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Centers for Medicare and Medicaid Services (CMS)

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  • Case Management Insider Back to Basics: A Day in the Life of a Hospital Case Manager – Part 1

    The role of the hospital case manager has taken many twists and turns over the past two decades. Case management started out as a sectioned-off role of utilization review without any relationship to the direct care providers or interdisciplinary care team.
  • Hospital trains CMs on IMs, HINNs

    The administration at Scottsdale (AZ) Healthcare System thinks it so important for the Important Message from Medicare (IM) to be delivered correctly that all case managers go through extensive training on when and how the IM should be given to patients.
  • Caring for caregivers after Boston bombing

    When two bombs went off near the finish line of the Boston Marathon, hospital clinicians had one thought: I have to get to work. A surgeon who had just run 26 miles came into Beth Israel Deaconess Medical Center and prepared to operate. Nurses and doctors treating the wounded wondered about their own family and friends.
  • New hospital inspections database launched

    The Association of Health Care Journalists (AHCJ) has launched a free, searchable new application that compiles thousands of federal inspection reports for hospitals around the nation since January 2011.
  • Health system grades patient educators

    The people at Iowa Health System in Des Moines knew they had good patient education methods. Theyd been using teach-back for years, through which patients are never asked yes or no questions like Do you understand the instructions? but are instead asked to repeat back their understanding of what was said by a provider.
  • For success, Lean requires facilitywide commitment

    A lot of hospitals and other healthcare organizations have been talking about Lean management and the Toyota process. Indeed, there have been dozens of academic studies related to its techniques in the last couple of years alone.
  • Meaningful Use: What to do if you’re behind in your preparations

    There were a lot of hospitals and healthcare providers who believed that Meaningful Use would go the way of ICD-10 coding: It would be delayed and delayed and altered and delayed again. So instead of jumping on any bandwagon, they opted to wait.
  • Can nurses reduce readmissions?

    How can you make sure that your nurses make a difference to the outcomes of your patients? According to a study in the January issue of Medical Care1, all it takes is a good patient/nurse ratio and good leadership.
  • OPPE standards catch some facilities out

    It seems like one of the more straightforward standards: to make sure that you regularly collect and review quality data from providers. And yet, surveyors do find issues with organizations. So what makes for a good Ongoing Professional Practice Evaluation policy? And what are the common problems that Joint Commission surveyors are finding?
  • Know your HINNs and when to deliver them

    When hospitals determine that the care patients are receiving or are about to receive will not be covered by Medicare because it is not medically necessary, not delivered in an appropriate setting, or is custodial in nature, the hospital should provide the patient with a Hospital-Issued Notice of Noncoverage (HINN) to inform them that they will be responsible for the bill if they choose to stay in the hospital.