Hospital Case Management – September 1, 2011
September 1, 2011
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Move to accountable care puts case managers in the spotlight
No matter what model of accountable care organization (ACO) the Centers for Medicare and Medicaid Services (CMS) settles on, case managers are sure to be key players as providers focus on managing care efficiently and effectively across the continuum. -
CM process redesign focused on level of care
At Cheyenne (WY) Regional Medical Center, recovery audit contractor (RAC) determined that a significant number of surgical one-day inpatient stays should have been billed as observation. -
Program for uninsured saves $4.56 million
A program that provides support for uninsured patients has saved $4.56 million over 18 months at Memorial Hermann Healthcare System in Houston. -
Hospital organization, insurer collaborate
Recognizing that hospital readmissions are costly for providers and insurers alike, Blue Cross and Blue Shield of Illinois and the Illinois Hospital Association are collaborating on a quality initiative to reduce the rate of hospital readmissions. -
Ambulatory Care Quarterly: Slash door-to-doc time, boost patient approval
Sumner Regional Medical Center in Gallatin, TN, offers good evidence that quick-turnarounds are indeed possible when you have motivated staff. -
Case Management Insider: The new emergency department: It's not just for admissions anymore
Not only is the emergency department (ED) not just for admissions, but it has become a key and strategic element of today's case management departments. A primary route of entry for many patients across the United States, it can make or break a hospital in today's highly audited environment. -
Case Management Insider: Roles and functions of ED case manager
The emergency department (ED) case manager has four principal roles that should be observed. Those role are as follows: -
Case Management Insider: Social work in the emergency department
A social work presence in the emergency department (ED) is critical to the effectiveness of the case management process.