Avoidable Delay Management : How to Optimize your Length of Stay

Duration 60 Mins
Level Basic & Intermediate
Webinar ID IQW19H0838

  • Define patient flow
  • Care coordination
  • Length of stay and the efficiency measure
  • Avoidable delay categories
  • Integrating care coordination and avoidable delays
  • Managing avoidable delays- the process
  • Entering avoidable delay data into a database
  • Aggregating and reporting avoidable delay data
  • Patient flow scorecard
  • Case management report care

Overview of the webinar

This webinar will focus on the role of the case manager in identifying avoidable delays. Capturing avoidable delays is the process used to ensure that patients experience good flow through the hospital stay and that delays are reduced or eliminated. We will review the common categories used to aggregate these delays and report on them. In addition, we will review the role of avoidable delay capture in the process of care coordination. Optimizing care coordination is key to reducing and managing length of stay but is sometimes overlooked or diminished in importance. How do case managers integrate these processes into their daily routines? First we must identify the delay and then we must work to correct it. We will review exactly how this is done. In addition we will discuss how length of stay management is also key in managing the CMS Efficiency Measure which scores your hospital on cost and length of stay. We will look at avoidable delays from the perspectives of access, through-put and discharge. We will conclude the program with examples of aggregated data and how this data can be used for quality improvement.

So many things can cause delays as patients progress through their stay and it’s our job to identify and correct these barriers to care. Learn the most streamlined ways in which to integrate avoidable delay management into your day and with all the members of the interdisciplinary care team.

Who should attend?

  • Directors of Case Management
  • Directors of Social Work
  • RN Case Managers
  • Social Workers
  • Directors of Quality Management
  • Vice Presidents of Nursing
  • Directors of Finance
  • Vice Presidents of Operations

Why should you attend?

The identification of avoidable delays (also called avoidable delays or variances) is a strategic role of the hospital case manager. It is integral to attaining good patient flow as patients progress through their hospitalization.Performing this role, however, is not easy. Having a hard-wired process with clear roles, as well as a database, better ensures that data is collect timely and that the data is accurate. If you are not clear on what avoidable delays really are or how to identify and capture them, this program is for you.And once you’ve entered them into a database how can they best be used to improve the length of stay is another question.This role is not an option anymore and every case manager needs to understand how it fits into their daily practice. 

Faculty - Dr.Toni G. Cesta

Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, providing on-site education to case management staff, and strategies for assisting health care organizations in improving their case management department’s efficiency and effectiveness.

The author of nine books, and a frequently sought after speaker, lecturer and consultant, Dr. Cesta is considered one of the primary thought leaders in the field of case management.

Dr. Cesta writes a monthly column called “Case Management Insider” in the Hospital Case Management journal in which she shares insights and information on current issues and trends in case management.

Prior to her current work as a case management consultant, Dr. Cesta was Senior Vice President – Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York. She was responsible for case management, social work, discharge planning, utilization management, denial management, bed management, the patient navigator program, the clinical documentation improvement program and systems process improvement.  Prior to her position as Senior Vice President at Lutheran Medical Center, Dr. Cesta has held positions as Corporate Vice President for Patient Flow Optimization at the North Shore – Long Island Jewish Health System and Director of Case Management, Saint Vincents Catholic Medical Centers of New York, in New York City and also designed and implemented a Master’s of Nursing in Case Management  Program and Post-Master’s Certificate Program in Case Management at Pace University in Pleasantville, New York.  Dr. Cesta completed seven years as a Commissioner for the Commission for Case Manager Certification.

Dr. Cesta has presented topics on case management at national and international conferences and workshops.  Her books include “Nursing Case Management: From Essentials to Advanced Practice Applications”, “The Case Manager’s Survival Guide: Winning Strategies in the New Healthcare Environment”, “The Case Manager’s Survival Guide: Winning Strategies for Clinical Practice”, “Survival Strategies for Nurses in Managed Care” and “Core Skills for Hospital Case Managers”.




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