Post Inpatient Stay Follow-up: Preventing Readmissions (Health Systems)
Michael Boyle, MD, MBA, FACEP
1 hour recorded power point and audio
Recorded September 26, 2015
With Healthcare reform, Medicare modifications including reimbursement for inpatient care have come under close scrutiny. Admission diagnoses for this population include Congestive heart failure, acute myocardial infarction, and chronic obstructive pulmonary disease. Over 20% of these patient require readmission to the hospital within 30 days resulting in significant increased expense. Hospital are subject to penalty for these readmission and may denied payment for the patient second admission resulting in significant loss of revenue. Post discharge clinics evaluate patient medications/diagnoses, home support, and primary care follow-up. These interventions become opportunities for hospital affiliated and private urgent care working with hospitals.
- Define Post Admission follow-up clinic
- Identify three diagnoses targeted for Readmission reduction
- Identify the top three reason for patient readmission
- Identify three compnents to identify and evalaute for targeting of the CHF patient
- Identify how Urgent Care Integrated Telemedicine can assist in readmission programs
Dr. Boyle provides oversight for Emergency Departments and Urgent Care Centers in the Northeast region. He attended Eastern Virginia Medical School followed by residency in Emergency Medicine at Wright State University Affiliated hospital in Dayton, Ohio. He was part of the Academic faculty in Dayton educating residents in Emergency Medical Services operations. After training, he has practiced Emergency Medicine, Urgent Care, and Telemedicine for many years. Since 1994, he has served as a medical director, System Chairperson, and Regional Medical director. He has been responsible for overseeing emergency departments with volumes between 25,000-70,000. He has also been responsible for multiple site systems with volumes of over 300,000. He held local and state positions in the American College of Emergency Physicians for Virginia and Texas. He developed one of the earliest ED based fast track/Occupational Medicine programs in Richmond, Virginia. With continued interest in Urgent Care Medicine and Population Health management, he earned an MBA with a Healthcare focus and during that period published, “The Healthcare Executives Guide to Urgent Care Centers and Freestanding EDs (2012)” published by Healthleaders Media. He leads the Urgent Care (UC) Programs for ECI Healthcare partners (ECIHP) providing consultation for all aspects of UC initiatives related to hospital affiliated sites and independent ventures. He actively manages several UC sites for ECIHP. Finally, he lectures at local, state, and national programs discussing issues related to Emergency Medical Services, Population Health Management, Health Economics, Urgent Care Management and Service Integration, Healthcare Modeling, Infectious Disease, Patient Satisfaction, and Healthcare Management. In addition, he has published multiple book chapters and professional journal articles on similar subject matter.
Financial Disclosure: Dr. Boyle receives royalties from HealthLeader Media Book Publisher
The Urgent Care Association of America designates this enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education. Credit for this course is good for 1 year after purchase.
Urgent Care Management Certificate (UCMC) Credit
This course is designated for 1 credit of Operations towards the Urgent Care Management Certificate.
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