“The success we have seen with IMI’s dyad model is remarkable,”
In addition to the dyad leadership model of a Physician Director and Nurse Director, IMI provides a performance-
o Bottom line annualized improvement of $5,000,000
o Average length of stay (ALOS) reduction of 0.75 days
o 65+ average daily encounters
o Average cost per case reduction of $1,500
o Readmission rates of less than 12%
o Patient satisfaction scores of 96%
o An increase in physician referrals
“The investment in the hospitalist program more than pays for itself,” said Huth. “We have exceeded our performance goals for length-of-stay, average cost-per-case and physician referrals. In our view, the hospitalist program will be a key factor in our success with this new era of healthcare reform for which lowering the cost of care, but not sacrificing quality, seems to be the main goal.”
In 2006, Reid Hospital and Health Care Services, a 250-bed acute care hospital, saw a decline in its referring primary care physician (PCP) base. After studying trends and data projections, Huth saw the solution as a two-pronged approach. First was the decision to begin employing their PCPs. In addition, Huth found that many new physicians are less interested in managing inpatient care, so the necessity for a strong inpatient care program was recognized. IMI’s use of a dyad hospitalist leadership model fit the bill.
Huth turned to IMI for program planning and implementation, and in 2008, Reid launched its hospitalist program. The IMI program at Reid now includes 10 physicians, four midlevel providers and two Nurse Directors. The streamlined leadership model allows the team to efficiently manage more than 70% of the hospital’s primary care admissions.
“Traditionally, in most hospitalist programs, the physicians and maybe a lead physician are responsible for driving the goals of the organization, if those goals are even clear,” said Huth. “But with the dyad model IMI offers, the Nurse Director becomes part of the program’s leadership and an integral part of the program. By virtue of his or her understanding and knowledge of case management, the Nurse Director can leverage the physicians’ time and keep everyone focused on the goals.”
“Dyad leadership—the PhysicianDirector/
The IMI dyad leadership model continually advances workflow processes, improves patient safety, and meets hospital strategic and financial goals. IM FocusRN creates a role for nurse executives that is dedicated to integrating care and communication within the hospital, with patients and with referring physicians. IM FocusRN nurse executives have strong clinical and case management experience that advance discharge planning, data capture and documentation, billing and scheduling.
The Reid program and performance study demonstrate the synergies of the IMI dyad leadership model. “Even though we build in a higher cost structure because we have two additional personnel, our Nurse Directors, their support augments the effect of the entire team,” said Huth. “While our Nurse Directors are not directly providing care or encounters, they contribute to much better results in terms of length of stay and cost per case, along with improved patient and physician satisfaction and other critical measures.”
For additional information and a copy of the study, please contact David Cornett, Director of Business Development at firstname.lastname@example.org or 636-449-6333.
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About Inpatient Management, Inc.
Inpatient Management, Inc. (IMI), based in St. Louis, Mo., is a national provider of comprehensive hospitalist programs and consulting services. Independently owned and operated since 1997, IMI serves clients around the country including Missouri, Indiana, Illinois, Tennessee, Michigan, Nebraska, Kansas, North Carolina, Alabama and Washington. For more information about Inpatient Management, visit www.inpatient.com.