Discharge Planning
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Better Care Coordination Needed for Interhospital Transfers
Interhospital transfers can be challenging and frustrating for nursing staff — and sometimes dangerous and tragic for patients and their families. Health systems should pay more attention to how these transfers are handled and work to improve communication between sending and receiving hospitals.
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Primary Care Is on Life Support, But Case Management Could Be Antidote
Primary care is facing decline due to financial factors and clinician burnout. One solution is to assign case managers or care coordinators to primary care offices to improve communication between primary care providers, hospitals, and other healthcare entities.
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Confusion Over ED Instructions Remains Unaddressed Even After Discharge
There is an opportunity to make the ED a place where people feel heard and like they received what they needed, which is especially important because the ED is a crucial point of contact for some historically underserved populations.
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Healthcare Teams Want Transparency, Recognition from Leaders During Crises
When researchers studied how COVID-19 surges affected teamwork, they found something essential and seemingly innocuous: Frontline staff, including care coordinators, wanted face time with their leaders.
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Research Shows How Teamwork Changed During the COVID-19 Pandemic
The COVID-19 crisis response relied on interprofessional teamwork. But for care coordinators and pharmacists, the team experience during the pandemic was far from optimal, according to a recent study.
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Hospital Initiative Reduces 30-Day Readmission Rate for Heart Failure
A hospital’s heart failure pilot program showed great promise when it launched in late 2019, but is ready for a reboot in the post-pandemic era. The program led to a double-digit drop in the 30-day readmission rate for heart failure patients.
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Focus on Social Determinants of Health Informs Hospital Discharge Practices
Health systems continue to address social determinants of health in their post-discharge care for patients. Case managers are on the forefront of this trend.
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Age-Friendly Health System Initiative Improves Care Coordination
A new age-friendly initiative is a model focused on providing evidence-based care coordination to older adults and their caregivers. The goal is to train clinics to provide care that addresses what matters most to patients and their families.
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Care Managers Help Improve Birth Outcomes with Prenatal Coordination
Recent research shows a prenatal care initiative, called Strong Start for Mothers and Newborns, can produce positive health results. The program works with Medicaid beneficiaries in more than 30 states through maternity care homes.
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Build a Healthy Relationship with Insurance Providers
It can be a tense relationship. Healthcare systems and providers — including case managers — have admitted it sometimes feels like insurance is the enemy, and patients have been known to carry that same sentiment. How should case managers and other healthcare professionals work out a healthy connection with insurance companies, and even work to strengthen that connection to help build a more positive view of the relationship among healthcare, insurance, and the patient?