Centers for Medicare and Medicaid Services (CMS)
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Case Managers Can Help With Overcrowded EDs and Hospitals
The key to improving bed flow and efficiency is to implement a program that increases morning discharges, freeing up space earlier for additional patients.
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Study: Little Difference in Outcomes Between ACO and Non-ACO Patients
Accountable care organizations were established to reduce costs and improve quality of care, but do they achieve those goals?
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Diabetes Prevention Program Shows Positive Outcomes for Patients
Chronic illness case management works better with optimal patient engagement. In one primary care provider practice’s experience, a diabetes care program has improved diabetic patients’ self-management.
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Health System’s Transitional Care Program Includes Out-of-area Patients
Some of the biggest challenges in care transition involve bridging patient care between the hospital and the community — especially when the community is hundreds of miles away.
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Optimal Case Management Leadership Requires Subtlety, Advocacy
Hospital case managers are leaders, whether they realize it or not. Their role in standing up for patients and speaking with other healthcare professionals about patients’ needs provides case managers with leadership skills.
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Case Management in Hospitals Is Being Transformed to Care Coordination
The hospital case management role that has been prevalent for more than three decades is transforming, hospital-by-hospital, into a value-based care coordination role.
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Focus on Patients’ Strengths as Injury Recovery and Prevention Strategy
Case managers working with workers’ compensation clients or managing a population of older adult patients should keep in mind that strength is important for positive health outcomes.
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Care Coordination Team Helps Medically Complex Pediatric Cases
A national nursing shortage has affected families of medically complex children in Delaware, leading a Medicaid managed care organization to focus on a care coordination team approach.
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For Older Patients, Loneliness Might Be Biggest Social Determinant of Health
Loneliness and social exclusion can have a big impact on patients’ health and quality of life, and it is a problem that is compounded by deteriorating health as people grow older.
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Stop on REDD: Researchers Study Discharge Data on High-risk Patients
Researchers from Penn State and Geisinger Health System in Pennsylvania developed a discharge-planning model they say is ahead of its time because it does not focus solely on readmission risks.