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International Discharges Create Chaos and Inspire Creativity for Case Managers
Case managers and discharge planners in every state sometimes encounter the most challenging and frustrating of cases: the international discharge. Hospital Case Management asked Judith R. Sands, RN, MSL, BSN, CPHRM, CPHQ, CCM, ARM, a clinical consultant and author of Home Hospice Navigation: The Caregiver’s Guide, to answer a few questions about best practices in handling these unique care transition cases.
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Care Coordination and Communication Needed Between Transplant Providers and Primary Care
Cirrhosis affects a small percentage of the U.S. population. But it is a highly complex disease that leads to high hospital readmission rates and a higher cost per patient than found in heart failure and COPD. Investigators found care coordination and efficient communication between providers can optimize care. Telehealth can help patients, particularly for return visits.
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Case Management Challenges in the Emergency Department
Hospital case management already is unique. But carrying out this role in the ED brings even more challenge and intensity to bear. It also affects operations and well-being in the rest of the hospital.
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For Clinicians, Discharge Safety Is a Growing Ethical Concern
More often, clinicians are asking ethicists questions such as, “Is this discharge plan ethical?” It seems clinicians are distressed over what they consider to be unsafe decisions. Clinicians create a treatment plan based on what they believe is in the patient’s best interest. For various reasons, sometimes the plan is just not feasible.
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Researchers Seek to Standardize Patient Handoff Protocols
Ensuring a smooth and safe transition to the next step of the care continuum is vital to protecting patients.
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Biden, Congress Transition to New Era of Pandemic Prevention
The White House Office of Pandemic Preparedness and Response Policy will take over the duties of the current COVID-19 and Mpox teams in August.
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Boarded Mental Health Patients: Out of Sight, Out of Mind
Many EDs routinely board mental health patients for days on end, awaiting transfer to a mental health facility. An expert offers tips to help emergency medicine providers alleviate safety and medical/legal risks.
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Consensus Panel Offers Guidance for Pediatric Mental Health Boarding
EDs nationwide continue to see pediatric mental health patients boarded in the department for long periods while awaiting inpatient bed placement. A group of 23 experts from 17 health systems sought to identify what EDs are facing, to learn how departments are handling the problem, and to offer recommendations to standardize practices.
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To Alleviate Boarding, Consider Creating Discharge Lounge
Several months into the new process, leaders at Northwestern Medicine Palos Hospital report they have shortened the average discharge process from four hours to one hour, they have halved the ED’s leave-without-being-seen rate, and patient satisfaction scores have begun to rise in both the ED and inpatient settings.
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Prioritize Bed Placement for Older Patients to Shorten Stays, Prevent Delirium
A team of emergency physicians gathered data showing that among older patients, there is an association between time spent in the ED and the development of delirium. Researchers found that for every hour spent in the ED, the risk of developing delirium increased by roughly 2%.