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The Water Cooler
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<blockquote data-quote="okcBob" data-source="post: 3952206" data-attributes="member: 45783"><p>The GMLOS (geometric mean length of stay) is based off the DRG. Every patient has one, & admin & discharge planners use it as a guide for discharge. If you are admitted for pneumonia, your GMLOS might be 3.2 days. If you decline & end up in icu on a vent/ surgery, or need dialysis, the coders can update the GMLOS, to say 9.6 days. Then that will get a bigger reimb payment to cover the additional care. Discharge planners & Admin review the LOS on every patient. Every single day. The docs & discharge planners have to answer to admin about why the patient has been here past The GMLOS. Could be a medical reason & patient isn’t clinically ready. Could be an insurance issue-waiting for prior auth approval to go to an LTACH or nursing home. Could be transport issue. Hospitals don’t want to discharge before patient is clinically ready, but the split second they are medically ready, admin wants to know why the patient is still there.</p></blockquote><p></p>
[QUOTE="okcBob, post: 3952206, member: 45783"] The GMLOS (geometric mean length of stay) is based off the DRG. Every patient has one, & admin & discharge planners use it as a guide for discharge. If you are admitted for pneumonia, your GMLOS might be 3.2 days. If you decline & end up in icu on a vent/ surgery, or need dialysis, the coders can update the GMLOS, to say 9.6 days. Then that will get a bigger reimb payment to cover the additional care. Discharge planners & Admin review the LOS on every patient. Every single day. The docs & discharge planners have to answer to admin about why the patient has been here past The GMLOS. Could be a medical reason & patient isn’t clinically ready. Could be an insurance issue-waiting for prior auth approval to go to an LTACH or nursing home. Could be transport issue. Hospitals don’t want to discharge before patient is clinically ready, but the split second they are medically ready, admin wants to know why the patient is still there. [/QUOTE]
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