When you work deep in the hospital mid-revenue cycle there can be an unfortunate but understandable tendency to divorce your work from the patient. To become separated from clinical care and outcomes, and even, in the case of value-based care, from its intended objective of improving affordability and quality.

Those points are not lost on Dr. Sunita Varghees or Carrie Horn, who spearheaded an outpatient CDI program at Baylor Scott & White Health. One that is truly patient-centric and focused on reducing ER utilization and delivering the right level of service, not just the most profitable.

Listen in as we discuss:

• Baylor Scott and White Health—Lay of the land of the organization and how and when they got started in outpatient CDI.
• “Successful risk adjustment starts with the patient”--the why of OP CDI and how their work ties into chronic condition management, not just capture. We discuss KPIs and financial metrics, too.
• New heart disease screening initiative—what it is, what it entails, and early successes.
• Is knocking down ER visits and IP admissions and getting the right level of care at the right price at odds with hospital revenue gains? Are they making it up with shared savings or care funding?
• Tech enabled/tech forward approach including ambient AI.
• Biggest success and biggest do-over, if they could do it all over again.
• What’s next on the OP CDI roadmap?
• Favorite song for the Off the Record Spotify playlist...