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Community Case Management

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  • Dual-Eligible Medicare Advantage Plans Can Reduce Hospital Admissions

    As U.S. healthcare providers shift to value-based care, they need to keep up with various governmental funding plans that could increase options for patients. For example, some states create opportunities for dual-eligible beneficiaries to join Medicare Advantage Dual-Eligible Special Needs Plans and Medicaid plans operated by the same insurer. Researchers suggest these plans can decrease inpatient admissions and nursing home admissions.
  • Case Management Collaboration with Other Service Providers Needed

    HIV case managers have worked with fewer resources in recent years. This suggests they could best help their patients if they collaborate with other service providers. The results of a new study suggest case managers and other providers need greater awareness of each other’s expertise and understanding of the communities they serve. This allows them to collaborate with other agencies in making referrals and developing programs.
  • Simulation-Based Intervention Trains Home Caregivers

    The results of a new study suggest the use of a psychoeducational interventional training model can improve education for family caregivers of patients with cancer. The training program uses simulation to enhance skills training.
  • Caregivers Play Expanded Role in Case Management

    As the influence of value-based care increases, healthcare providers are learning that training and supporting family caregivers is crucial to patients maintaining optimal health. The results of a new study show providers can train family caregivers of patients with cancer by using a simulation-based intervention for care.
  • Medicare’s Bundled Payment Program Could Improve Cost Calculations

    The results of a new study suggest Medicare spending on healthcare in its Bundled Payment Program could be improved by calculating target prices as accurately as possible. Case management and other resources could become more effective and efficient.
  • COVID Watch Text Program Enhances Case Management and Monitoring of Patients

    The University of Pennsylvania’s new texting program, called COVID Watch, could play a key role in the future of monitoring COVID-19 patients after discharge. The program sends automated text messages in English and Spanish twice a day for 14 days, asking patients if their symptoms are better, the same, or worse.
  • Hospitals and Case Managers Improve Care Transitions for COVID-19 Patients

    After 18 months of the COVID-19 pandemic, hospitals are learning how to efficiently and safely transition these patients to community settings. For example, one study showed an ED and hospital patient throughput management program can save hundreds of hospital patient days after discharge from the ED or observation unit stays.
  • Editor’s Note

    We are excited to announce Hospital Case Management will now be expanded to include content from Case Management Advisor, bringing you even more relevant content and continuing education at no additional cost.
  • Rapid Mortality Reviews Improve Quality and Patient Safety

    Staff at a California hospital found rapid mortality reviews conducted soon after a patient death resulted in the treatment team identifying opportunities to improve the patient’s care in more than 40% of the cases. The team conducting the rapid mortality reviews concluded this technique can offer advantages over the standard retrospective case reviews, provider surveys, and structured morbidity and mortality conferences.
  • COVID-19 Pandemic Put Pioneering Capacity Command Center to the Test

    No knew the world would be in the grips of COVID-19 in 2016. That is when Johns Hopkins Hospital unveiled a first-of-its-kind Capacity Command Center (CCC), a high-tech control room designed to apply all the latest analytical tools to bed management, patient transfers, and surge planning. CCC leaders have spent the last five years working around the clock to optimize patient flow and anticipate any potential bottlenecks. But there is no question the concept has been put to the test by pandemic conditions. How did it fare?