Beyond Basics of Case Management Boot Camp, Part 5-2024 Beyond Basics of Case Mgt Part 5 Recording

Video Transcription

Video Summary

Dr. Tony Sesta discusses the importance of key performance indicators (KPIs) in measuring the effectiveness of case management departments, focusing on outcomes, goals, and targets related to patient satisfaction and organizational objectives. She emphasizes the value of cost avoidance in healthcare and the alignment of departmental goals with broader organizational goals. Dr. Sesta explains various financial and clinical KPIs such as readmission rates and cost per case, addressing the Hospital Readmissions Reduction Program (HRRP) and penalties for hospitals with higher readmission rates. She also highlights the Medicare Spending Per Beneficiary measure, evaluating hospital accountability for cost and length of stay for specific conditions to incentivize cost efficiency. Dr. Sesta advocates for data-driven decision-making, staff development, and engagement to improve hospital efficiency and patient care continuously.

Keywords

Dr. Tony Sesta

Key Performance Indicators

KPIs

Case Management Departments

Patient Satisfaction

Organizational Objectives

Cost Avoidance

Healthcare

Financial KPIs

Clinical KPIs

Readmission Rates

Cost Per Case

Hospital Readmissions Reduction Program

Medicare Spending Per Beneficiary