Community Case Management
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Intensive Care Management Works with Complex Medicaid Population
One way to reduce costs among a population of high-cost, high-utilization Medicaid patients is to use intensive care management. In a study of an intervention involving a nonprofit organization that provides integrated care to complex patients, investigators found a reduction of more than $1,900 in total medical expense per member per month.
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Possible Solutions to Poor Interhospital Transfers
Interhospital transfers can be frustrating to nurses and lead to worse outcomes for patients, research shows. But hospitals can take steps to improve the process and reduce risks for patients. The first step is to eliminate unnecessary transfers.
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Better Care Coordination Needed for Interhospital Transfers
Interhospital transfers can be challenging and frustrating for nursing staff — and sometimes dangerous and tragic for patients and their families. Health systems should pay more attention to how these transfers are handled and work to improve communication between sending and receiving hospitals.
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Primary Care Is on Life Support, But Case Management Could Be Antidote
Primary care is facing decline due to financial factors and clinician burnout. One solution is to assign case managers or care coordinators to primary care offices to improve communication between primary care providers, hospitals, and other healthcare entities.
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Housing Instability Associated with Longer Hospital Stays, Higher Costs
New data reveal some insight on a key social determinant of health.
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Healthcare Teams Want Transparency, Recognition from Leaders During Crises
When researchers studied how COVID-19 surges affected teamwork, they found something essential and seemingly innocuous: Frontline staff, including care coordinators, wanted face time with their leaders.
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Research Shows How Teamwork Changed During the COVID-19 Pandemic
The COVID-19 crisis response relied on interprofessional teamwork. But for care coordinators and pharmacists, the team experience during the pandemic was far from optimal, according to a recent study.
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Hospital Initiative Reduces 30-Day Readmission Rate for Heart Failure
A hospital’s heart failure pilot program showed great promise when it launched in late 2019, but is ready for a reboot in the post-pandemic era. The program led to a double-digit drop in the 30-day readmission rate for heart failure patients.
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Focus on Social Determinants of Health Informs Hospital Discharge Practices
Health systems continue to address social determinants of health in their post-discharge care for patients. Case managers are on the forefront of this trend.
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Age-Friendly Health System Initiative Improves Care Coordination
A new age-friendly initiative is a model focused on providing evidence-based care coordination to older adults and their caregivers. The goal is to train clinics to provide care that addresses what matters most to patients and their families.