American Innovative Healthcare Solutions  ADVATAGES TO NURSING HOMES AND PROVIDERS Psychiatric Care & Fall Prevention Value Driven Regulatory Compliant
Presentation Overview Who is American Innovative Solutions? 3-5 Targeted Populations. 6 Continuum of Care. 7 Advantages to Nursing Homes. 8 Advantages for Psychiatrists. 9 Professional Disciplines. 10 Physician Functions. 11 Casework Functions. 12 Admission/Discharge Planning Functions. 13 Next Steps. 14 Contact Information. 15
Values Compassion Excellence Partnership Innovation
Principles of our Philosophy Respect and dignity. Collaboration. Concern for the whole person. Address clinical, business, corporate and social-ethical issues. Social responsibility to help underserved.
Cost Effectiveness comes from: Innovative integration of billing and clinical services.  Uses Medicare fee for service and Part B billing. Optimizing full time equivalent staff. Using Contractors to expand services minimize over head. Removing obstacles to help patients. Matching skill levels of staff to case mix. Rapid Innovation/anticipation of regulatory changes. Continuous Quality Improvement. Using  “ Experts ”  for training.  Optimizes resources of talent and time toward measurable training goals.
Targeted Populations Adults   Inpatient Readmissions  <30 days Medicare Funded Dual Eligible Behaviors beyond Subpart S Moderate-High Fall Risk Severely Mentally Ill. We serve Mentally ill patients living in extended care facilities. Mentally ill living in group homes, shared apartments. Newly diagnosed. Newly Diagnosed conditions Mental status changes. General functioning between 35-70 on the Global Assessment of Functioning scale.
Developing a Continuum of Care
Advantages to Nursing Homes Easily integrates with standard admission orders sets. We provide required patient treatment documentation. We assess and/or treat qualifying psychiatric behaviors. We treat patients on site. Balance Testing provides data, MD interpretation & Recommendations. We provide assessments and treatment under Medicare standards. Patient documentation may qualify patients for additional reimbursement under the Medicaid Minimum Data Set. We use Illinois Clinically Licensed professionals.
Advantages to Psychiatrists Doctors focus on excellent patient care. We monitor and manage regulatory compliance issues. We process and store patient charts. Assist in Audit preparation. We provide support from Licensed Clinicians. Able to incorporate some existing assistants. Professional management of:  Billing and revenue collection. Provider registration with Medicare and Medicaid Doctors receive income  before   providers pay claims. Growing patient base of 1000+ Rapidly increasing Market Share. Monitor Anticipate Regulatory change.
LCPC LCSW Behavioral Health Assistants M.D. Senior Leadership Professional Disciplines Psychiatrists
AIHS Physician Functions Complete Assessments (Differential Diagnosis) Appropriate level of care determination with medical necessity. Authorize Treatment Plans. Collaborate with primary care physicians. Interpret Balance Testing Data. Provide Incident to supervision. Provide individual therapy. Use critical thinking to: Compare treatment plan to efficacy based practices. Function in a collaborative and supportive role with: Facility social service directors. Clinically Licensed staff. Behavioral Health Assistants.
Case Work  - Five Basic Functions Utilization management Level of care Clinical resource usage External payer certifications Care Coordination Admission/Discharge planning Identification/management of other patient needs Education Psychosocial Spiritual Medical, Infection, risk management, quality of care issues Outcomes measurement Clinical Satisfaction Financial Communication!
Admission/Discharge Planning Functions Ensure assessment process High-level screen and referrals, or In-depth assessment for all patients. Offer informed choice/respect patient rights. 3. Communicate with facility nursing, social service staff, family members, power of attorney or guardian. 4. Coordinate with the facility to coordinate relevant data to next level of care. 5. Close the circle between nursing home and hospital.
Next Steps Completion of AIHS Management Services Agreement. Begin referring residents/patients. Collaborate on timing for start up.
Contact Information Robert J. Sommerfeld , Business Development Cell Phone: 262-203-3480 [email_address] American Innovative Healthcare Solutions 10 W. 35th Street, 11th Floor Chicago, IL 60616 Main Number: 312-224-8075 Fax: 312-238-9782

American overview ecf_2010 nursing home

  • 1.
