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Examples of financial outcomes measures include length of stay (LOS), cost per day, cost per case, and third party payer denials.
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[Editor's note: This month we include the first part of a two-part series on demonstrating the value of case management to your organization. We cover metrics to measure and goals for your department. In next month's issue, we'll continue with examples of benchmarking and case management report cards.]
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As part of its efforts to increase patient satisfaction and reduce length of stay, City of Hope reorganized its case management department, assigning case managers by unit and assigning all utilization review activities to a dedicated staff of registered nurses.
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At New England Baptist Hospital, in Boston, social workers meet most patients at the pre-admission screening appointment. A case manager follows up with at risk patients after discharge to make sure they have a smooth transition home.
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It happens again and again at hospitals across America. A new case manager joins a department and receives minimal on-the-job training from another case manager who is trying to do his or her own job at the same time.
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Quality outcome metrics, compiled for the entire organization, include readmissions, discharge/disposition delays, delays in service/turnaround time, patient satisfaction, and inappropriate admissions.
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A medical student is participating in a complicated abdominal surgery by holding a retractor. He was up all night the previous night. He falls asleep and slides down to the floor. A nurse drags the student out of the way, and a resident takes over the retractor.
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John H. Eichhorn, MD, anesthesiologist at UK Chandler Medical Center and professor at the University of Kentucky, both in Lexington, has been named a recipient in the annual John M. Eisenberg Patient Safety and Quality Awards from the National Quality Forum (NQF) and The Joint Commission.
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Outpatient surgery managers going through accreditation by The Joint Commission and Accreditation Association for Ambulatory Health Care (AAAHC) say the surveyors are targeting two primary areas.