Community Case Management
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Challenges in Accessing Resources Lead to ED Psychiatry Consults
Difficulty identifying the “right” level of care for patients, understanding how insurance plays a major role in post-ED care options, and needing help with the operational process of making referrals to outside treatment facilities all are administrative and bureaucratic headaches with which clinicians could use assistance.
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Ethical Problems with Rural Cancer Patients’ Access to Care
Patients and clinicians should discuss any available data regarding differences in care delivered at potential treatment sites, potential accompanying outcomes differences, and the costs and benefits of pursuing treatment at each site. Rural patient navigators should be involved in this discussion, considering the complexity of care coordination for patients with cancer.
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Trauma Patients at Risk for Developing Opioid Use Disorder
Better identification and referral of patients with opioid use disorder could enhance the quality and continuity of care these patients receive, while also reducing reliance on EDs and the crowding that ensues.
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Ethical Responses if Family Abandons Loved One at Hospital
By leveraging their mediation skills, ethicists can build trust between weary family caregivers and clinicians who are unsure about how to handle a delicate situation. This can help everyone identify patient needs and find possible solutions.
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Shortage of Nursing Home Beds Prompts Creative Solutions
The nursing home crises of too few beds and not enough staff is expected to continue for the foreseeable future. Case managers, discharge planners, and transition of care leaders need to find alternative solutions that will keep patients safe and avoid unnecessary hospitalizations.
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Hospital-to-Nursing Facility Admissions Plunged for VA Patients from 2020 to 2021
The Veterans Health Administration’s community nursing home program reported a readmission decrease of more than one-third from April 12, 2020, to Dec. 26, 2020, when compared with the same period in 2019, according to the results of a recent study.
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Free Meals Available for Seniors, But Too Few Referrals from Case Managers
A lesser-known option to improve nutrition for older Americans is congregate meals, which are available in almost every American community. Case managers sometimes are unaware of this resource for both nutritious food and socialization, which both of which benefit seniors.
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How Food Pharmacies Serve Local Populations
The food pharmacy model is growing in popularity. Hospital Case Management offers this snapshot of several food pharmacy programs that have produced positive results for their target populations.
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Health Systems Turn to Food Pharmacies to Improve Nutrition
Solving community food insecurity could be as simple as opening a food pharmacy. Increasingly, population health efforts are turning to social determinants of health, including finding ways to overcome obstacles like food deserts and poor nutrition. New programs tackle the food insecurity issue by prioritizing nutrition and food access the same as medication — a necessary treatment for various chronic conditions.
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Biden Administration Pushes for Skilled Nursing Facility Ownership Transparency
A CMS proposal calls for stricter enforcement of an existing rule tucked into the Affordable Care Act.