Overview of the Problem

Addressing the high use of ER services and admissions by ‘super-utilizer’ patients in pediatrics is a complex issue. These patients often have complex medical needs and socio-economic factors that require focused interventions to prevent unnecessary hospital visits. Finding efficient ways to identify these patients and provide them with targeted, proactive care can significantly reduce avoidable ER visits and admissions.

The Role Opus Plays

Configo Health’s Opus, a robust pediatric hospital benchmarking analytics platform, is designed to address this challenge. Drawing from a vast dataset of over 14 million pediatric encounters, Opus utilizes cutting edge analytics to identify ‘super-utilizer’ patients to help identify areas of opportunity for better care coordination. This streamlined approach allows care teams to intervene proactively, reducing the likelihood of ER visits and readmissions.

Value Created by Opus

• Cost Savings: By reducing avoidable ER presentations and admissions, Opus creates significant cost savings for your hospital.
• Improved Outcomes: The proactive management of ‘super-utilizer’ patients leads to better health outcomes and a higher quality of care.
• U.S. News Performance: By improving patient outcomes and reducing ER presentations, your hospital’s ranking in the U.S. News & World Report’s Best Children’s Hospitals list is likely to improve.
• Regulatory Compliance: Opus assists your hospital in meeting regulatory requirements related to the management of high-risk patients.
• Improved Reimbursement: With value-based reimbursement models becoming more prevalent, Opus’s ability to improve patient outcomes and reduce unnecessary costs can enhance reimbursement negotiations.

How to Use Opus to Solve this Problem

Opus Quality & Safety contains outcome-centric reports tailored to surface variation in outcome and areas of opportunity to your teams. One key outcome-centered report revolves around readmissions. The Readmission Summary report within Configo Quality & Safety contains tables and visuals that highlight specific patients, and groups of patients, who have been seen by your organization multiple times over a time period. This allows administrators and clinical leaders to both identify high-level trends and dig immediately into actionable patient-level details to improve care coordination, discharge planning and follow up care.

Configo Health is dedicated to helping your hospital optimize care for ‘super-utilizer’ patients. With Opus, you gain a sophisticated analytics tool that not only improves patient care but also enhances operational efficiency and financial performance.