Community Case Management
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ED Hospice Referrals Improve Care and Shorten Length of Stay
Many ED patients who could benefit from hospice care are instead admitted to the hospital. This is largely due to a lack of time and resources in EDs to arrange for hospice care.
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Communicating the Case Manager’s Value
Although case management has been around for decades, the profession itself remains widely misunderstood and undervalued. In the hospital, providers might assume that the case manager only handles discharge planning, when in reality the profession has evolved to so much more than that.
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NICHE Practice Model Helps Improve Care of Older Adults
Nurses Improving Care for Healthsystem Elders (NICHE) is a geriatric care model that targets expert nursing practice at the bedside of older adults. The NICHE model helps organizations meet national quality goals set by the Centers for Medicare & Medicaid Services. It focuses on closing gaps in clinical care by enhancing nursing workforce skills for care of older adult patients.
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Age Is Not a Risk Factor for the Oldest Patients with COVID-19
Are patients hospitalized for COVID-19, who are younger than 65 years of age, at less risk of serious outcomes than are similar patients who are older than 85 years of age? New research provides an answer that may surprise many clinicians: Metabolic syndrome measures are a major predictor of outcomes, but chronological age is not a relevant risk factor for poor outcomes attributed to COVID-19.
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Care Coordination Screening Tool Helps Case Managers Spot Delirium
Case managers and other healthcare providers can improve overall patient care and outcomes using an assessment tool that identifies patients’ delirium and confusion. A health system found that a confusion assessment tool helped decrease hospital length of stay and reduced utilization.
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Foster Children Experience More Health Disparities Compared to Other Low-Income Youth
Foster youth are a vulnerable group that needs more attention and better care coordination when seen in hospitals and community provider settings. This population experiences health disparities when compared with other Medicaid-enrolled children, according to a recent study.
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Artificial Intelligence Can Help Create Patient-Friendly Discharge Summaries
Researchers found success using artificial intelligence to create a new care transition product — an easy-to-read discharge summary. The new product took the writing to a 6th-grade level from an 11th-grade level and scored higher on a key assessment tool.
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Human Contact Matters in Text Messaging Care Coordination Program
The results of a recent study revealed that a post-discharge texting program can greatly reduce readmissions and revisits. But there was a surprising finding: It can make patients happy or satisfied, as indicated by patient feedback on the program.
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Addressing Food Insecurity in the ED
Screening ED patients for food insecurity is not particularly difficult or time-consuming, but intervening to address the problem can be complicated by various factors.
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Monthly Calls Dramatically Cut ED Visits by Super-Users
Researchers at a Virginia hospital conducted a quality improvement project to get frequent ED visitors the care they needed and keep them out of the ED. The researchers identified the 50 top super-utilizing patients at Sentara Norfolk General Hospital’s ED in 2020 and contacted them about enrolling in a chronic care management program.