#07 - Post Acute Placement Tile

Jun 2 · 05:08 min

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In this Episode:

The Post Acute Placement Tile is used to reduce excess days and facilitate outplacement of patients from an inpatient to a post-acute setting.

Jeff: Hello and welcome to today's webinar about the Post Acute Placement Tile. I’m Jeff Terry.

This Tile is a new Tile which is in use at three hospitals in the US. Its purpose is to help reduce excess days and facilitate timely outplacement of patients from an inpatient to a post acute setting. It does that in two ways. First, by providing the user the capability to facilitate better and earlier post-acute planning, and second, by helping to track that the plan is followed as we approach discharge.

Like all Tiles, you'll access it through the Tile Viewer. You see it here sitting with other Tiles, and I'll go ahead and click into it. So here it is, on the left side you see all the complex placements. This gives the user the capability to preplan. Who are the complex patients that we need to manage to make sure we’re ahead of. And then on the right side, these are the patients that are approaching discharge and we want to make sure that the care team is able to plan ahead, so that the post acute facility receives that patient when we committed to making the handoff.

A few things to call out... ... you see on the left side there’s a reasons column, and on the right side a tasks column. If I go up into the info button, that'll tell us the different reasons and tasks that we're watching, some of which are represented in the sample of patients we see, but I just want to give you the comprehensive list which, of course, are defined by each customer organization.

So for example the hospital can define that the patient will appear here if they're on dialysis, if they have a positive pacer score, if they're on a ventilator, on high risk meds, if they are an ICU step down, and then the Tile will display the patients who fit that criteria. And then the tasks that we're watching on the discharge barriers are patients with occupational therapy, physical therapy outstanding, or that require specialty transport.

Again, all as defined by each hospital. And again, the purpose is to make sure we can see those highly time sensitive things. Now, as with all Tiles, I’m going into the settings button and setting some filters. Now, I've already preselected. I'm pretending that I'm working with the Aetna, Blue Cross Blue Shield and Cigna list to make sure we're on top of that. I'm going to go into the filters and also say that, you know what? I'm going to work hospital one. I've got it.

This is a three hospital system. I'm going to focus for the next hour on hospital one. You can see, so that shortens my list. I do want to call out that on both sides, as I work through the list and say, I research a patient, I can always snooze. So if I pull up a snooze button here, you'll see that once I've researched something, maybe I talked to the unit, maybe I've talked to the receiving facility, I can put a snooze and say, have this come back to me in an hour or two hours, or whatever. But what is every box? So every box there is a patient. You see their name, you see the physician service, that's the ABA or the EUR. You see their payer.

You see their medical record number. You see their location and their bed number. To the right of that, their admission date, their length of stay, their expected discharge date if it's set. You can see in that fourth patient there that we're red because we don't have an expected discharge day set, but the patient is past their GMLOS. And then the reasons that I mentioned in the middle of why this patient is here, what makes that, and over in that right column, you see we're using machine learning to indicate where patients like this have gone in the past. So for that first patient, 96% have gone to an LTACH. You see their LTACH has turned blue because that's what we've selected as the post acute destination.

Now of course, in other cases, if you look at the last patient where 36% have gone LTACH, 21% have gone rehab, a little tougher, so we can see the portfolio of where they've gone. And sometimes when we don't pick the first choice, assuming the second or third choice is blue, that can prompt a useful conversation. So that's about planning and making sure we have extra attention on these complex placements.

On the right side, you see the patients that are either possible, or sometimes we call it pending or have a discharge today. And you can see the same sort of basic information organized, mission date, length of stay, EDD. On this right side it's red if the EDD is in the past. It'll turn yellow if it's today. It's green if it's in the future. You see, we're calling out the barrier like, "Hey, this patient requires transportation, so let's make sure that that's well organized, et cetera." So, that's the Tile. As with any Tile, again, when I'm working my individual work list, I can say, "Hey, I'm working with this unit or these payer types."

And if I go into the filters, you can see as an individual user, just how much flexibility you have to set filters and tune this to the exact patient cohort that you might want to work today.

We can sort it differently, we can drill into all sorts of different payers and units and combinations of those and save our settings.

So that's the Tile. Thank you to our audience for joining today. And with that, we'll close the webinar.

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