Community Case Management
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Shared Decision-Making Also Can Work with Patients’ Guardians
Patients often lack the cognitive capacity to make their own decisions. In those cases, a family member or another person might be legally appointed medical power of attorney or guardian.
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Tips for Coaching Patients to Talk with Doctors
Many patients find it challenging to speak with their physicians and ask questions. Case managers can serve as a go-between for patients and as an interpreter, teaching patients how to make the most of these doctor-patient encounters. -
Develop Best Practices for Shared Decision-Making
Case managers are learning more about how to include patients in their care transitions, as part of shared decision-making. The first step in shared decision-making is to assess the patient’s situation, followed by educating the patient about all facets of their self-care and health management. -
Hospital at Home Model Benefits from Traditional QI Approach
The Hospital at Home care model is gaining favor with hospitals and health systems as a way to provide hospital-level care in a patient’s home while lowering costs by almost one-third and reducing complications. The approach is receiving more attention now as a way to avoid asking patients to come to the hospital during the COVID-19 pandemic.
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Help Physicians, Nurses Overcome Fear of Seeking Assistance for Stress Relief
Stress has long been a serious problem for physicians and nurses, but the added burden of COVID-19 is bringing attention to a particular challenge: All too often, clinicians are reluctant to seek the support of their employee assistance programs and other mental health resources available to them. A primary reason they avoid seeking help is that they fear they will face negative repercussions at work, even losing their jobs, according to recent research.
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Tools Keep Tabs on Patients Remotely, Predicting Outcomes and Conserving Resources
Researchers developed an automated text messaging approach that can monitor patients who have been discharged from the ED. Other investigators have leveraged artificial intelligence to train an algorithm to help emergency clinicians better predict outcomes and manage resources.
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Patients with Diabetes Might Need Help Using Mobile Apps for Self-Care
New research suggests older patients with diabetes and depression are less likely to use a smartphone app to help with diabetes self-management. Self-care apps are an important tool, and use likely will increase as people become more comfortable using them.
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Post-Acute Care Transitions Were Problematic in Pandemic-Ravaged Areas
The continuum of care hit roadblocks in some U.S. cities as the COVID-19 pandemic made post-acute care transitions extremely challenging. In New York City, the epicenter of the pandemic in March and April 2020, case managers needed to transition patients from acute care beds quickly, but had to adjust to surge obstacles to their usual post-acute options, according to the results of a recent study.
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Military Service Can Be a Social Determinant of Health
It may help case managers identify obstacles and problems for patients who are serving or have served in the military if they view this service as a social determinant of health, a researcher suggests. Veterans struggle with many of the same social determinants of health as non-veterans, including housing instability, gambling, substance use, depression, food insecurity, and post-traumatic stress disorder.
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Hospital Cuts COPD Readmission Rates with Bundle Checklist
The development of a bundle checklist for patients with chronic obstructive pulmonary disease has helped a Maryland hospital sharply reduce its readmission rates for these patients. Overall care quality improved for these patients while admitted.