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Best Practices in Utilization Management
Ideally, the case manager’s utilization management role integrates discharge planning, care coordination, and resource management. It takes place on the unit where the case manager can interact directly with the care delivery team. It also is important for departments and hospitals to develop policies for utilization management procedures at the outset. -
Dementia Model Can Help Patients with Alzheimer’s
Patients with dementia face barriers to care, particularly for underserved communities. One possible solution is a community-based partnership approach and expansion of existing institutional and local resources. -
How a Transitional Care Leader’s Organization Survived the Pandemic Chaos
In this Q&A, Hospital Case Management asked Vera Usinowicz, APN-C, supervisor of The Center for Comprehensive Heart Failure Care at The Valley Hospital in Ridgewood, NJ, to discuss how her transitional care unit kept heart failure patients out of the emergency department and hospital during the COVID-19 pandemic. -
Stroke Care Transitions Program Benefits from Social Work Case Managers
When social workers helped stroke patients and their caregivers transition from the hospital to home, these case managers found some anecdotal benefits over a 90-day period. -
Updates to Hospital Value-Based Purchasing
The Centers for Medicare & Medicaid Services (CMS) released updates and changes to its Hospital Value-Based Purchasing Program. In response to the public health emergency, CMS is suppressing certain measures for 2022. -
Clinical Pharmacy TOC Services White Paper Outlines Quality Measures
Pharmacists’ involvement in transitions of care has evolved over the past decade. The American College of Clinical Pharmacy recently published a white paper that describes various ways pharmacists assist in TOC and recommends quality measures for their processes. -
Pharmacist-Led Transitions of Care Reduced Hospital Readmissions
An intervention that includes pharmacist-led transitions of care can significantly reduce readmissions, according to the results of recent research. Investigators found people enrolled in a pharmacist-led transitions of care clinic experienced significantly lower rates of 30-day and 90-day readmissions when compared to those without the intervention. -
Pharmacists Can Improve Care Transitions, Researchers Suggest
The results of recent research suggest case management and transitions of care teams that include pharmacists see greater success keeping patients healthier and out of the hospital. One study revealed a barrier to pharmacy involvement in care transitions is incomplete communication between pharmacists and providers. -
Patterns of Weakness in Amyotrophic Lateral Sclerosis
Unusual patterns of weakness in the various motor neuron disorders may point to a specific diagnosis of amyotrophic lateral sclerosis, if supported by electrophysiological evidence of chronic denervation.
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The Natural History of Leigh Syndrome
The natural history of Leigh syndrome is characterized by quantifiable disease progression in fewer than three years, with the poorest outcomes predicted by surfeit locus protein 1 (SURF1) pathogenic variants, bilateral caudate involvement on magnetic resonance imaging, and rapid increases in yearly Newcastle Paediatric Mitochondrial Disease Scale scores.