Centers for Medicare and Medicaid Services (CMS)
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Team approach to readmission reductions pays off
Our Lady of the Lake Regional Medical Center has avoided readmission penalties for Medicare patients by launching a series of initiatives that tailor interventions to the individual patient.
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Take time to base the discharge plan on patients’ individual challenges
It’s a mistake to assume that every readmission could be prevented by better medical management. In fact, about half of all readmissions are attributed to social issues.
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Five years later, hospitals still struggle with readmissions
Despite the huge focus on reducing 30-day readmission rates, a majority of hospitals are still getting penalized.
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Providers must tread carefully if patient objects to caregiver
Recent racial controversies have prompted some risk managers to wonder how to respond if a patient objects to the race, gender, religion, or sexual orientation of a caregiver.
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Study suggests more training, support for nurses treating patients with behavioral health concerns
Caring for patients with behavioral health concerns presents a number of challenges in the emergency setting.
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New CM model strives for more efficient transitions
An efficient transition of care system can provide faster transitions from acute care facilities to skilled nursing facilities.
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Having states pass the revised Nurse Licensure Compact could help CMs
A new Nurse Licensure Compact would allow registered nurses or licensed practical/vocational nurses to possess a multistate license that permits them to practice in their home states and other NLC states.
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Here are some tips on helping CMs evolve into policy leaders
Case managers just need a little confidence and a big mission to become public policy leaders, experts say.
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Case managers are a natural fit for roles in public policy advocacy
Professional case managers make natural public policy advocates because of their broad knowledge of healthcare and their leadership experience.
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The Top 10 Mistakes You May Be Making In Your Case Management Department! Part 4
This month, we are continuing with the final three issues related to opportunities for improvement in how you structure and organize your case management department, as well as how things are operationalized by the staff.