FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4387208037> ?p ?o ?g. }

• W4387208037 endingPage "S98" @default.
• W4387208037 startingPage "S97" @default.
• W4387208037 abstract "Difficulties and delays in insurance pre-authorization (pre-auth) can negatively impact patient care, resulting in postponing, modifying, or even cancelling radiation therapy for patients. Unfortunately, pre-auth delays are not uncommon. The purpose of our project was to perform a root cause analysis of reasons for pre-auth delays, and implement solutions to optimize our workflow to better serve our patients. Our primary objectives were to decrease the mean time for clinical treatment plan (CTP) completion, and for number of cases delayed/denied, by 50% each.We performed a root cause analysis of reasons for pre-auth delays and used the PDSA & A3 quality improvement methods. We sampled ∼2 cases per disease site (total 19 cases from July - Aug 2022) to determine the current state, pre-interventions. Countermeasures included: 1) customizing our CTP templates for each disease site to contain the specific clinical information required by each insurer, 2) formalizing earlier completion of CTPs through task automation at time of scheduling CT simulation in our Care Path, and 3) continuously refining our countermeasures based on monthly status updates and department meetings. We tracked various physician, authorization, and outcome-metrics between October 2022 and January 2023, including mean time for CTP completion, % usage of our Care Path, % usage of revised CTP templates, mean time until pre-auth initiated & completed, % of cases requiring peer-to-peer phone calls, and % of cases denied/delayed.There were 417 patients from a variety of disease sites who had a CT simulation at our institution between October 1, 2022, and January 31, 2023. Mean time for CTP completion (from the time of CT simulation request) improved from 16 days at baseline to 7 days by the end of the project. In the beginning, only 5% of CTPs were completed within 2 days of scheduling the CT simulation, and this improved to 42-56% during the project period. Percent usage of the Care Path improved dramatically from 16% to 91%, as did % usage of our revised CTP templates, from 0% to 96%. Despite initial lag in pre-authorization team workflow changes, the % of pre-authorizations initiated by day 3 from CT request improved from 32% at baseline to 48% by month 4. Mean time to complete insurance pre-authorizations improved from 16 days at baseline to 10 days. The percent of cases requiring peer to peer or were denied was reduced significantly from 32% at baseline to 4-11%.Improvingtimeliness and details of CTP documentation by using our Care Path and revising CTP templates improved efficiency of insurance pre-auth completion, and reduced the number of cases delayed/denied." @default.
• W4387208037 created "2023-09-30" @default.
• W4387208037 creator A5018478359 @default.
• W4387208037 creator A5031671129 @default.
• W4387208037 creator A5036816456 @default.
• W4387208037 creator A5041926024 @default.
• W4387208037 creator A5045549624 @default.
• W4387208037 creator A5046309806 @default.
• W4387208037 creator A5056374928 @default.
• W4387208037 creator A5059175960 @default.
• W4387208037 creator A5062475614 @default.
• W4387208037 creator A5063706327 @default.
• W4387208037 creator A5065433086 @default.
• W4387208037 creator A5068796542 @default.
• W4387208037 creator A5069938479 @default.
• W4387208037 creator A5085644748 @default.
• W4387208037 creator A5086555664 @default.
• W4387208037 date "2023-10-01" @default.
• W4387208037 modified "2023-10-17" @default.
• W4387208037 title "Reducing Patient Care Delays in Radiation Oncology via Optimization of Insurance Pre-Authorization" @default.
• W4387208037 doi "https://doi.org/10.1016/j.ijrobp.2023.06.432" @default.
• W4387208037 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37784616" @default.
• W4387208037 hasPublicationYear "2023" @default.
• W4387208037 type Work @default.
• W4387208037 citedByCount "0" @default.
• W4387208037 crossrefType "journal-article" @default.
• W4387208037 hasAuthorship W4387208037A5018478359 @default.
• W4387208037 hasAuthorship W4387208037A5031671129 @default.
• W4387208037 hasAuthorship W4387208037A5036816456 @default.
• W4387208037 hasAuthorship W4387208037A5041926024 @default.
• W4387208037 hasAuthorship W4387208037A5045549624 @default.
• W4387208037 hasAuthorship W4387208037A5046309806 @default.
• W4387208037 hasAuthorship W4387208037A5056374928 @default.
• W4387208037 hasAuthorship W4387208037A5059175960 @default.
• W4387208037 hasAuthorship W4387208037A5062475614 @default.
• W4387208037 hasAuthorship W4387208037A5063706327 @default.
• W4387208037 hasAuthorship W4387208037A5065433086 @default.
• W4387208037 hasAuthorship W4387208037A5068796542 @default.
• W4387208037 hasAuthorship W4387208037A5069938479 @default.
• W4387208037 hasAuthorship W4387208037A5085644748 @default.
• W4387208037 hasAuthorship W4387208037A5086555664 @default.
• W4387208037 hasConcept C127413603 @default.
• W4387208037 hasConcept C130963320 @default.
• W4387208037 hasConcept C159110408 @default.
• W4387208037 hasConcept C194828623 @default.
• W4387208037 hasConcept C19527891 @default.
• W4387208037 hasConcept C200601418 @default.
• W4387208037 hasConcept C2779598192 @default.
• W4387208037 hasConcept C545542383 @default.
• W4387208037 hasConcept C71924100 @default.
• W4387208037 hasConceptScore W4387208037C127413603 @default.
• W4387208037 hasConceptScore W4387208037C130963320 @default.
• W4387208037 hasConceptScore W4387208037C159110408 @default.
• W4387208037 hasConceptScore W4387208037C194828623 @default.
• W4387208037 hasConceptScore W4387208037C19527891 @default.
• W4387208037 hasConceptScore W4387208037C200601418 @default.
• W4387208037 hasConceptScore W4387208037C2779598192 @default.
• W4387208037 hasConceptScore W4387208037C545542383 @default.
• W4387208037 hasConceptScore W4387208037C71924100 @default.
• W4387208037 hasIssue "2" @default.
• W4387208037 hasLocation W43872080371 @default.
• W4387208037 hasLocation W43872080372 @default.
• W4387208037 hasOpenAccess W4387208037 @default.
• W4387208037 hasPrimaryLocation W43872080371 @default.
• W4387208037 hasRelatedWork W159247329 @default.
• W4387208037 hasRelatedWork W2025193597 @default.
• W4387208037 hasRelatedWork W2026095104 @default.
• W4387208037 hasRelatedWork W2042489430 @default.
• W4387208037 hasRelatedWork W2083479052 @default.
• W4387208037 hasRelatedWork W2115778339 @default.
• W4387208037 hasRelatedWork W2626766173 @default.
• W4387208037 hasRelatedWork W2910067807 @default.
• W4387208037 hasRelatedWork W4226248038 @default.
• W4387208037 hasRelatedWork W4318681056 @default.
• W4387208037 hasVolume "117" @default.
• W4387208037 isParatext "false" @default.
• W4387208037 isRetracted "false" @default.
• W4387208037 workType "article" @default.