Centers for Medicare and Medicaid Services (CMS)
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Compliance Measures for the Case Manager’s Daily Practice — Part Four
The fourth part in the compliance series will discuss additional compliance issues important to you in your case manager role.
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CMS Urges Security in Texting Clarification
In an updated memo, CMS reinforced its policy that texting of patient orders is prohibited and Computerized Provider Order Entry is the preferred method of order entry by a provider.
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Staff Workarounds Pose Medication Error Risk
Patient safety is compromised when healthcare workers use workarounds to speed things up when they are busy, or to overcome roadblocks that make it difficult or impossible for them to follow proper procedures in the medication process.
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Readmission Rates May Not Reflect Quality, Study Says
A study found significant differences in hospitals’ performance when readmissions were assessed for non-Medicare patients and for conditions other than those currently reported.
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Hospital’s Model Cell Uses Case Management Best Practices
At McLeod Regional Medical Center in Florence, SC, a multidisciplinary team created a “model cell” where case management best practices are adapted to meet the needs of the hospital and where new employees receive their training.
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Text Messages Help Keep Patient Recoveries on Track
A program that sends secure text messages every day to help at-risk patients manage their conditions resulted in a 22% decrease in 30-day readmissions and a 46% improvement in 90-day readmissions for Sharp Rees-Stealy Medical Group patients.
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Is the Dyad or Triad Model Best?
What’s the best structure for case management models — dyad or triad? While everyone wants the magic answer, there’s no one-size-fits-all approach.
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Weighing the Pros and Cons of Offsite Utilization Review
Taking utilization review functions away from the unit-based case managers can result in more time at the bedside, but there are factors to weigh before investing in a centralized process.
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Integrated Case Management Model Shows Which Resources Are Needed
An integrated care management team approach helped a health system improve clinical outcomes for patients, lower costs, and lower rates of healthcare utilization, according to a 10-year study.
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Go 3-D: Here’s How to Add Power and Depth to Case Management Assessments
Case management assessments will lead easily into care plans when they’re created more robustly — a 3-D vs. 1-D assessment.