Community Case Management
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EHR failures create havoc for hospitals
The wide adoption of electronic health records and other electronic systems inevitably means that healthcare facilities will have to cope with outages. Several facilities recently have experienced how much the failure of one of those systems can cripple a hospital.
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Mount Sinai leverages smartphone technology to boost ED care coordination
Using telemedicine in the care and treatment of stroke patients is widely used and accepted at this point; the approach facilitates quick access to expert consultations when time to treatment is a critical factor. However, some medical centers are finding that there are other ways to take advantage of telemedicine in the emergency setting, and they’re testing out methods to most effectively leverage its ability to connect with patients from a remote location.
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Case study in how CMs can help make ACOs successful
According to one accountable care organization, the key to success is to change the healthcare philosophy of intermittent and emergent care to an ongoing, coordinated care philosophy.
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Strategies for flexible case management in the ACO model
Accountable care organizations make it possible for case/care managers to help patients improve their health through creative and flexible solutions, particularly during transitions, experts say.
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Need for Case Managers Rises with the ACO Boom
The Affordable Care Act provides more opportunities for case management and greater demand for CM experts.
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Nurse fatigue a ‘huge’ threat to patient safety, but can be addressed
When fatigue is addressed in the healthcare workplace, attention often goes first to physicians and particularly medical residents who are sleep-deprived and overworked. Increasingly, risk managers are focusing on the patient safety threats posed by nurses and other staff members who are too tired to do their jobs properly.
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New type of ED unit focuses on the most critically ill patients, decompressing ED
Much of the discussion surrounding emergency medicine seems to focus on how to keep lower-acuity patients out of the ED, or at least how to move them through to discharge faster. While it is true that many EDs see a high percentage of low-acuity or fast-track patients, there are also EDs that are overwhelmed with patients at the other end of the acuity spectrum. The University of Michigan Health System’s (UMHS) adult ED in Ann Arbor is a case in point.
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Case management can work hand-in-hand with patient advocacy
As health systems, payers, employers, and even unions look for case management-style models for improving their populations’ health, some are hiring RNs to serve in a patient advocate role.
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Case managers work with doctors, other providers to improve care quality
Linking hospital providers with community physicians is challenging for transitional case management, but one organization has found that having the case managers look out for patients both in and out of the hospital helps keep hospital readmission rates at a low range — 3% to 5% — for a senior population.
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To improve population health, CMs find “it takes a community”
As the Affordable Care Act nudges health care organizations toward preventive care and efficient, holistic solutions, some case managers are finding that they can do more for their patients if they seek help from all available community resources.