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It will be no surprise to quality professionals that research shows that patients who lack the skills and confidence to manage their own healthcare often require more of it and incur higher healthcare costs.
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The Hospital Engagement Network (HEN) a joint effort of the American Hospital Association and the Health Research and Educational Trust released its annual report last month, showing some slow progress on key quality metrics, but a lack of progress on many of the goals touted by the organization.
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Sometimes the best lessons come when things do not work out as planned. Nathan Rozeboom, RN, MPH, CCRN, a nurse manager at Harborview Medical Center in Seattle, learned that in the aftermath of a project for his master's degree three years ago. At the time, he was assistant manager in a neuro intensive care unit.
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On January 30, the Centers for Medicare & Medicaid Services (CMS) announced a delay until Oct. 1, 2014, in post-payment Recovery Audit Contractor (RAC) audits of hospital admissions to determine compliance with the contentious "two midnight" rule.
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Tampa General Hospital has created a fund that case managers can use to pay for post-discharge services for unfunded patients when there is no other option.
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A predictable, yet perhaps unwanted, change went into effect on Oct. 1, 2013.
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By making personalized recorded discharge information and educational videos available to patients by telephone or computer, Cullman (AL) Regional Hospital has reduced 30-day readmissions by 15% and increased scores on the discharge section of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) by 63%
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Florida Hospital East Orlando has developed a transitional care program for uninsured patients to coordinate their healthcare needs as they move from the hospital to home.
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Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients.