Community Case Management
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Ethicist: Case Managers Can Fairly and Ethically Handle Patient Refusal to Discharge
In this Q&A, Trevor Bibler, PhD, MTS, assistant professor at the Center for Medical Ethics and Health Policy at Baylor College of Medicine, explains the ethical dilemma of transitioning patients who refuse to leave the hospital. -
More Patients Are Refusing Discharge
The COVID-19 pandemic caused unprecedented bottlenecks in moving patients through the care continuum. But more patients are simply refusing to be discharged from hospital beds. -
As Call to Address Disparities Grows Louder, Prescriptions for Improvement Emerge
Frontline providers see patients from disadvantaged communities present with problems that might have been prevented with earlier or better-quality care. However, recently suggested because of the hectic pace of busy EDs, emergency providers may be susceptible to letting bias seep into their decision-making. Thus, researchers contended it is important for emergency clinicians to be aware of potential biases and how they contribute to inequities.
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Legal Exposure if EMS Are Noncompliant with Stroke Guidelines
If clinicians miss a stroke diagnosis or delay care for that condition, plaintiff attorneys are going to scrutinize everything ED providers could have done differently. However, whatever problems there are or were all could have started well before the patient arrived at the facility. In fact, most patients receive prehospital stroke care from EMS that is noncompliant with American Stroke Association guidelines.
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Post-COVID-19 Behavioral Health for Patients and Providers
Questions about mental and behavioral health have been at the forefront of many minds, especially as the COVID-19 pandemic continues. Of course, the problem did not start with COVID-19. -
Best Practices in Utilization Management
Ideally, the case manager’s utilization management role integrates discharge planning, care coordination, and resource management. It takes place on the unit where the case manager can interact directly with the care delivery team. It also is important for departments and hospitals to develop policies for utilization management procedures at the outset. -
Dementia Model Can Help Patients with Alzheimer’s
Patients with dementia face barriers to care, particularly for underserved communities. One possible solution is a community-based partnership approach and expansion of existing institutional and local resources. -
How a Transitional Care Leader’s Organization Survived the Pandemic Chaos
In this Q&A, Hospital Case Management asked Vera Usinowicz, APN-C, supervisor of The Center for Comprehensive Heart Failure Care at The Valley Hospital in Ridgewood, NJ, to discuss how her transitional care unit kept heart failure patients out of the emergency department and hospital during the COVID-19 pandemic. -
Stroke Care Transitions Program Benefits from Social Work Case Managers
When social workers helped stroke patients and their caregivers transition from the hospital to home, these case managers found some anecdotal benefits over a 90-day period. -
Updates to Hospital Value-Based Purchasing
The Centers for Medicare & Medicaid Services (CMS) released updates and changes to its Hospital Value-Based Purchasing Program. In response to the public health emergency, CMS is suppressing certain measures for 2022.