Case Management Advisor – October 1, 2019
October 1, 2019
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Healthcare Organizations Use Different Approaches to Reducing Readmissions
Two different techniques highlight success in reducing healthcare costs and readmissions. What they have in common is a focus on teams. Developing the right skills and putting the right team in place are key to success.
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Bundled Payments, Population Health Fuel Move to New Healthcare Models
A health network with more than a dozen acute care hospitals has developed teams with advanced care providers to work with Medicare at-risk patients to improve care and reduce costs. The case management-style teams also work with some privately insured patients. The team approach has resulted in a 9.5% reduction in 30-day readmissions, according to a healthcare organization’s internal data.
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Workers’ Comp Case Managers Juggle Many Skills for Clients
For nurse case managers who enjoy a challenge, workers’ compensation offers the opportunity to use every organizational and creative skill to make things happen for people whose lives are in crisis. Workers’ compensation case managers must be highly skilled in communicating with a variety of stakeholders, including providers, insurance companies, patients, and others. They must ensure everyone understands that the patient should receive the right treatment at the right time to return to work as soon, efficiently, and timely as possible.
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Clinicians Need the Right Tools to Care for Older Patients With Cognitive Deficits
As the U.S. population ages, hospital providers are confronting the complicated challenge of meeting the needs of more patients with dementia, delirium, and other cognitive deficits. To get ahead of this demographic trend, some health systems have developed initiatives aimed at equipping their workforce with the knowledge and tools to recognize and manage this population better while also offering a more compassionate and welcoming face to patients and families.
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Patient Watches Solve Safety Issue With Better Use of Resources
Hospitals often struggle with the need to provide close watch over a potentially dangerous patient without relying on skilled nurses or security officers who are needed elsewhere. Some hospitals are finding that a “patient watch” program is the right solution.