    American Innovative HealthcareSolutions ADVATAGES TO NURSING HOMES AND PROVIDERS Psychiatric Care & Fall Prevention Value Driven Regulatory Compliant
  • 2.
    Presentation Overview Whois American Innovative Solutions? 3-5 Targeted Populations. 6 Continuum of Care. 7 Advantages to Nursing Homes. 8 Advantages for Psychiatrists. 9 Professional Disciplines. 10 Physician Functions. 11 Casework Functions. 12 Admission/Discharge Planning Functions. 13 Next Steps. 14 Contact Information. 15
  • 3.
    Values Compassion ExcellencePartnership Innovation
  • 4.
    Principles of ourPhilosophy Respect and dignity. Collaboration. Concern for the whole person. Address clinical, business, corporate and social-ethical issues. Social responsibility to help underserved.
  • 5.
    Cost Effectiveness comesfrom: Innovative integration of billing and clinical services. Uses Medicare fee for service and Part B billing. Optimizing full time equivalent staff. Using Contractors to expand services minimize over head. Removing obstacles to help patients. Matching skill levels of staff to case mix. Rapid Innovation/anticipation of regulatory changes. Continuous Quality Improvement. Using “ Experts ” for training. Optimizes resources of talent and time toward measurable training goals.
  • 6.
    Targeted Populations Adults Inpatient Readmissions <30 days Medicare Funded Dual Eligible Behaviors beyond Subpart S Moderate-High Fall Risk Severely Mentally Ill. We serve Mentally ill patients living in extended care facilities. Mentally ill living in group homes, shared apartments. Newly diagnosed. Newly Diagnosed conditions Mental status changes. General functioning between 35-70 on the Global Assessment of Functioning scale.
  • 7.
  • 8.
    Advantages to NursingHomes Easily integrates with standard admission orders sets. We provide required patient treatment documentation. We assess and/or treat qualifying psychiatric behaviors. We treat patients on site. Balance Testing provides data, MD interpretation & Recommendations. We provide assessments and treatment under Medicare standards. Patient documentation may qualify patients for additional reimbursement under the Medicaid Minimum Data Set. We use Illinois Clinically Licensed professionals.
  • 9.
    Advantages to PsychiatristsDoctors focus on excellent patient care. We monitor and manage regulatory compliance issues. We process and store patient charts. Assist in Audit preparation. We provide support from Licensed Clinicians. Able to incorporate some existing assistants. Professional management of: Billing and revenue collection. Provider registration with Medicare and Medicaid Doctors receive income before providers pay claims. Growing patient base of 1000+ Rapidly increasing Market Share. Monitor Anticipate Regulatory change.
  • 10.
    LCPC LCSW BehavioralHealth Assistants M.D. Senior Leadership Professional Disciplines Psychiatrists
  • 11.
    AIHS Physician FunctionsComplete Assessments (Differential Diagnosis) Appropriate level of care determination with medical necessity. Authorize Treatment Plans. Collaborate with primary care physicians. Interpret Balance Testing Data. Provide Incident to supervision. Provide individual therapy. Use critical thinking to: Compare treatment plan to efficacy based practices. Function in a collaborative and supportive role with: Facility social service directors. Clinically Licensed staff. Behavioral Health Assistants.
  • 12.
    Case Work - Five Basic Functions Utilization management Level of care Clinical resource usage External payer certifications Care Coordination Admission/Discharge planning Identification/management of other patient needs Education Psychosocial Spiritual Medical, Infection, risk management, quality of care issues Outcomes measurement Clinical Satisfaction Financial Communication!
  • 13.
    Admission/Discharge Planning FunctionsEnsure assessment process High-level screen and referrals, or In-depth assessment for all patients. Offer informed choice/respect patient rights. 3. Communicate with facility nursing, social service staff, family members, power of attorney or guardian. 4. Coordinate with the facility to coordinate relevant data to next level of care. 5. Close the circle between nursing home and hospital.
  • 14.
    Next Steps Completionof AIHS Management Services Agreement. Begin referring residents/patients. Collaborate on timing for start up.
  • 15.
    Contact Information RobertJ. Sommerfeld , Business Development Cell Phone: 262-203-3480 [email_address] American Innovative Healthcare Solutions 10 W. 35th Street, 11th Floor Chicago, IL 60616 Main Number: 312-224-8075 Fax: 312-238-9782