CASE MANAGEMENT INSIDER

Interdisciplinary Walking Rounds: A Key Strategy for Improving Case Management Outcomes – Part 2

Name: Relias Media
Price range: $

January 1, 2016

Exploring the Benefits of Time-Restricted Eating and Nutritional Counseling
Twice-Yearly Subcutaneous Lenacapavir Injection Prevents HIV Infection
Validation of the New American Heart Association’s PREVENT Equations
Combatting the Resurgence of Syphilis
Preventing Recurrent UTI with Probiotics

	Pre-Rounds	Rounds	Post-Rounds
Provider	Listen to last 24-hour patient update. Discuss working diagnosis. Enter any patient orders. Review preliminary plan for discharge, meds, tests.	Sit next to patient. Introduce team — name and discipline. Interview patient and get his/her story. Discuss plan of care, test results, next steps, other recommendations. Answer any questions.	Enter orders, clarify any issues. Enter progress notes or dictation. Call consulting physicians, family regarding test results. Summarize expectations to team members.
Resident	Present patient case to attending physician/team. Update team on patient conditions. Give recommendations for plan of care. Enter any orders, including medications.	Support attending physician during assessment. Help answer any questions.	Enter orders as needed for patients. Enter progress notes. Call consulting physicians as directed by attending. Discuss med rec with pharmacist.
Staff RN	Review patient progress over past 24 hours. Focus on any abnormal findings. Review any patient/family concerns. Identify any barriers to patient discharge. Review any issues such as activity, Foley, IV, wound vac.	Bring laptop or other device to patient room. Listen to conversation with patient. Ask/answer questions from patient and team. Note orders to be placed later.	Verify orders. Discuss and implement medication monitoring. Make decisions about any remaining concerns. Document outcome of rounds.
Case Manager	Review admission status — inpatient vs. observation. Review case management admission assessment. Review initial discharge plan and insurance. Review expected length of stay and discharge date.	Discuss expected length of stay and discharge day. Discuss discharge plan — or updated plan — with patient and family. Identify any additional patient education needs. Identify any social work triggers for referral to social work.	Clarify next steps based on patient’s goal achievement. Document any changes to discharge plan. Refer to social work as needed.
Registered Nurse	Review daily progress notes. Review medication profile, medication history, and med rec. Review PRN med use. Discuss medication concerns and abnormal lab/culture findings.	Listen to conversation. Ask/answer any patient questions. Note orders to be placed later.	Verify orders. Discuss and implement medication monitoring. Make decisions about any remaining med concerns. Document progress notes.
Clinical Documentation Improvement Specialist	Review patient information in medical record Listen to overview of patient	Listen to patient status Consider any questions to ask physician	Clarify and identify any additional diagnoses/conditions — query if needed Review physician documentation for accuracy Provide any needed physician education

SUMMARY

Subscribe Now for Access

Interdisciplinary Walking Rounds: A Key Strategy for Improving Case Management Outcomes – Part 2

INTRODUCTION

DAILY GOALS

ENGAGING THE PATIENT AND FAMILY

ENTERING THE PATIENT ROOM

PREPARING AND ATTENDING ROUNDS

TALKING POINTS FOR ROUNDS

THE PHYSICIAN AND/OR STAFF NURSE

RN CASE MANAGER

SOCIAL WORKER

RESPIRATORY THERAPY/PHYSICAL THERAPY/NUTRITION

THE IMPACT OF INTERDISCIPLINARY CARE ROUNDS

OTHER MEASURES TO HOLD THE GAIN

THE ULTIMATE GOALS OF BEDSIDE ROUNDS

TRANSITIONING TO WALKING ROUNDS

SUMMARY

Subscribe Now for Access