Hospital Case Management – September 1, 2014
September 1, 2014
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Experts: Know your patients’ benefits and work to conserve them
Case managers should know their patients insurance benefits and out-of-pocket expenses when they develop a discharge plan to make sure the patient can afford the plan they are putting in place. -
Being creative when benefits are maxed out
When patients benefits have been maxed out or are close to being maxed out, case managers need to be creative with discharge planning, experts say. -
Knowing benefits helps patients make choices
When BK Kizziar, RN-BC, CCM, was in the hospital following surgery, a case manager walked into her room the day before discharge and asked whether she wanted to go to an acute rehab facility or have physical therapy sessions at home. -
Audits highlight need for documentation
The Centers for Medicare & Medicaid Services Probe and Educate initiative to determine hospitals compliance with the two-midnight rule makes it clear that case managers must review physician documentation as well as medical necessity. -
Visual cues keep treatment team alert
At Good Samaritan Medical Center in West Palm Beach, FL, a throughput initiative that uses colored magnets to indicate anticipated discharges has cut emergency department holding time and increased the number of discharges by 2 p.m. -
Heart failure program cuts readmission rate
After Southeast Alabama Medical Center in Dothan began a heart failure readmission prevention program, its 30-day readmission rate dropped to an average of 13%. In January, the hospital discharged 62 heart failure patients and only 8% were readmitted. -
Decreasing preventable readmissions?
Bioethicists can advocate for improved communication with family caregivers when a patient is going to be discharged from the hospital. -
CMS sounding alarm on unsafe needle practices
As outbreaks continue to be reported due to unsafe injection practices and improper use of medication vials, the Centers for Medicare & Medicaid Services (CMS) is telling its surveyors to contact public health departments immediately if they see such flagrant breaches of infection control. -
Family Caregivers: A Key Component of the Discharge Planning Process
Case managers have been an integral part of the discharge planning process for decades. Typically this process has involved an in-depth assessment of the patient, which has included their clinical as well as psychosocial, financial and living situations