Centers for Medicare and Medicaid Services (CMS)
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Practice the Five Disciplines in Case Management
Hospital case managers, just as case managers in all work settings, have faced unbelievable challenges this year. Hospitals are slowly transitioning back to more of a “normal” environment. With the new year approaching, it is a good time to revisit the Five Disciplines that help case management teams refocus on the business side of client care.
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COVID-19 Increases Need for Case Managers
COVID-19 has spurred myriad changes in hospitals as providers scrambled to adapt to the new normal. That includes new and creative ways to connect and support patients.
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Care Coordination Program Fills Gaps in Social Determinants of Health
An interprofessional care coordination program helps train college students while helping vulnerable communities. The Richmond Health and Wellness Program began in 2012 with the three prongs of education, research, and service. The idea of the health and wellness program was to provide care to people to fill their gaps from social determinants of health.
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A Look at STRIDE Study Intervention
The Strategies to Reduce Injuries and Develop Confidence in Elders study produced breakthrough findings that suggest fall prevention among older adults is more challenging than the authors of previous research found.
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Falls Injure Millions of Americans, Cost $50 Billion Each Year
Recent studies challenge assumptions about how case managers and other healthcare professionals can reduce fall risk among older patients with comorbidities and recent hospital stays. The key is to focus on fall risk from just before a person is hospitalized to weeks after hospitalization.
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CMS Identifies Telemedicine Quality Tracking Measures
The Centers for Medicare & Medicaid Services is providing more detailed guidance for how healthcare providers should report electronic clinical quality measures for telehealth encounters. A total of 39 electronic clinical quality measures were recently published for the 2021 performance period.
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Medical Records in the COVID-19 Era: Renewing the Case for Interoperability
The problems of electronic medical records (EMRs) have been all too real during this pandemic. Patients with life-threatening COVID-19 symptoms have gone to hospitals without family or friends. They may not recall critical details of their medical history, including medications. At the crux of this crisis is the patient’s EMR, which holds important details that help providers make treatment decisions. Too often in hospitals, healthcare providers cannot access all these records, which is frustrating for everyone.
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Remote Monitoring Technology Can Improve Efficiency
Community case management and care coordination services are important in the care of at-risk seniors. But healthcare organizations sometimes find it challenging to leverage resources. One potential solution is to use technology, such as remote patient monitoring, to increase case management efficiency and improve outcomes. Using a remote monitoring system can streamline services by warning case managers when patients’ vital signs are outside expected ranges.
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American College of Surgeons Opposes New Fee Schedule
How might this proposed fee schedule affect surgery centers?
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CHART Model Offers Two Tracks to Shore Up Rural Healthcare
Recognizing that the way healthcare is funded and delivered in rural communities needs an overhaul, the Centers for Medicare & Medicaid Services has unveiled a new approach it hopes will provide a roadmap for how to do just that.