Pediatric Focused Hospital Operations Consulting

PEDIATRIC RESOURCE GROUP

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About Us

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We’re physicians who live and breathe pediatrics and understand the operational challenges and opportunities in the pediatric space. We are experts in healthcare delivery within the emergency department and for hospitalized children and we continue to care for patients, participate in research, and educate trainees.

We have pioneered innovative approaches to high-value care at our hospitals, are thought leaders in the field and have presented nationally on pediatric hospital operations.

We don’t have a “cookie cutter” approach to consulting and aim to promote best practice standards that are paired with achievable recommendations tailored to your unique organizational culture and priorities.

PEDIATRIC RESOURCE GROUP WILL USE ITS EXPERIENCE AND EXPERTISE IN THE FOLLOWING AREAS TO HELP YOU DEVELOP AND OPTIMIZE THESE PROGRAMS AT YOUR HOSPITAL

Clinical Documentation Improvement (CDI) Programs

PRG has years of experience in starting and leading successful pediatric CDI programs at children’s hospitals and pediatric units around the country. Accurate documentation of the patient’s care is important for the sharing of information amongst the clinical team to provide the best care possible. 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.

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Utilization Management

An increase in the hospital observation rate is affecting many adult and pediatric facilities. This is a national trend that has significant impact on hospital reimbursement. 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. Our physician UM leaders can work with your UM team on systems (i.e. 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.

Physician Advisor Programs

A physician advisor is an administrative role that has been growing in popularity over the years, especially in pediatric organizations. 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. 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.

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Pediatric Emergency Care Optimization

PRG can perform a comprehensive assessment of the current state for pediatric emergency care at your organization, recommend best practice interventions, and partner with your team to implement changes. The people, systems, and setting of pediatric emergency care can be evaluated with the end goal of pediatric emergency care optimization. The consulting associates of PRG have decades of experience in pediatric emergency medicine and continue to practice as pediatric emergency medicine physicians and pediatric hospitalists.

Inpatient Access

The safe and efficient intake and placement of admission requests is a critical function for all hospitals. 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.

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Patient Flow - Throughput

Moving patients forward in their plan of care in an efficient manner without delays is beneficial to patients, families, and the hospital. 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.

CONTACT US

Let us know how Pediatric Resource Group can partner with you.

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