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Aggressive fluid resuscitation, which normally would be used in younger trauma patients, potentially could do serious harm to an elder patient, warns Rhyan Weaver, RN, BSN, CEN, clinical supervisor in the ED at St. Joseph's Hospital and Medical Center in Phoenix, AZ.
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By developing a case management model that frees RN case managers to do what they do best coordinate care Fauquier Hospital in Warrenton, VA, has reduced its average length of stay without affecting the readmission rate.
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Analyze the data in your hospital's Program for Evaluating Payment Patterns Electronic Report (PEPPER) to identify areas where your hospital may be vulnerable to denials from the Recovery Audit Contractors (RACs), suggests Deborah Hale, CCS, president, Administrative Consultant Services LLC, a Shawnee, OK, health care consulting firm.
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Every summer The Joint Commission issues a list of those standards hospitals find most difficult to comply with. Among those challenging standards are three that experts say most directly impact the ED:
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As Karen Morgan, RN, MSN, CCM, RN-BC, makes rounds with the rest of the treatment team on Danbury Hospital's heart failure unit, she uses her knowledge as a certified gerontology nurse to point out the special considerations that the elderly patients on the unit may need.
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As a case manager on the congestive heart failure unit at Danbury Hospital, Karen Morgan, RN, MSN, CCM, RN-BC, often manages the care of elderly patients.
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Now that the permanent Recovery Audit Contractor (RAC) program has gone into high gear, hospitals can lessen their vulnerability to losing revenue if they know how to respond and what to expect, says Deborah Hale, CCS, president of Administrative Consultant Services LLC, a health care consulting firm based in Shawnee, OK.
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Louisiana's Money Follows the Person (MFP) Rebalancing Demonstration focuses on three important areas for measuring results and benefits of the program. These are long-term stay in community living, quality of life measures, and fiscal measures.
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Vermont is looking to take an innovative Medicare waiver approach to advance integration of care for dual-eligibles one that has never been done anywhere in the country.
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Covering childless adults could be more costly than anticipated, because this population had more complex needs than expected, according to some states surveyed in a July 2010 report from the Washington, DC-based Kaiser Commission on Medicaid and the Uninsured, Expanding Medicaid to Low-Income Childless Adults Under Health Reform: Key Lessons from State Experiences.