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
* Develop a robust communications plan.
* Use visual aids to reinforce verbal
* Provide cushion in the workforce during
* Align changes with existing initiative.
* Position executive leaders as process owners.
thE CaRE MaNagEMENt
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
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
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
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Issue 6 * 2016
1/19/16 3:02 PM
Table of Contents for the Digital Edition of CMSA Today - Issue 6, 2016
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