Articles Tagged With:
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CMS Requiring Price Transparency, Compliance Program
CMS now requires hospitals to post “standard charges” for all hospital inpatient and outpatient services online, but compliance may be a challenge if hospitals are careless about how they post prices. The measure could interfere with efforts to draw in patients who use quality and safety scores to choose their hospitals. -
Documentation in Peer Review Meetings: How Much Is Just Right?
The need for documentation of peer review meeting minutes is clear, but there are two schools of thought on how detailed records should be: general and broad to prevent their being used against participants in future challenges to their decisions, or detailed so that they provide a solid explanation and defense. -
Health System Goes From C’s and D’s to A’s and B’s in One Year
In one year, the seven hospitals of CHI Franciscan, based in Tacoma, WA, achieved extraordinary improvements in quality and safety. They did it by adopting more of a team-based approach to patient care, improving communication and reducing silos that prohibit information-sharing. -
Conflicts on Discharge Decision: Home or Skilled Nursing Facility?
Discharge to a skilled nursing facility is sometimes recommended in order to ensure continued independent community living for frail patients. Conflicting views as to what is best for the patient sometimes raise ethical concerns.
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Hospitals Take Social Determinants of Health Beyond Theory, Put Data to Use
The healthcare community is gradually accepting that social determinants of health can improve quality of care. Finding a way to apply the data can be difficult, but several hospitals and health systems are showing how it can be done.
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Training Program Helps Create Stable Case Management Workforce and Workflow
Training new case managers sometimes takes a team approach and can involve education, training, mentoring, and follow-up for six months to a year.
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Care Connectors Help Close Gaps With Medicaid Population
When gaps in care reports began popping up, leaders at Alcona Citizens for Health knew something had to be done. The deficiencies were due to inadequate staffing, inconsistent workflow, and knowledge deficits in using the electronic medical record.
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What Case Managers Can Expect From Medicare’s 2019 OPPS
The new Medicare 2019 Hospital Outpatient Prospective Payment System final rule focuses on patient-driven healthcare, acknowledging the importance of addressing social determinants of health.
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Early Rehospitalization Among ICU Survivors: How Can We Do Better?
Based on inductive analysis of a large sample of patients and caregivers, this study provides an organizational framework on which to focus efforts to develop complex healthcare interventions aimed at reducing readmission after critical illness.
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Diagnosis Sepsis: Is Newer Better?
Sepsis-3 criteria may be the favored method for prognostication, whereas SIRS-based criteria may be the preferred method to screen patients for consideration of ICU admission. Future studies are necessary to continue to explore the benefits of qSOFA and potentially reveal a more precise and reliable screening tool. Most importantly, it is paramount to remember that neither set of criteria is diagnostic. Using clinical judgment along with these guides remains the ideal approach.