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With the lack of contributions from vendors to provide free surgery for uninsured patients, one center set up a donor-advised fund in a community foundation so that 100% of donations go toward the free surgeries.
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The pharmacy at Strong Memorial Hospital in Rochester, NY, fills about 75% of the prescriptions that patients are given at discharge.
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Having pharmacists on the multidisciplinary team can help ensure that patients progress well in the hospital and that they follow their medication plan at home and avoid emergency department visits or readmissions.
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At The Nebraska Medical Center in Omaha, pharmacists are part of a multidisciplinary team and see many patients in person starting on Day 1.
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When hospitals determine after discharge that a patient did not meet inpatient criteria, they can file a provider liable claim using Condition Code W2 and be reimbursed for all services as if the patient were an outpatient, according to Deborah Hale, CCS, CCDS.
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Mountain State Health Alliance opened a free heart failure clinic after determining that patients' inability to get a timely follow-up appointment and financial issues were the cause of many readmissions.
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Case managers are working long hours and most get only cost-of-living raises.
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To alleviate the problem of social admissions from the emergency department, Northeast Medical Center in Concord, NC, established an ED case management staff and made arrangement with local assisted living facilities to admit patients directly from the ED.
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Before Thomas Hospital in Fairhope, AL, redesigned its case management program, nurses from two separate departments social services and utilization review performed case management-type functions. In 2002, the hospital hired a division director to redesign its case management program and oversee the social work, discharge planning, and utilization review functions.
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The Joint Commission on Accreditation of Healthcare Organizations has slashed the number of standards in the 2004 hospital accreditation program from 508 to 225 as part of the agencys Shared Visions, New Pathways initiative.
