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Now that the Centers for Medicare & Medicaid Services (CMS) is scrutinizing hospital readmissions, it's more important than ever for hospitals to thoroughly track and trend their readmissions, says Carol Everhart, RN, MMI, director of clinical informatics for Curaspan Health Group.
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As part of its efforts to create an excellent patient experience, Newton-Wellesley Hospital has made constant and comprehensive communication with patients and family members a key part of the hospital's culture.
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A patients may present for services without a referral required from his or her insurance company, or lacking a supporting diagnosis or procedure codes.
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The mission of eight onsite Medicaid case managers at WakeMed Health & Hospitals in Raleigh, NC, is to "focus only on patients who have been patients at WakeMed," says Heidi McAfee, director of patient access/case management.
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Many reimbursement dollars may be lost if patient access fails to obtain accurate information on whether a patient has another form of insurance that will supersede Medicare during the registration process.
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The use of a cardiac MRI in the observation unit at Wake Forest University Baptist Medical Center in Winston-Salem, NC, resulted in lower cost at the hospital of about $588 per patient because 79% were managed without admission, according to a study published online in the Annals of Emergency Medicine.
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Faced with an increasing number of readmissions of patients with heart failure, Integris Baptist Regional Health Center in Miami, OK, has begun a program to improve the discharge process with the goal of improving the patients' ability to care for themselves after discharge and reduce the likelihood of readmission.
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A new case management model that establishes housewide care coordination and promotes collaboration among disciplines is paying off for Alamance Regional Medical Center in Burlington, NC.
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If you're not using your patient satisfaction data to develop process improvement projects, you're missing a chance to improve patient care, says Quint Studer, CEO of Studer Group, a health care consulting firm based in Gulf Breeze, FL.