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Centers for Medicare and Medicaid Services (CMS)

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  • CMS tests hospital infection survey

    It's 44 pages of questions about infection control procedures from injections and hand hygiene to sharps safety and personal protective equipment and it's coming to your hospital soon.
  • Prenatal initiative yields safety improvements

    A prenatal care quality initiative at the North Shore-LIJ Health System in Great Neck, NY, has achieved significant improvement in the 11 adverse outcome measures followed via modification of the Adverse Outcome Index (MAOI), according to a study published in the Journal for Healthcare Quality.
  • Three pharmacy safety problems solved

    One of the most common mistakes found in Joint Commission surveys is expired medications, says Yosef D. Dlugacz, PhD, of the Krasnoff Quality Management Institute at the Long Island Jewish Health System in New Hyde Park, NY.
  • Surgical checklists come to ambulatory centers

    The first part of new federal rules related to quality and outcomes for ambulatory surgery centers (ASCs) went live in January, with a requirement to implement a surgical safety checklist.
  • Do quality indicators lead to over-intervention?

    The use of evidence-based quality indicators to ensure consistent treatment is a great idea because it improves patient care and outcomes, right?
  • Denials drop when CMs, MDs act as a team

    A study conducted at Good Samaritan Hospital in Dayton, OH, has determined that denial rates are lower when case managers collaborate with physicians to determine patients' admission status.
  • Demonstrate your value to retain, add case management staff

    With increasing scrutiny on medical necessity and cuts in reimbursement, along with a growing emphasis on care coordination and transitions in care, case management's position as a major player in the hospital should be assured. But that's not always the case.
  • Case Management Insider

    In this month's issue of Case Management Insider, we will continue our discussion on case management roles, functions, and models, with more information on today's best practice models. We will explore the advantages of each model and minimum staffing ratios for each.
  • ED navigators steer patients to appropriate providers

    Since the Presbyterian Healthcare Services in Albuquerque, NM, started its emergency department navigation program, targeting patients who seek treatment for minor ailments, 11,600 patients have been navigated to other levels of care. Only about 5% of them have returned to the emergency department with non-emergent conditions or illnesses.
  • Collaboration eliminates sepsis readmissions

    When St. Anthony's Hospital and Pinellas Point Nursing and Rehabilitation, both located in St. Petersburg, FL, collaborated on a project to reduce heart failure readmissions, the team determined that many readmissions were for sepsis. They embarked on a project that eliminated sepsis as a reason for readmission in just six months.