Case Management Advisor – January 1, 2014

January 1, 2014

• Professional case management doesn’t always happen

  In today's fragmented healthcare world, case managers are so inundated with tasks that care coordination and transition management often suffer, as this case study illustrates.

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• Be an advocate for your patients

  Whenever theres something new that has to be done, theres a tendency for administrators in many settings to assign the task to case management, often with the comment that theyre already in the patient record.

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• A phone call is worth a thousand documents

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• CM interventions prevent readmissions, ED visits

  Group Health Cooperative's case managers target patients with complex medical conditions and/or psychosocial issues who have been hospitalized and work with them on managing their health with a goal of avoiding admissions, readmissions, and emergency department visits.

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• ED care managers offer outpatient care options

  The debate raging over whether it is wrong or right for lawmakers to be looking at ways to limit ED utilization may be missing the more important discussion.

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• Program seeks to stop asthma readmissions

  As health care reform continues to unfold and performance-based payment models make more headway, emergency providers are pushing the boundaries beyond what the market has traditionally expected from this field of expertise.

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• Incident reports don’t tell whole story

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