What PRG Clients Say...
PRG improved our CDI program’s financial impact by over 4 million dollars in the first year alone. Their pediatric expertise was invaluable to our hospital.
Marcos Mestre, MD, MBA
Chief Medical Officer
Nicklaus Children’s Hospital
Pediatric Resource Group was instrumental in providing physician training to our new physician advisor program and establishing best practices to better support the utilization review process. Their expertise in this space led to an improved secondary review process by our hospitalist physicians which led to us canceling the need for a third-party vendor and its associated costs. The final result was much better denial prevention on the front end.
Bianca Barraza, MHA, BSN, RN, CPN
Vice President, Utilization Management
Dallas Children’s Hospital
The pediatric CDI educational series by PRG really fills a big gap that has existed in the CDI space. There is nothing like it available anywhere and every HIM and CDI leader needs to consider this for their team.
Ruth Hauser
Director, Health Information Management
Children’s Hospital Los Angeles
Unmatched Pediatric Expertise and Healthcare Consulting From Around the Country
The culture, patient care and reimbursement model of pediatrics is different from adults. Why do most hospitals use a consultant that isn't focused solely on pediatrics? Because they had no options, until now….
PRG consulting associates are physicians & nurses who live and breathe pediatrics and understand the operational challenges in this space. No other consulting firm has the collective pediatric expertise of PRG. We are experts in healthcare delivery within all aspects of inpatient pediatric care and we continue to care for patients, participate in research, and educate trainees.
We don’t just consult on it…we still live it daily in our clinical and administrative roles at our own children’s hospitals.
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 Integrity (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.
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.