Hospital Case Management – January 1, 2005
January 1, 2005
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Creativity is the key to discharge planning for hard-to-place patients
Hospital discharge planners often have to use their ingenuity in finding placements for patients with no insurance who need post-acute services or are homeless and need a place to stay. The problem is that patients must be discharged safely, whether or not they have money to pay for the services they need. -
Hospitals challenged by patients who can’t pay
As health insurance costs escalate and employers provide a lower level of coverage for employees or cut out insurance benefits altogether, the number of workers with no health insurance is on the rise. Meanwhile, states are struggling with dwindling funds for Medicaid and are slashing benefits, and an unprecedented number of undocumented workers are seeking care in hospital emergency departments. -
4 types of patients who may not be able to pay their bills
The uninsured; The underinsured; Indigent patients; Undocumented workers. -
Establish a special area for nonurgent ED patients
The sign over your emergency departments (ED) door may say emergency, but the people who walk in may not necessarily be having one. -
Critical Path Network: Education decreases ED visits for young asthma patients
A pediatric asthma program that includes home visits by an asthma management team and an intensive educational program for families has resulted in a dramatic drop in emergency department (ED) visits for pediatric asthma patients at Hurley Medical Center in Flint, MI. -
Critical Path Network: WebM&M teaches by example with case studies
One of the great challenges in the whole world of quality and patient safety is learning to take advantage of the richness of clinical cases, says Robert M. Wachter, MD, professor and associate chairman in the department of medicine at the University of California, San Francisco (UCSF) and chief of the medical service at UCSF Medical Center. -
Critical Path Network: Insurer refuses to pay for wrong-site/person surgery
The movement to prevent wrong-site or wrong-person surgery got another boost recently when a major health plan announced affective Jan. 1, 2005, it will no longer pay for medical procedures involving those egregious errors. Dont expect to get paid for a procedure if you leave that 12-inch retractor in the patients belly, or the next procedure to remove it. -
Discharge Planning Advisor: HMSA case managers are patient advocates, not UMs
Case managers with the Hawaii Medical Service Association (HMSA), a nonprofit medical indemnity association, follow a practice model that differs significantly from that used at most other insurance companies, says Melissa Bojorquez, ACBSW, MBA, CCM, supervisor for the HMSA case management program. -
Team approach cuts costs for the chronically ill
A team approach and intensive case management of patients has helped San Francisco General Hospital cut the number of hospitalizations and costs for patients who were frequently hospitalized. -
Patient Safety Alert supplement