Community Case Management
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International Discharges Create Chaos and Inspire Creativity for Case Managers
Case managers and discharge planners in every state sometimes encounter the most challenging and frustrating of cases: the international discharge. Hospital Case Management asked Judith R. Sands, RN, MSL, BSN, CPHRM, CPHQ, CCM, ARM, a clinical consultant and author of Home Hospice Navigation: The Caregiver’s Guide, to answer a few questions about best practices in handling these unique care transition cases.
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Care Coordination and Communication Needed Between Transplant Providers and Primary Care
Cirrhosis affects a small percentage of the U.S. population. But it is a highly complex disease that leads to high hospital readmission rates and a higher cost per patient than found in heart failure and COPD. Investigators found care coordination and efficient communication between providers can optimize care. Telehealth can help patients, particularly for return visits.
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Case Management Challenges in the Emergency Department
Hospital case management already is unique. But carrying out this role in the ED brings even more challenge and intensity to bear. It also affects operations and well-being in the rest of the hospital.
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For Clinicians, Discharge Safety Is a Growing Ethical Concern
More often, clinicians are asking ethicists questions such as, “Is this discharge plan ethical?” It seems clinicians are distressed over what they consider to be unsafe decisions. Clinicians 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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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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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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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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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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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.