Centers for Medicare and Medicaid Services (CMS)
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Research Shows Link Between Quality and Readmission Rates
New research using CMS data is confirming the relationship between quality care and lower readmission rates.
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Unit-based Case Management Model Works Best for Organization
Once upon a time, a hospital’s case manager performed all case management responsibilities and utilization review work. Social workers performed a lot of the discharge planning. All worked fairly well, but something was missing: Case managers were limited in their ability to care for patients.
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Q&A With the Nurse Who Wrote the Book on Case Management
Case Management Advisor asked Catherine M. Mullahy, RN, CCM, president of Mullahy & Associates of Huntington, NY, and author of The Case Manager’s Handbook, Sixth Edition, published in June 2016, to discuss case management tools and strategies.
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Study Offers Puzzle Piece to Paying for Integrated Care
Integrating mental health into primary care practice settings needs both research and a payment structure that works.
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Risk Stratification Can Help in Population Health Environment
Risk-stratified care management can help bridge the distance between providing effective care and finding efficient ways to do so.
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Transitions in Care and the Role of the Case Manager
Care transitions has become a buzzword in healthcare. In fact, it has become an important component of case management models and the role of the case manager. This month, we will discuss what transitions in care actually means, particularly as it relates to case management.
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Systemwide Program Improves Post-discharge Care for Indigent Patients
Faced with a growing indigent population, Sentara Healthcare developed a comprehensive systemwide program with post-acute providers that agreed to partner with the hospital to care for indigent patients after discharge.
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If Discharge Plan A Fails, Maybe Plan B or C Will Work
Developing a successful discharge plan for patients with a history of drug abuse takes creativity, patience, and flexibility.
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Discharge Planning for Opioid Abusers Presents Many Challenges
Creating a successful discharge plan for patients with opioid abuse issues is a huge challenge for a case manager in the cardiac care unit at Massachusetts General Hospital.
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Compatibility Is Key to the Success of Case Manager-Social Worker Teams
Case management leadership should make sure the teams work well together and understand how to work cohesively and collaboratively.