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(Editor's note: This issue includes the first part of a two-part series looking at the problem of staffing keeping silent when danger looms. This month we discuss the recently released report The Silent Treatment. We examine why staff don't speak up and how to address that problem. In next month's issue, we offer four recommendations to create a culture in which people speak up effectively about concerns.)
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It's a new era for hospitals and for case managers as a multitude of auditors from the Centers for Medicare and Medicaid Services (CMS) and commercial payers scrutinize patient records looking for errors.
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To maintain stability and effectiveness in meetings, the following steps should be considered.
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The devil is in the details when it comes to convening a successful interdisciplinary meeting.
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It is expected that metrics will be available so that the contributions of case management are quantified, as outlined by Toni Cesta, PhD, RN, FAAN, senior vice president, Lutheran Medical Center, Brooklyn, NY, in her April 2011 Case Management Insider article "You're only as good as yesterday's discharges Strategies to demonstrate case management's value."
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An employee at the St. Louis VA Medical Center identified spots on surgical trays prior to surgeries on Feb. 2, 2011.
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After working with a consultant to determine how to improve clinical documentation, the care coordination department at Wake Forest Baptist Medical Center in Winston-Salem, NC, revamped its clinical documentation program, adding more staff and shifting the team from unit-based to service-based.
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When Stony Brook University Medical Center presented an educational program to its urology staff about the importance of using the correct terms in documentation, the physicians pointed out that in medical school, they learned to write "urosepsis" on the chart for patients who had developed sepsis from a severe urinary tract infection, according to Catherine Morris, RN, MS, CCM, CMAC, executive director of care management and clinical documentation improvement administrator at the 591-bed regional hospital in Stony Brook, NY.