Centers for Medicare and Medicaid Services (CMS)
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Case Managers in Transitional Pain Service Programs Can Help Stem Opioid Epidemic
Recognition that some surgical patients could benefit from case management services to help with pain has led one organization to develop a transitional pain service for surgery patients.
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Case Managers Can Drive Success in Hospitals
Hospitals are moving from the traditionally reactive to newer proactive model of providing quality healthcare. This puts case managers in the driver’s seat when it comes to steering the organization to better outcomes.
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A Closer Look at Trinity Health’s Integrated Care Coordination System
Care coordinators can help hospitals better manage care through an integrated system that provides best practices in the handover process.
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Plan of Care Collaboration Can Reduce Readmissions
Hospital case managers are part of a care team collaboration that spans healthcare settings and disciplines, focusing on improving patient care and preventing high-risk patients from being readmitted to the hospital.
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Health System’s Integrated Care Program Is a People-Centered Strategy
Two Midwestern health systems exemplify the emerging new strategy of coordinating integrated care systems to improve patient care and reduce hospital and ED readmissions.
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800 Hospitals Dinged by Medicare for Hospital-Acquired Conditions; Payments Held
Since the program began, Medicare has penalized 1,756 hospitals at least once. In 2019, 110 hospitals are being denied payments for the fifth straight year.
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CMS Changes Nursing Home Compare, May Drop Star Ratings
CMS recently announced significant changes to Nursing Home Compare and the Five-Star Quality Rating System. The agency also says that it is considering abandoning the star ratings for hospitals completely.
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Collaborations With Community and Health Systems Help Homeless Patients Gain Housing, Healthcare Services
The healthcare system is uniquely positioned to see how the social safety net can fail people who are homeless and who often suffer from substance use disorders and severe mental illness.
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Case Study: New York Hospital Meets a Palliative Care Mandate
End-of-life discussions with patients and families can be difficult. It is the elephant in the room that physicians, case managers, and other healthcare professionals hesitate to discuss.
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The Case Manager’s Role in Palliative Care
For many patients, symptoms such as severe pain, fatigue, reduced functional ability, and shortness of breath are debilitating, yet go unaddressed.