CMSA Today - Issue 6, 2016 - 22

culture. The company suggested the intrinsic need to acknowledge and balance the personal and institutional impact that each process, protocol and environment change would have both on the organization and its members. Novia identified the following tactics for McLaren to engage in, thereby ensuring progress and acceptance: * Conduct a thorough review of stakeholders. * Make buy-in a priority. * Begin with the end in mind. * Use data to gain clarity of the current state. * Create true physician partnerships. * Leverage tools that clarify roles and responsibilities. * Develop a robust communications plan. * Use visual aids to reinforce verbal discussions. * Provide cushion in the workforce during ramp-up. * Align changes with existing initiative. * Position executive leaders as process owners. thE CaRE MaNagEMENt ModEL REdESigN Novia demonstrated to McLaren that the key to success was going far beyond departmental care management to an organizationwide care coordination model. This would lead to a true interdisciplinary approach, establishing the necessary systems to support patients' progression and transition of care. The effort required many key elements, including empowering social workers, integrating physician advisors, establishing rapid discharge huddles, and reducing clinical variation. These and other initiatives are discussed in more detail below: Transforming Case Management: Redesigning the organization's case management model impacted the entire organization through 1) leveraging social work skills to support patients with complex discharge requirements, 2) increasing the focus on the appropriate use of inpatient/observation services to drive the progression of care, 3) streamlining utilization review workflow associated with payer communication, 4) providing case management and social worker coverage seven days each week, and 5) expanding coverage for the emergency and same-day surgery departments. Empowering Social Workers: Re-designing McLaren's case management model resulted in more effective coordination of community resources for at-risk populations and consistent coverage to support patients and clinicians seven days a week. Integrating Physician Advisors: Implementing a physician advisor program to augment case management activities with peer-to-peer discussions improved communications, fostered education and enabled interdisciplinary teams to develop safe and effective discharge plans. Establishing Rapid Discharge Huddles: Implementing daily huddles that incorporated the collective input of interdisciplinary clinical team meant these diverse professional could, together, address barriers to patient care progression in a timely, cost effective and safe manner. Reducing Clinical Variation: Collaborating with physician stakeholders to reduce clinical variation for a distinct patient population by applying evidence-based practice standards to existing protocols and order sets reduced clinical variation for patients. Focusing on Long-LOS Patients: Developing formal and informal processes for review of prolonged stay patients, and leveraging the expertise of the case management manager and physician advisor to support the case management team in problem Proven Experience; Exceptional Care Tree of Life Services has been helping persons with acquired brain injury optimize their functional outcomes for over 15 years under the leadership of Nathan D. Zasler, MD, internationally recognized brain injury neurorehabilitation physician. We provide transitional rehabilitation and long-term assisted living services in home-like settings in our community. We strive to optimize client's functional outcomes by utilizing evidence based medical and neurorehabilitation assessment and treatment strategies along with close medical surveillance. Our competitive, individualized per diem rates make us a cost effective choice given our scope of services , quality of care, and beautiful living environments. tree-of-life.com 888-886-5462 Call today to make a referral or to schedule a free phone consultation with Dr. Zasler. 22 782578_TreeLife.indd CMSA TODAY1 Issue 6 * 2016 1/19/16 3:02 PM http://tree-of-life.com http://www.tree-of-life.com

Table of Contents for the Digital Edition of CMSA Today - Issue 6, 2016

Patient-Centered Care
Association News
CMSA Corpo rate Partners
On Living Well: The Life-Transforming Power of Palliative Care
Improving Medications Access for Bone Marrow Transplant Patients
Breaking Down Silos & Strengthening Hospital Care Coordination
Cultivating the Art and Science of Compassionate Care
Index of Advertisers
CMSA Today - Issue 6, 2016 - cover1
CMSA Today - Issue 6, 2016 - cover2
CMSA Today - Issue 6, 2016 - 3
CMSA Today - Issue 6, 2016 - 4
CMSA Today - Issue 6, 2016 - 5
CMSA Today - Issue 6, 2016 - Patient-Centered Care
CMSA Today - Issue 6, 2016 - 7
CMSA Today - Issue 6, 2016 - Association News
CMSA Today - Issue 6, 2016 - 9
CMSA Today - Issue 6, 2016 - 10
CMSA Today - Issue 6, 2016 - CMSA Corpo rate Partners
CMSA Today - Issue 6, 2016 - On Living Well: The Life-Transforming Power of Palliative Care
CMSA Today - Issue 6, 2016 - 13
CMSA Today - Issue 6, 2016 - 14
CMSA Today - Issue 6, 2016 - 15
CMSA Today - Issue 6, 2016 - 16
CMSA Today - Issue 6, 2016 - 17
CMSA Today - Issue 6, 2016 - Improving Medications Access for Bone Marrow Transplant Patients
CMSA Today - Issue 6, 2016 - 19
CMSA Today - Issue 6, 2016 - 20
CMSA Today - Issue 6, 2016 - Breaking Down Silos & Strengthening Hospital Care Coordination
CMSA Today - Issue 6, 2016 - 22
CMSA Today - Issue 6, 2016 - 23
CMSA Today - Issue 6, 2016 - Cultivating the Art and Science of Compassionate Care
CMSA Today - Issue 6, 2016 - 25
CMSA Today - Issue 6, 2016 - Index of Advertisers
CMSA Today - Issue 6, 2016 - cover3
CMSA Today - Issue 6, 2016 - cover4
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