Bed Utilization Strategies

With the CMS reimbursement challenges around hospital acquired infections, as well as the growing interest at the payor level to offset hospital charges by supporting evidence-based guideline models for hospital avoidance, Coram has developed a program model around an alternative site of care (ASOC).

The primary goal of the program model focuses on diagnosis flagging and transition at four key identification points:

1. Community: Physician sites, alternative living facilities, urgent care centers.
2. ER: Flagging at point of entry for hemodynamic stability and initiation of care within an observation model or direct home admission
3. Hospital Admission Points: Within 24–48 of admission, flagging hemodynamic stability and transition home for continuation/completion of care
4. Chronic Exacerbation Flags: Key diagnoses that have a greater than twice a year admission rate. Patients are often immunocompromised and are more appropriate for home initiation of care.

This model assesses risk stratification and properly identifies candidates for a lower cost model for placement, shortening risk patterns for the hospital and controlling overall cost models for the payer.

ASOC Program Model

Learn more about the ASOC program:

• Key Disease States
• Risk Stratification Examples
• View our Prescriber Algorithm

To learn more about Coram, contact us. To enroll or refer a patient to Coram, click here.