Articles Tagged With:
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Hospital Initiative Reduces 30-Day Readmission Rate for Heart Failure
A hospital’s heart failure pilot program showed great promise when it launched in late 2019, but is ready for a reboot in the post-pandemic era. The program led to a double-digit drop in the 30-day readmission rate for heart failure patients.
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Build a Healthy Relationship with Insurance Providers
It can be a tense relationship. Healthcare systems and providers — including case managers — have admitted it sometimes feels like insurance is the enemy, and patients have been known to carry that same sentiment. How should case managers and other healthcare professionals work out a healthy connection with insurance companies, and even work to strengthen that connection to help build a more positive view of the relationship among healthcare, insurance, and the patient?
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Care Managers Help Improve Birth Outcomes with Prenatal Coordination
Recent research shows a prenatal care initiative, called Strong Start for Mothers and Newborns, can produce positive health results. The program works with Medicaid beneficiaries in more than 30 states through maternity care homes.
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Age-Friendly Health System Initiative Improves Care Coordination
A new age-friendly initiative is a model focused on providing evidence-based care coordination to older adults and their caregivers. The goal is to train clinics to provide care that addresses what matters most to patients and their families.
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Focus on Social Determinants of Health Informs Hospital Discharge Practices
Health systems continue to address social determinants of health in their post-discharge care for patients. Case managers are on the forefront of this trend.
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Thinking Like a Payer
Part of what makes so many case managers successful is their ability to understand countless roles within healthcare and move between them smoothly. Whether managing discharges, providing social work support, or completing utilization review, the case management experience often is varied. However, many struggle in the quest to work more seamlessly with payers. -
ED Violence Pushes Out Top Employees
While multiple factors can figure into an emergency provider’s decision to leave his or her profession, receiving threats or winding up as assault victims while on the job easily can be the final straw. Those who work in the ED say the violence in this setting is only growing worse.
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Inexperienced Nurses Placed in Unsafe Roles Due to Staffing Shortages
Because of staff shortages, inexperienced nurses are placed in roles that may be unsafe for patients — and for the nurses themselves.
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Beware Venting About Staffing Problems
Emergency providers should follow proper channels for making such complaints. There may be a patient safety organization to which staff are directed to submit complaints, or the hospital could view the situation as a human resources issue.
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EMTALA Concerns if Patient Harm Is Linked to Staffing Shortage
It is important for administrators to understand an individual emergency physician or facility can be held liable under EMTALA, even if no one is hurt.