Success by the Numbers
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Dragonfly delivered an astounding cost savings of $487K during the first three years of partnership with one hospital. Using a collaborative approach, we highlighted three major areas for process improvement within the rehabilitation department – staffing, documentation, and charge capturing.
We significantly reduced costs by shifting a higher percentage of patient treatments to licensed assistants and by transferring administrative tasks from clinicians to non-licensed support staff. We added tremendous value by streamlining the documentation process making it faster and more accurate ensuring all regulatory and insurance requirements were met and we revamped the charge capturing process to eliminate missed charges.
Dragonfly worked closely with a partnering hospital to formulate and implement three strategies for better utilization of their rehabilitation department. First, using our clinical indicator algorithm, we identified areas where physical and occupational therapy services were being over-referred by hospitalists. With this knowledge, more clinically appropriate order sets were developed which drastically reduced unnecessary referrals and their associated costs.
Second, we identified that therapy services were being under-utilized in the CCU. Research shows that patients who are vented and ambulate spend less time in the CCU and have less complications compared with those who do not ambulate. We worked with intensivists, pulmonologists, nurses, and respiratory therapists to develop a program enabling patients to ambulate while on ventilators with physical therapy.
Third, we determined that we could provide patients with more appropriate levels of care at a lower cost to the hospital by redesigning total joint replacement pathways and centering our therapy plans of care around evidence-based best practices. We worked with orthopedic surgeons and nurses to make these changes and to standardize pathways. This gave our therapists the ability to provide an optimal level of care and adjust treatment frequency to a higher or lower level based on clinical and functional need. With these three initiatives in place the hospital realized annual therapy services cost savings of $100K.
Working closely with orthopedic surgeons, anesthesiologists, and nursing staff at one hospital we were able to increase the percentage of patients who start physical therapy on the day of total knee replacement and total hip replacement surgery from 0% to 94%.
Research shows that early post-op mobilization and aspirin therapy in place of more expensive anticoagulants decrease the rate of surgical complications, increase patient satisfaction, reduce hospital length of stay and hospital costs.