2.50
Hdl Handle:
http://hdl.handle.net/10755/164196
Category:
Abstract
Type:
Presentation
Title:
Financial Outcomes: Show Me the Money!
Author(s):
Greenlee, Kay Knox
Author Details:
Kay Knox Greenlee, MSN, RN, APRN, BC, St. Cloud Hospital, St. Cloud, Minnesota, USA, email: nacnsorg@nacns.org
Abstract:
Purpose: Clinical Nurse Specialists provide expert care to patients with complex conditions and advance the practice of nursing in a variety of ways. Our practice is consistently targeted toward achieving quality, cost-effective patient focused outcomes across three spheres of influence: patient, staff and system. Significance: The NACNS statement on CNS Practice and Education mentions cost-effective care at least ten times. But what does quality, cost-effective care mean? What does the CNS need to know about the cost/quality equation? This presentation will answer those questions. Background/Design: A 489 bed community hospital instituted the role of Clinical Utilization Specialist to guide the implementation of the Clinical Utilization Program. Clinical Utilization is a standardized, structured, coordinated, interdisciplinary process of resource acquisition, allocation and expense management and results in safe, high quality and cost effective patient care. The role was filled by an expert CNS with over 16 years of experience, primarily in critical care. Methods: This presentation will provide an overview of financial outcomes related to the practice of a CNS. It will include the definitions of the types of costs usually applied in the healthcare setting. In addition to costs understanding the reimbursement side of health care is important for the CNS to understand. An overview of the DRG based payment system in included. Understanding these principles help to bring focus to understanding the outcomes related to quality cost effective care. The CNS recognizes that changes to either quality or cost can significantly impact the other component. Examples of completing a DRG analysis with emphasis to improving the quality of care and the resulting impact to cost will be provided. Findings: The program started by looking at approximately 25 different DRGs and identified a goal of reducing the cost of care by $1.5 million. Over the next three years this program expanded the focus to over 50 DRGs and has successfully reduced the direct cost of care by over $19 million. Conclusions: The role of the CNS as been instrumental in leading various teams throughout the organization to achieve this success. Implications for Practice: The importance of understanding financial outcomes is key to demonstrate the impact of the CNS role.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFinancial Outcomes: Show Me the Money!en_GB
dc.contributor.authorGreenlee, Kay Knoxen_US
dc.author.detailsKay Knox Greenlee, MSN, RN, APRN, BC, St. Cloud Hospital, St. Cloud, Minnesota, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164196-
dc.description.abstractPurpose: Clinical Nurse Specialists provide expert care to patients with complex conditions and advance the practice of nursing in a variety of ways. Our practice is consistently targeted toward achieving quality, cost-effective patient focused outcomes across three spheres of influence: patient, staff and system. Significance: The NACNS statement on CNS Practice and Education mentions cost-effective care at least ten times. But what does quality, cost-effective care mean? What does the CNS need to know about the cost/quality equation? This presentation will answer those questions. Background/Design: A 489 bed community hospital instituted the role of Clinical Utilization Specialist to guide the implementation of the Clinical Utilization Program. Clinical Utilization is a standardized, structured, coordinated, interdisciplinary process of resource acquisition, allocation and expense management and results in safe, high quality and cost effective patient care. The role was filled by an expert CNS with over 16 years of experience, primarily in critical care. Methods: This presentation will provide an overview of financial outcomes related to the practice of a CNS. It will include the definitions of the types of costs usually applied in the healthcare setting. In addition to costs understanding the reimbursement side of health care is important for the CNS to understand. An overview of the DRG based payment system in included. Understanding these principles help to bring focus to understanding the outcomes related to quality cost effective care. The CNS recognizes that changes to either quality or cost can significantly impact the other component. Examples of completing a DRG analysis with emphasis to improving the quality of care and the resulting impact to cost will be provided. Findings: The program started by looking at approximately 25 different DRGs and identified a goal of reducing the cost of care by $1.5 million. Over the next three years this program expanded the focus to over 50 DRGs and has successfully reduced the direct cost of care by over $19 million. Conclusions: The role of the CNS as been instrumental in leading various teams throughout the organization to achieve this success. Implications for Practice: The importance of understanding financial outcomes is key to demonstrate the impact of the CNS role.en_GB
dc.date.available2011-10-27T11:43:49Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:49Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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