute only patient populationpatient population
Home assessments to Home assessments to ensure your safe ensure your safe return to homereturn to home
Getting you home is our sole focus
Kissito Post Acute …Kissito Post Acute … Collaborative Solutions Collaborative Solutions
Care setting interaction leads to lower cost Care setting interaction leads to lower cost and been outcomesand been outcomes
Helping our hospital partners minimize Helping our hospital partners minimize avoidable condition losses and excess LOSavoidable condition losses and excess LOS
Physician friendly environment with Physician friendly environment with documented standards of care and measured documented standards of care and measured outcomes outcomes
SNF/HHA model delivers significant cost SNF/HHA model delivers significant cost benefits to government and private insurers benefits to government and private insurers
Delivering the patient’s expectations! Private Delivering the patient’s expectations! Private First Class rooms in a hospital-like setting with First Class rooms in a hospital-like setting with a focus on getting the patient home a focus on getting the patient home
ContactContact
Tom Clarke, President & CEOTom Clarke, President & CEOTelephone: 540 265 0322Telephone: 540 265 0322
Cellular: 540 204 1588Cellular: 540 204 1588
Email Address: Email Address: [email protected]@kissitohealthcare.org
LinkedIn: LinkedIn: http://www.linkedin.com/in/tclarke55http://www.linkedin.com/in/tclarke55
Blog: http://tomclarke.wordpress.com/Blog: http://tomclarke.wordpress.com/