Discharge Planning
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Ethical Responses if Family Abandons Loved One at Hospital
By leveraging their mediation skills, ethicists can build trust between weary family caregivers and clinicians who are unsure about how to handle a delicate situation. This can help everyone identify patient needs and find possible solutions.
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Shortage of Nursing Home Beds Prompts Creative Solutions
The nursing home crises of too few beds and not enough staff is expected to continue for the foreseeable future. Case managers, discharge planners, and transition of care leaders need to find alternative solutions that will keep patients safe and avoid unnecessary hospitalizations.
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Hospital-to-Nursing Facility Admissions Plunged for VA Patients from 2020 to 2021
The Veterans Health Administration’s community nursing home program reported a readmission decrease of more than one-third from April 12, 2020, to Dec. 26, 2020, when compared with the same period in 2019, according to the results of a recent study.
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Free Meals Available for Seniors, But Too Few Referrals from Case Managers
A lesser-known option to improve nutrition for older Americans is congregate meals, which are available in almost every American community. Case managers sometimes are unaware of this resource for both nutritious food and socialization, which both of which benefit seniors.
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How Food Pharmacies Serve Local Populations
The food pharmacy model is growing in popularity. Hospital Case Management offers this snapshot of several food pharmacy programs that have produced positive results for their target populations.
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Health Systems Turn to Food Pharmacies to Improve Nutrition
Solving community food insecurity could be as simple as opening a food pharmacy. Increasingly, population health efforts are turning to social determinants of health, including finding ways to overcome obstacles like food deserts and poor nutrition. New programs tackle the food insecurity issue by prioritizing nutrition and food access the same as medication — a necessary treatment for various chronic conditions.
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How Case Managers Can Prepare for Public Health Emergencies
Public health emergencies (PHEs) can happen at any time. If not handled correctly, PHEs can quickly throw a hospital and its staff into a tailspin. But if a hospital is adequately prepared for a PHE, it can benefit other healthcare partners and the community.
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Case Managers Can Prepare Families for Memory Care Placement
When patients with memory care needs are hospitalized, case managers often are the first — and sometimes only — point of contact to discuss transition options. When the transition includes moving into a memory care community, it is important for patients and their families to know what to expect.
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Hispanic Patients with Diabetes Need Better Care Transition Models
About one in 10 Americans are diagnosed with diabetes, and the Hispanic/Latino population is disproportionately affected. Their risk is higher — and their outcomes are worse — than the white, non-Hispanic population. Researchers designed a transition of care model and pilot to see if they could improve outcomes.
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Care Transitions Through ACHIEVE Study Score Points with Patients
Care transitions across organizations and the community require better collaboration and communication among providers and social service organizations, according to recent research. Patients benefited from improved collaboration. They reported feeling better supported and cared for by providers involved in a care transition project.