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Managing Clinical, Financial Risk With Proper Data Tracking
A healthcare organization likely could not manage financial risk well without access to accurate and complete case and financial data. Delta Joint Management has developed a database for collecting, sharing, and analyzing patient data and outcomes.
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Risk Assessment Crucial Part of Bundled Total Joint Program
A bundled payment ambulatory total joint program can improve quality of care and produce positive financial benefits to all involved, but only if risk is assessed and mitigated. The key is a smart inclusion criteria and risk assessment process.
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A Closer Look at How Delta Partners Built Their Total Joint Program
Key components to success with a bundled total joint same-day surgery program include a thorough risk assessment, pathways and protocols to ensure standardization, strong buy-in and communication with all providers and partners, and an emphasis on patient education.
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Bundled Same-day Total Joint Program Focuses on Quality, Outcomes
Several years ago, several high-volume North Carolina surgeons decided there had to be a better way to handle total joint surgeries than the status quo. Total joint surgeons in their region were among the top 10 nationally in volume. Yet, some didn’t believe their goals and objectives were aligned with the hospital systems where these surgeries took place. The solution: an ambulatory total joint surgery program that has succeeded beyond their early expectations.
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Coordination of Care and the Role of the Case Manager
Coordination and facilitation of care are important, but sometimes overlooked, roles of the case manager and social worker.
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Colorado Program Significantly Reduces Opioid Prescribing in 10 EDs in Six Months
During a six-month period, a pilot group of 10 EDs set out to reduce the use of opioids by promoting alternative treatment approaches primarily focused on five common pain pathways.
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Goodbye, Meaningful Use: Proposed IPPS Rule Aims to Reduce Admin Burden, Improve Quality
What’s in a name? With a patients-first, EHR-oriented mindset, CMS has shuttered Meaningful Use and renamed the program “Promoting Interoperability.”
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Three Tips to Remove Stumbling Blocks in a Case Manager’s Day
What can case management departments do when they spot common barriers to efficiency? Three tips can help remove those barriers and make the entire team more effective.
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Example of a Case Management Admission Assessment Form
These categories should be included and can be used to format a case management admission assessment form.
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Optimizing the Differences Between RN Case Managers and Social Workers
Case management departments have emerged as leaders in managing discharge planning and lowering readmission rates. However, one ongoing area of confusion is the division between the RN case manager and the social worker case manager.