2001 – It’s All About the Relationships: Building a Post- Acute Network to Facilitate Patient Throughput
The challenges that many health systems face regarding inpatient length of stay, readmissions and patient throughput cannot be addressed by simply harassing providers to work faster and discharge sooner. The medical and social complexity of patients, within an environment of reduced payment and dwindling resources, has stretched hospitals to the breaking point. In order to address some of these challenges, hospitals and health systems are building relationships with an array of traditional and non-traditional post-acute providers to create discharge and transition options for patients. UC San Francisco has successfully implemented an array of post-acute collaboratives and contracts that have saved millions of dollars in direct costs, created patient capacity, decreased unnecessary acute days, and provided patients with safe and effective discharge options. This presentation reviews how a hospital or health system can assess their current state and the options available in their environment, and describes a variety of solutions that have proven to be effective to meet a variety of financial and operational mandates.
1. Identify and quantify the gaps in their post-acute discharge environment in order to identify necessary partners, and use non-traditional discharge options in order to reduce costs for their organization.
2. Identify how Accountable Care Collaboratives and contracts with targeted facilities can aid patient throughput and expand an organization’s network and options for care.
3. Summarize how outpatient, community-based case management can extend the health system’s oversight and reduce readmissions.