SEATTLE, May 20, 2015 /PRNewswire/ -- MCG (part of the Hearst Health network), a leading provider of evidence-based care guidelines, has named Greenfield, New Hampshire-based Crotched Mountain Rehabilitation Center a recipient of the 2014 Doyle Award. The award recognizes the 62-bed rehabilitation hospital's innovative use of MCG clinical guidelines and CareWebQI® to drive evidence-based admission and care planning decisions, improve the coordination of care internally and between facilities, and reduce poor-rehab-potential payment denials.
In 2011, Crotched Mountain launched a utilization review and discharge planning initiative featuring processes and tools designed to facilitate care coordination, drive consistent clinical decisions, and minimize overutilization. Guidance from MCG, delivered through CareWebQI and tailored to the hospital's unique needs as a provider of long-term post-acute services to patients discharged from tertiary care facilities, have provided the hospital the framework and evidence-based guidance needed to ensure the initiative's success.
Before launching this initiative, Crotched Mountain's multi-disciplinary team met regularly to review patient referrals, loosely referencing another set of guidelines. They experienced a high number of admission denials and a lower hospital census, and they wanted to turn this trend around.
"The hospital's decision to incorporate evidence-based guidance from MCG into its care planning had an almost immediate impact on admissions," says Lisa Perales, vice president of nursing at Crotched Mountain. "In only four years, the initiative has yielded dramatic improvements in level-of-care decisions and medical record documentation, reducing our rate of admission denials due to poor rehabilitation potential from 48% in 2011 to 5% in 2014."
"MCG guidance and standardized clinical pathways are hardwired into our daily care planning practice and quality management system," continues Perales. "Using this decision-making framework and involving all members of the multi-disciplinary team have helped us expand our role as a post-acute hospital in New Hampshire that is able to admit patients with complex care needs while improving patient outcomes."
MCG leadership applauds the hospital's effort to promote a culture of continuous learning and improvement. "Crotched Mountain uses the care guidelines in the true spirit of evidence-based medicine," says Jon Shreve, President of MCG, "by consulting guidance based on the latest clinical research and constantly seeking to provide optimal care, even if that care differs from what the hospital has done in the past."
About Crotched Mountain Rehabilitation Center
Crotched Mountain Rehabilitation Center is a charitable organization founded in 1953 with a mission to serve individuals with disabilities and their families, embracing personal choice and development, and building communities of mutual support. Crotched Mountain provides specialized education, rehabilitation, community and residential support services for more than 3,000 people throughout New England and New York. For more information about Crotched Mountain, please visit www.crotchedmountain.org.
MCG, now part of the Hearst Health network, independently develops and produces evidence-based clinical guidelines and software used by more than 2,200 clients, including 1,300 hospitals and eight of the ten largest U.S. health plans. Updated annually by an experienced team of clinicians, the care guidelines support the care management of a majority of Americans. For more information, visit www.mcg.com.
MCG is part of the Hearst Health network, which also includes FDB (First Databank), Zynx Health and Homecare Homebase. The mission of the Hearst Health network is to help guide the most important care moments by delivering vital information into the hands of everyone who touches a person's health journey. Each year in the U.S., care guidance from the Hearst Health network reaches 76% of discharged patients, 133 million insured individuals, 30 million home health visits, 1.88 billion retail pharmacy prescriptions and 3.26 billion prescription claims. Extensions of the Hearst Health network include Hearst Health Ventures and the Hearst Health Innovation Lab. www.hearsthealth.com
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