Community Case Management
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Telehealth Intervention Provides Solutions for Era of Social Distancing
A recent study revealed how healthcare organizations can design a telehealth pilot program for elderly and at-risk populations with long-term health conditions. Researchers found that using the Model for Developing Complex Interventions in Nursing, healthcare providers could design a multifaceted telehealth intervention to minimize reinstitutionalization of people with multiple chronic conditions.
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COVID-19 Devastates At-Risk Populations
The COVID-19 pandemic appears to have a devastating effect on people with chronic diseases or who are immunosuppressed, are older, or obese. In other words, the people most at risk of serious illness from the disease are the same people case managers help each day. Case managers should focus more on remote case management, taking the pandemic into account as they contact and monitor patients.
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Revisiting the 5 Domains of High Reliability
For the past several years, there has been a keen focus in healthcare on high reliability, the idea of operating in such a way as to prevent or avoid serious harm or mistakes. But how does the concept translate into actions that clinicians and administrators can use to make progress?
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Digital Chatbot Helps Guide Patients Through Hospital Care
Banner Health is using “chatbots” in some of its EDs to help guide patients through the care process and improve satisfaction. Patients can interact with the chatbot in a conversational style on their cellphones to ask questions and stay informed about schedules, lab statuses, and other aspects of their experience.
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Can Telemedicine Deliver High-Quality Geriatric Care to Rural EDs?
More than 100 U.S. EDs that have achieved some level of credit through the Geriatric Emergency Department Accreditation (GEDA) program. These EDs have taken specific steps to better meet the needs of older patients who present to the ED according to Geriatric Emergency Department Guidelines, established in 2013. However, recognizing that smaller, rural hospitals often do not have the training or resources to meet GEDA standards, researchers are determining if telemedicine technology can be leveraged to make this accreditation available to these facilities.
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Study Highlights Effects of Case Management on Reducing Readmissions
A recent study revealed that case management programs helped improve hospital quality and led to reductions in hospital readmission rates. Hospitals that collaborated with home health agencies, used telehealth, or made house calls experienced lower readmission rates related to pneumonia. Case management services and referrals to home health agencies were among the main factors that affected readmission rates.
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Program Targeting Skilled Nursing Facilities Reduces Readmission Rates by 25%
A study from Mount Sinai Health System in New York City revealed that 25% of patients who were transitioned to a skilled nursing facility (SNF) returned to the hospital within 30 days. The organization employed case management solutions to achieve a 20% reduction in the 30-day readmissions from SNFs.
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Maternal and Infant Health Need Science-Based Case Management Plan
Evidence-based recommendations to prevent preterm births include assessing patients’ risk levels and considering a variety of potential complications and health problems.
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Maternity Case Managers Can Help Patients and Reduce Costs
American women who are pregnant or have just given birth are dying at a rate higher than most high-resource nations, and the morbidity rate is three to four times greater for black women. Their death rate is equivalent to pregnant women in less affluent nations, including Mexico or Uzbekistan. Maternity case managers can help prevent pregnant women from experiencing health crises and help keep their infants out of the neonatal ICU. Case management helps promote better education about the risks of preterm births.
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IHI Provides Practical Steps for Reducing Morbidity and Mortality From Opioids
The Institute for Healthcare Improvement has collaborated with the Boston Medical Center to provide a set of best practices for reducing morbidity and mortality related to opioid use disorder, focusing on practical steps that can be taken immediately. Simply reducing the number of opioid prescriptions is not enough, the report authors wrote.