Integrative Healthcare Solutions, LLC

07/20/2025

Reducing Post-Acute Authorization Denials! CMSA Conference

06/26/2025

Sharing my passion at the CMSA Conference!
-Every patient, every bed!

06/23/2025

🎉 CMSA 2025 kicks off tomorrow, and we can’t wait to connect with new and familiar faces who are leading change in care management. We’re excited to catch up with thought leaders, including: Ronald Hirsch, MD, FACP, CHCQM, CHRI, ACPA-C, Dr. Ellen Fink-Samnick, Dr. Colleen Morley, Tiffany Ferg...

06/18/2025

Reduce hospital length of stay and improve patient outcomes by expediting post acute authorizations!

04/04/2025

Honored to be a presenter at the national ACMA Conference!

02/28/2025

https://www.linkedin.com/posts/adria-grillo11_cmconverge2025-caremanagement-healthcareinnovation-activity-7301377846512365569-tNNq?utm_medium=ios_app&rcm=ACoAAAN5PSoBcJ7PhrLHdUg_3kOOPaUb9G-ynpU&utm_source=social_share_send&utm_campaign=facebook

02/27/2025

CM Converge! Exciting conference with incredible care management leaders!

02/13/2025

https://www.cmconverge.com/

Excited to connect with an amazing group of leaders! So much we can learn from one another!

Don’t miss out on this one-of-a-kind event… back for the second year by popular demand Uniting Innovators in Case Management + Hospital Operations Days Hours Minutes Seconds Request a Seat Driving CM Innovation CM Converge is an exclusive conference that brings together healthcare leaders in car...

01/22/2025

Honored to be presenting at the CMSA Conference in Dallas!

11/21/2024

Since inception of the program in November 2021, over 23,000 days saved, >4400 beds backfilled, and nearly $76,000,000 in cost savings and direct contribution margin. Additional payers have also been added contributing to the incredible success of the program.

From Advisory Board, 2022. At Indiana University (IU) Health, officials last November started a pre-authorization process for post-acute care discharges with four insurance companies. According to Adria Grillo-Peck, VP of integrated care management at IU Health, the pre-authorization process with these payers now takes eight hours, down from the 48 to 72 it took before the change.

This move has allowed the IU Health to save 3,600 days, backfill 682 beds, and achieve more than $10 million in savings. Currently, the system handles around 17% of its pre-authorizations, but Grillo-Peck said it plans to work with two more insurers to increase that number.

https://www.advisory.com/daily-briefing/2022/10/05/discharged-delays

https://integrative-healthcare-solutions.com

11/06/2024

Honored to be invited! 2024 Hospital Patient Flow Management Summit. ~”Every patient, every bed”.

10/21/2024

Let iHS help you reduce your avoidable hospital delays!

Decreasing avoidable hospital delays is more critical than ever. According to the American Hospital Association (AHA), patients who experience avoidable delays in their hospital discharge more likely to experience delays in their recovery. This is especially true for those patients discharging to a Skilled Nursing Facility (SNF). Avoidable hospital delays are frequently attributed to delays in a patient's discharge. These patients no longer meet medical necessity for the acute care setting, yet these avoidable delays lead to an increase in hospital resource consumption.

Tracking Avoidable Hospital Avoidable Delays
Care management teams frequently track avoidable hospital delays. These avoidable delays are categorized. Collecting the reason and the attribution for the delay is also important. Sharing this data with hospital leaders is imperative so that opportunities for improvement are identified and prioritized.

Impact of Avoidable Delays to Patients
Many hospitals report waiting for Skilled Nursing Facility (SNF) authorizations is one of their number avoidable delays. Patients waiting for necessary rehabilitation services occupy a hospital bed longer. Prolonged length of stay has been associated with the risk of hospital-acquired conditions, such as infections, injuries, and delirium.

These avoidable delays also impact overall quality of life. Delays in getting home from the SNF, prolonged pain, stress, and anxiety, worries over healthcare costs are just a few of the attributes. Avoidable delays also erode at patients' confidence in the healthcare system. Decreasing hospital avoidable delays can improve patient's overall quality of health.

Impact of Avoidable Delays to Hospitals
Another identified issue is that hospitals are frequently not staffed or equipped for ongoing therapy services. Sixty-seven percent of Hospital CEOs expressed having staffing concerns within their rehabilitation services teams.

In addition to staffing challenges, hospitals are often responsible for the cost for these excess days without additional reimbursement. Reducing post-acute processing delays for Rehabilitation Services can lead to a significant reduction in post-acute admission avoidable delays and costs, (Görgülü et al., 2023).

Decreasing avoidable hospital delays waiting on SNF authorization will enhance the patient experience by decreasing the risk of harm and creating a smoother transition to the next level of care. Significant cost savings can also be achieved attained by hospitals and hospital systems.