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Its no longer enough for case managers to create a discharge plan and forget about the patient as soon as he or she is out the door, advises Jackie Birmingham, RN, BSN, MS, CMAC, vice president emerita of clinical leadership for Curaspan Health Group, a Newton, MA-based transition management software company.
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When the Centers for Medicare & Medicaid Services (CMS) changed the way in which it would reimburse hospitals based on the number of Medicare 30-day readmissions they had, hospitals began a long journey of discovery.
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By analyzing heart failure readmissions and collaborating with post-acute providers and community organizations, Essentia Health-St. Josephs Medical Center in Brainerd, MN, cut its readmission rate from 18% to a low of 6%.
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Using a Centers for Medicare & Medicaid Services Innovation grant, Beth Israel Deaconess Medical Center in Boston launched a program to prevent readmissions.
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Nurses are at high risk of stress caused by work-family conflict (WFC) partly because of the physical and emotional demands of their long shifts. One solution could be to permit some worker self-scheduling, an expert says.
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The discharge planning worksheet that surveyors will use to assess hospitals compliance with Medicare Conditions of Participation highlights the need for case managers to be more proactive in discharge planning and identifying the right post-acute setting in a timely fashion, says Laura Jacquin, RN, MBA, managing director for Huron Healthcare, a Chicago-based consulting firm.
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The Centers for Medicare & Medicaid Services is increasing its emphasis on discharge planning and has developed a worksheet for surveyors to use to determine if hospitals are in compliance with the Conditions of Participation.
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Nothing changes, nobody cares. That bleak title of a recent journal article tells the story of workplace violence through the eyes of emergency room nurses.
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In a just-released report, the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) found that outpatient surgical procedures that do not pose significant risk to patients performed in ambulatory surgery centers (ASCs) have saved Medicare more than $1 billion in each of the last several years.
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The Centers for Medicare & Medicaid Services (CMS) has announced that it will delay implementation of the new quality reporting measure ASC-11, Cataracts: Improvement in Patients Visual Function within 90 Days Following Cataract Surgery, until Jan. 1, 2015, according to the Ambulatory Surgery Center Association (ASCA).
