Please leave this field empty. We’re pediatricians who live and breathe pediatrics and understand the cultural and operational challenges in this space. A physician advisor can work side-by-side with physician peers as the liaison with many other stakeholders to provide the highest value care possible A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. The safe and efficient intake and placement of admission requests is a critical function for all hospitals. In addition, complete documentation also ensures that the appropriate acuity of the patient is reflected in the chart, which drives the severity-adjustment for quality and operational metrics and can also significantly impact hospital reimbursement.

InterQual™ or MCG (Milliman™)) and processes that can create a streamlined and effective UM program to ensure your hospital is optimizing its processes and progressing towards best practice in status determination. The consulting associates at PRG have been at the forefront of the pediatric physician advisor movement and can help your organization design and implement a program that best serves your strategic priorities.

December 2018.

The consulting associates at PRG have been at the forefront of the pediatric physician advisor movement and can help your organization design and implement a program that best serves your strategic priorities. [email protected]. Respected by the medical staff.

… Our Consulting Associates are located throughout the country and are experts in the hospitalized care of children, have pioneered innovative approaches to high-value care at their hospitals, are thought leaders in the field, and have presented nationally on inpatient pediatric operations. Sheldon Berkowitz, MD, FAAP is a Pediatrician and the Medical Director (Physician Advisor) for Case Management, Utilization Management and Clinical Documentation Improvement (CDI) at Children’s Minnesota, which is a free standing, tertiary children’s hospital serving the upper Midwest. 2. To tackle this chronic issue that exists at almost every hospital, we’ll partner with our data scientists to analyze your severity-adjusted length-of-stay (LOS) data, compare it to pediatric specific expected LOS benchmarks, identify where the opportunities for improvement may be, process map suspected inefficient services in your hospital, and then use all of that information to implement interventions that can work within your hospital’s priorities, processes, and culture. Pediatric physician assistants (PAs) work with pediatricians to diagnose and treat young patients, and are able to practice some medicine. Accurate documentation of the patient’s care is important for the sharing of information amongst the clinical team to provide the best care possible. The Physician Advisory Board (PAB) is a collaborative committee sponsored by Arkansas Children’s Hospital and the UAMS Department of Pediatrics. A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. Clinical Documentation Improvement (CDI) Programs, Regulations, contractual rules, and hospital processes can be complicated and can change constantly. Message December 2018.

We’re not just consultants.

Hospitalists and intensive care unit physicians are often physician advisors for CDI programs. The safe and efficient intake and placement of admission requests is a critical function for all hospitals. New Coding Clinic Q4 2017 and Institutional Defintions. In this environment, it’s important for hospitals to have an effective utilization management (UM) program that evaluates the medical necessity of admissions in a timely manner, ensures the patient is placed in the appropriate status (inpatient, outpatient, observation services), interfaces with payers throughout the stay with peer-to-peer contact, and also provides for a strong written appeals program if a formal denial is received. The physician leader acting in this role works with care coordinators/UM nurses and the care team to triage patients to the appropriate level of care, manages length of stay, facilitates patient flow, educates providers on documentation issues, and acts as a liaison between their physician peers, hospital administration, and payers. Hospitalist hand off. Clinical Documentation Improvement (CDI) Programs, PEDIATRIC RESOURCE GROUP HAS EXPERIENCE AND EXPERTISE IN THE FOLLOWING AREAS, Pediatric Clinical Documentation Improvement (CDI) Programs. 765. lprescott1. The physician leader acting in this role works with care coordinators/UM nurses and the care team to triage patients to the appropriate level of care, manages length of stay, facilitates patient flow, educates providers on documentation issues, and acts as a liaison between their physician peers, hospital administration, and payers. Clinical Documentation Improvement (CDI) Programs, THE ONLY PEDIATRIC FOCUSED HOSPITAL OPERATIONS CONSULTING FIRM IN THE COUNTRY, PEDIATRIC RESOURCE GROUP WILL USE ITS EXPERIENCE AND EXPERTISE IN THE FOLLOWING AREAS TO HELP YOU DEVELOP AND OPTIMIZE THESE PROGRAMS AT YOUR HOSPITAL. Hospital/Organization*

To tackle this chronic issue that exists at almost every hospital, we’ll partner with our data scientists to analyze your severity-adjusted length-of-stay (LOS) data, compare it to pediatric specific expected LOS benchmarks, identify where the opportunities for improvement may be, process map suspected inefficient services in your hospital, and then use all of that information to implement interventions that can work within your hospital’s priorities, processes, and culture. CDI comes with some clinical gray zones, and your physician advisor can help move through those with his or her clinical experience. Given the complexities & nuances of the DRG model, it’s imperative for hospital executives, administrators, physicians, the revenue cycle team (including CDI specialists & coders) and other hospital staff to fully understand all aspects of the DRG reimbursement model.

The consulting associates at PRG have been at the forefront of the pediatric physician advisor movement and can help your organization design and implement a program that best serves your strategic priorities. A strong clinical background. Name* PRG has years of experience in starting and leading successful pediatric CDI programs at children’s hospitals and pediatric units around the country. Phone
In addition, complete documentation also ensures that the appropriate acuity of the patient is reflected in the chart, which drives the severity-adjustment for quality and operational metrics and can also significantly impact hospital reimbursement. Accurate documentation of the patient’s care is important for the sharing of information amongst the clinical team to provide the best care possible. What Is a Pediatric Physician Assistant? March 2018.

A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. We can implement or redesign your inpatient access center to minimize missed admissions due to inefficient processes, improve the timeliness of transferring patients to your organization, enhance communication to and from referring providers, and create tracking systems to ensure the improvements are sustained. We can implement or redesign your inpatient access center to minimize missed admissions due to inefficient processes, improve the timeliness of transferring patients to your organization, enhance communication to and from referring providers, and create tracking systems to ensure the improvements are sustained. A physician advisor can work side-by-side with physician peers as the liaison with many other stakeholders to provide the highest value care possible, Physician Advisor responsibilities and priorities for your organization, Helping physicians and UM nurses with appropriate placement in the correct status (inpatient vs observation), Length-of-stay (LOS) optimization and managing to expected LOS, Overcoming barriers to patient flow by minimizing or preventing avoidable delays, Improving proactive discharge planning and discharge timeliness, CDI query follow up and documentation education, Concurrent denials prevention and peer-to-peer discussions with payers, Retrospective denials appeal letter writing, Job description development based on priorities of the role. Moving patients forward in their plan of care in an efficient manner without delays is beneficial to patients, families, and the hospital. Define the role of the pediatric physician advisor in CDI Explain pediatric terminology and clinical concepts Provide education to physicians regarding pediatric documentation needs Identify pertinent clinical indicators in the pediatric medical record to optimize query opportunities August 2018. PRG’s consulting associates are experts in the APR-DRG & MS-DRG models and will work with your department or hospital to explore the impact the DRG model may have on hospital revenue, severity-adjustment, expected mortality, expected length-of-stay, clinician documentation and other aspects of your hospital’s operations.