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In the last two issues of Case Management Insider, we reviewed the roles and functions most often associated with the work of case managers in the acute care setting.
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As part of the efforts to ensure that admissions are appropriate, Covenant Health System, with headquarters in Knoxville, TN, is conducting a pilot project to test the effectiveness of having utilization managers review patients admitted to the hospital, and work with the admitting physician to decide whether the patient should be admitted or receive observation services as an outpatient.
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As the Centers for Medicare and Medicaid Services (CMS) continue to increase its focus on discharge planning, case managers need to pay more attention than ever to ensuring that patients have the information they need to make informed choices about their discharge destination, says Jackie Birmingham, RN, MSN, MS, nurse educator/consultant in discharge planning and vice president emeritus, clinical leadership at Curaspan Health Group, a Newton, MA, healthcare consulting firm.
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Frail elderly patients are able to stay in their homes, thanks to home visits by an interdisciplinary team from Boston University's Geriatric Service at Boston Medical Center.
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A study by the US Department of Health and Human Services' (HHS) Agency for Healthcare Research and Quality (AHRQ) found that e-prescribing is safe and effective, but still faces many barriers to widespread use.
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In the 25 years since the Picker Institute was founded to focus on patient-centered care, the organization has specialized in talking about the positive part of healthcare the things that should always be done that benefit the patient and family rather than about those never events that make headlines.
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A RAND study released in December looked at the use of performance measures and the barriers to using them.
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In the first weeks after The Joint Commission and SGS Group announced they would be offering joint accreditation and ISO certification to interested hospitals, SGS reported a fourfold increase in calls from hospitals curious about what ISO could do for them.
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Many times it takes significant changes in processes and/or policies to effect improvements in quality performance.
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A report from the Health and Human Services' Office of Inspector General released at the end of October concluded that the Centers for Medicare & Medicaid Services isn't addressing some of the serious events that happen in hospitals or letting The Joint Commission know about them in a timely manner.
