Case Management, California
T- 312 214-7216
Length of stay
Successful case management requires collaboration among case
managers, social workers, nurses, and many others in a position
to impact the timeliness and appropriateness of care delivered
By helping your hospital look at the interrelationship
of all actions that impact a patient’s progression along
the acute-care continuum, HCT can help you create a
more proactive approach to managing the process.
We can help you:
• Reduce lengths of stay, where appropriate
• Increase the rate of payor authorization and
• Improve patient care outcomes
Length of stay:
HCT helps you transition your case management model from utilization review and
discharge planning to care facilitation. Often this involves improving communication
among staﬀ, making changes to work ﬂow or work assignments, and utilizing better
patient tracking systems. It means working not only with staﬀ, but engaging physicians
in the process of providing timely patient care, documentation, and discharge.
HCT performs an in-depth analysis of ﬁnancial performance relative to payor
requirements, including Medi-Cal and Treatment Authorization Records (TARs). One
of the hallmarks of the HCT case management program is its approach to Medi-Cal
and denials management. Combining techniques to improve physicians’ and case
managers’ documentation, with a proactive, aggressive approach to case management,
has allowed HCT to eﬀect a reduction in denials by as much as 15%.
Taking a more proactive approach to case management can create better clinical
outcomes for patients and prevent “never events.” During the process of reducing
length of stay, improving collaboration among staﬀ, and examining appropriateness
and timeliness of care, we help you increase your performance in meeting evidence-based
quality, safety, and care goals.
e graph below provides an example of the success made in reducing Medicare LOS
in a 220-bed facility.
ALOS 220-Bed Facility
Q1 Q2 Q3 Q4
HealthCare Transformation, LLC
70 West Madison Street
Three First National Plaza Suite 1400
Chicago, IL 60602
T- 312 214-7216
F- 312 214-3110