Community Case Management
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Stroke Patient Navigator Prevents 30-Day Readmissions
A stroke nurse navigator team can prevent 30-day readmissions in stroke patients treated with thrombolysis, investigators found. A health system’s 30-day readmission rate was 13.6% before it began to use a stroke nurse navigator. The rate declined to 6.9%. Patients with the stroke nurse implementation were 67.6% less likely to be readmitted within 30 days compared to patients without the navigator.
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How Case Managers Can Help Victims of Trafficking
Case managers can learn skills and tactics for helping patients who have been trafficked. For example, investigators used an online training module to educate ED staff about human trafficking. Participants reported more confidence in identifying a possible human trafficking victim, noting they were more likely to screen patients for human trafficking.
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Screening and Documenting Cases of Human Trafficking Are Important, But Carry Risks
Human trafficking is a critical issue from a public health perspective. It has lasting psychological and physical effects on victims. There is too little information about how prevalent human trafficking is in the United States and how often the victims are seen in healthcare settings. Case managers, hospitals, and ambulatory providers could improve the data by documenting suspected or confirmed human trafficking cases via Z codes.
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Case Managers Could Use Z Codes More for Patient Care and QI
Case managers, providers, and health systems underuse ICD-10 Z codes eight years after they were introduced. These codes could provide a wealth of data to researchers and case management quality improvement projects. They still hold promise to be a way for providers to collect reimbursement for their work to help patients with their social determinants of health.
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Multidisciplinary Initiative Leads to More Referrals, Donors, and Transplanted Organs
Staff training and more visible public awareness helped a Georgia hospital make tremendous improvements.
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Community Members Help Train Research Staff
At Tufts Clinical and Translational Science Institute, research staff learn how to provide informed consent by working with community members acting as simulated prospective study participants in role-playing exercises. More than 40 community members, researchers, patients and families, and healthcare providers offer feedback and help develop training.
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Ethical Discharge Planning for Victims of Violence
Decision-making in these cases always is going to be somewhat subjective. Physicians must rely on clinical judgment, along with available resources and information. What is important is to make the decision using an ethical framework.
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For Clinicians, Discharge Safety Is a Growing Ethical Concern
Clinicians are asking if a discharge is plan ethical, indicating distress over what they consider to be unsafe discharges. Healthcare providers create a treatment plan based on what they believe is in the patient’s best interest. For various reasons, sometimes the plan is just not feasible.
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Encouraging Clerical Support for Case Managers
Case managers perform a varied and full load of tasks each day, but is each one equally worthy of their time? It is becoming more valuable for case managers to consider requesting clerical staff to assist with tasks that do not require the skills of an RN or social worker.
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Standardizing Patient Loads for Case Managers
In most clinical disciplines, a standardized caseload is the norm and has existed for quite some time. However, that is not the norm in case management. There has not yet been a standard, agreed-upon caseload, and that often has meant case managers are spread thin with too many patients or excess work.