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  • Case Managers Can Better Educate Patients and Families About Opioid Addiction

    While the world focused on the COVID-19 pandemic, another crisis — the opioid epidemic — continued to unfold, taking hundreds of thousands of lives. Hospital discharge is an opportunity for case managers and other providers to help prevent patients from becoming victims of opioid overdoses.

  • Best Practices for Maternity Case Management

    In many ways, case management in the maternity and labor/delivery units is unlike other areas of the hospital. Often, the mothers and babies are healthy, and simply in need of support through the process. For that reason, it may even seem that case management is unnecessary. However, it is important to maintain a strong case management department that serves in labor and delivery as well as the postpartum units.

  • Understanding Bundled Payments

    Bundled payments can be confusing for case managers to navigate. The philosophy behind the bundled payment reimbursement model is that in managing the patient carefully across the continuum, transitions will be smoother and the care will improve, all while staying mindful of how the dollars are spent. It is meant to be a meeting of quality of care and cost-effectiveness.

  • The Role of Critical Access Hospitals

    In rural areas, critical access hospitals provide care to patients who otherwise would have to travel much further for adequate care. Serving in a critical access hospital can be a much different experience than a larger hospital system, or even a hospital in an urban or suburban environment. Due to lack of training and support, even the case management process might not be as seamless or efficient as it is in other settings.

  • EMS Trauma Stabilization and Transport: A Comprehensive Review

    It is essential that acute care providers have an awareness of the prehospital system — strengths, scope of practice, different transport modalities (strengths and limitations) — to optimize patient outcomes.

  • Active Shooters Gun Down Healthcare Workers

    Violent attacks on healthcare workers in 2022 included a gunman who shot two physicians, a receptionist, and a visitor at Saint Francis Health System in Tulsa, OK, on June 1. In addition to the long-documented physical assaults and verbal aggression, these incidents underscore the relatively rare but real risk to healthcare workers of an active shooter in the building.

  • The Joint Commission Expands Sexual Assault Definition

    The Joint Commission has revised its definition of a sexual abuse/assault of healthcare workers, clarifying and expanding it to include social media and related technology. The original definition was developed more than a decade ago, before the ubiquitous presence of social media and related technology.

  • States: End HCW COVID-19 Vaccine Mandates

    Twenty-two states have joined to petition CMS to stop mandating COVID-19 vaccines for healthcare workers. In a Nov. 18, 2022, letter to HHS Secretary Xavier Becerra, West Virginia Attorney General Patrick Morrisey called for the vaccination requirement to be withdrawn.

  • Two Strikes? A Black Woman’s Experience Working in Healthcare

    In the wake of the disparities in patient care exposed by the pandemic, healthcare continues a racial reckoning that now includes clinicians and employees. Black women in healthcare face entrenched racism daily, from the death by a thousand cuts of microaggressions to the longstanding barriers to leadership positions.

  • A Sharp Learning Curve: New Nurses and Needlesticks

    There is some concern incoming nurse graduates whose training was compromised by the COVID-19 pandemic may be vulnerable to needlesticks in clinical settings.