Hospital Case Management – December 1, 2022
December 1, 2022
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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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Research Shows How Teamwork Changed During the COVID-19 Pandemic
The COVID-19 crisis response relied on interprofessional teamwork. But for care coordinators and pharmacists, the team experience during the pandemic was far from optimal, according to a recent study.
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Healthcare Teams Want Transparency, Recognition from Leaders During Crises
When researchers studied how COVID-19 surges affected teamwork, they found something essential and seemingly innocuous: Frontline staff, including care coordinators, wanted face time with their leaders.
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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.