Case Management Advisor – January 1, 2019
January 1, 2019
View Issues
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What Case Managers Can Expect From Medicare’s 2019 OPPS
The new Medicare 2019 Hospital Outpatient Prospective Payment System final rule focuses on patient-driven healthcare, acknowledging the importance of addressing social determinants of health.
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Care Connectors Help Close Gaps With Medicaid Population
When gaps in care reports began popping up, leaders at Alcona Citizens for Health knew something had to be done. The deficiencies were due to inadequate staffing, inconsistent workflow, and knowledge deficits in using the electronic medical record.
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Training Program Helps Create Stable Case Management Workforce and Workflow
Training new case managers sometimes takes a team approach and can involve education, training, mentoring, and follow-up for six months to a year.
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Hospitals Take Social Determinants of Health Beyond Theory, Put Data to Use
The healthcare community is gradually accepting that social determinants of health can improve quality of care. Finding a way to apply the data can be difficult, but several hospitals and health systems are showing how it can be done.
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Conflicts on Discharge Decision: Home or Skilled Nursing Facility?
Discharge to a skilled nursing facility is sometimes recommended in order to ensure continued independent community living for frail patients. Conflicting views as to what is best for the patient sometimes raise ethical concerns.