Community Case Management
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Large Medicare Data Study Shows Big Benefits with Primary Care Follow-Up
New research shows Medicare patients who are hospitalized with a condition that could require emergency general surgery are far less likely to be readmitted if they receive follow-up care with a primary care provider within 30 days of discharge.
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Standardized Care Protocols at SNFs Improve Hospital Readmission Rates
New research shows how standardized care protocols can improve care and reduce readmission rates for patients with chronic conditions in skilled nursing facilities.
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How the PSA Handoff Form Works
The Patient Safety Attendant Handoff Form includes patient information and SBAR boxes for PSAs and nurses to communicate.
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Nurses Develop Successful Handoff Tool for Patient Safety Attendants
Nurse residents and co-investigators created and successfully tested a simple communication tool, called Patient Safety Attendant Handoff Form, that helps improve safety and care quality for patients with personal safety attendants.
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Paramedicine Program Chips Away at High ED Use, Links Patients to Appropriate Care
Chicago-based Medical Home Network is partnering with community paramedics at the Chicago Fire Department on a program aimed at helping patients manage their chronic conditions and appropriately navigate the health system. The program is focused on steering patients away from calling 911 or presenting to EDs with nonurgent care needs.
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A Fresh Approach to Helping High-Needs Patients Who Repeatedly Use the ED
Care providers treat frequent ED visits as a symptom rather than the problem itself.
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Ensuring Compliance in Case Management Is Critical
Many compliance issues in the CMS Conditions of Participation for utilization review and discharge planning need attention. Ensuring compliance is critical for improving patient care, preventing financial penalties or sanctions, and avoiding trouble with governmental authorities by identifying and correcting compliance issues early.
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Consider the Burden for Those Caring for Older Trauma Patients
Family caregivers of older people who have experienced a serious fall or another traumatic event sometimes are unprepared for the role. The authors of a recent study found close to one-third of family caregivers of older trauma patients experience high caregiver burden up to three months after the patient’s discharge.
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Pandemic-Era Care Transitions Led to ED Overcrowding
Researchers found that adult patients who visited EDs in a North Carolina health system between March 1, 2020, and March 1, 2022, faced significantly longer stays if they were transitioned from the ED directly to a skilled nursing facility (SNF) instead of transitioning to a hospital bed and then to a SNF.
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Targeted Case Management Helps Patients Experiencing Homelessness
The lack of affordable housing is a crisis affecting Americans in all age groups, in every city, in every state. Nearly half of Americans say finding affordable housing in their community is a major problem, according to Pew Research. A case management model in Philadelphia helps a local homeless population by connecting people with the healthcare they need as well as finding them stable housing.