Hospital Case Management – August 1, 2019
August 1, 2019
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Case Managers Should Be Aware of Fraud and Abuse Laws
Hundreds of healthcare providers are investigated and fined or reach settlements with the federal government each year under federal fraud, abuse, and kickback statutes. Federal investigators have pursued hospital case managers, as well as physicians and other providers.
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Better Communication Can Improve Home Health Education for Patients
The authors of a new study suggest that hospitals are not providing patients with enough education about home health services, leading to unrealistic expectations after they are discharged home.
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Health Coaching Helps Patients With Diabetes Improve Healthy Behaviors
A pilot study of hospitalized patients with type 2 diabetes found that 80% of patients who received a case management health coaching intervention were not readmitted to the hospital within 30 days of discharge. The patients with diabetes who were enrolled but never participated in the intervention returned to the hospital within the first two weeks post-discharge.
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A Case Manager’s Guide to Malpractice Prevention
Meticulous documentation, education on compliance issues, and clear communication can help mitigate a case manager's risk of facing malpractice.
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Transitional Pain Service Helps Patients Reduce Dependence on Opioids
Amidst the national opioid addiction crisis, a Utah nurse with a background in case management has collaborated with a team of doctors and nurses at a Veterans Administration hospital to reduce opioid use and dependence in patients — and their program has gained attention from The Joint Commission.
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Brain Trauma: What Case Managers Should Know
When brain trauma patients are discharged from hospital intensive care, a rehabilitation facility is the next step. At the rehab facility, a case manager will work closely with a team that helps patients regain functional ability. But often, the family wants to take a patient home too soon in the rehab process. In talking with patients’ families, the importance of “staying the course” with rehabilitation is imperative.