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Care Managers Who Are Social Workers Make Magic Happen for Complex Patients

A prevention-focused care management program successfully reduced hospital admissions and ED visits among a vulnerable population.

Mental Health Crises and Suicide Rates on the Rise

The United States is experiencing a suicide and mental health crisis that national data show is worsening.

Conflicts on Discharge Decision: Home or Skilled Nursing Facility?

Discharge to a skilled nursing facility is sometimes recommended in order to ensure continued independent community living for frail patients. Conflicting views as to what is best for the patient sometimes raise ethical concerns.

Hospitals Take Social Determinants of Health Beyond Theory, Put Data to Use

The healthcare community is gradually accepting that social determinants of health can improve quality of care. Finding a way to apply the data can be difficult, but several hospitals and health systems are showing how it can be done.

Training Program Helps Create Stable Case Management Workforce and Workflow

Training new case managers sometimes takes a team approach and can involve education, training, mentoring, and follow-up for six months to a year.

Care Connectors Help Close Gaps With Medicaid Population

When gaps in care reports began popping up, leaders at Alcona Citizens for Health knew something had to be done. The deficiencies were due to inadequate staffing, inconsistent workflow, and knowledge deficits in using the electronic medical record.

What Case Managers Can Expect From Medicare’s 2019 OPPS

The new Medicare 2019 Hospital Outpatient Prospective Payment System final rule focuses on patient-driven healthcare, acknowledging the importance of addressing social determinants of health.

Some States Provide Funding When SDOH Used to Improve Quality

One health system is finding that the state it operates in is willing to support the use of social determinants of health to address health issues affecting the community.