Discharge Planning
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Thinking Like a Payer
Part of what makes so many case managers successful is their ability to understand countless roles within healthcare and move between them smoothly. Whether managing discharges, providing social work support, or completing utilization review, the case management experience often is varied. However, many struggle in the quest to work more seamlessly with payers. -
Multidisciplinary Program Accelerates Care, Boosting Outcomes for Hip Fracture Patients
Returning Seniors to Orthopedic Excellence focuses on prioritizing early pain management and shortening the time to surgery for patients with confirmed hip fractures. Since implementation in early 2021, lengths of stay are shorter, time to surgery has declined, and attendance rates at follow-up appointments are higher.
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Racial Disparities in Hypertension Appear Related to Social Determinants of Health
Recent research revealed a reason why more Black Americans than white Americans die from hypertension. It also provides a care coordination solution to this health inequity.
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Burnout Affects Nearly Half of Nurses, Physicians
Teamwork may be an antidote to burnout in healthcare. Before the COVID-19 pandemic, burnout affected 43% of physicians and nurses. Doctors reported more isolation, according to a recent study. Worse, the pandemic pushed burnout to crisis levels, affecting more than half of all nurses and physicians.
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Interprofessional Meetings Can Prepare Caregivers of Brain Injury Patients
Brain injury patients and their caregivers face difficult care transitions after leaving an inpatient setting. But care teams with case management can help caregivers by assessing their readiness and engaging with them in interprofessional meetings early.
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Focusing on Home Health and Hospice Referral Practices
While healthcare is ever-changing, the practice of making referrals across the continuum of care evolves along with it. Over the last three years, as hospitals have been full and transitions of care have been made in haste, ensuring quality transitions to home health and hospice has become even more important. Thankfully, technology has helped ease the burden.
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Telehealth Monitoring Helps At-Risk Patients with Diabetes
Standard care for patients with persistently poor control of type 2 diabetes does not always work well. Investigators studied different telehealth interventions designed for this group. They found comprehensive telehealth improved multiple outcomes in patients with persistently poorly controlled type 2 diabetes.
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Engaging Seamlessly with Patients and Families
Case managers and other medical professionals are daily tasked with communicating with patients and their families. The reality is exceptional communication skills are often hard wrought. However, it is important to the patient and their families that the care can seamlessly engage with them in ways they can understand and appreciate.
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Court-Appointed Guardians for Unrepresented Patients
Ethicists are seeing a range of issues arise during consults involving unrepresented patients, including conflicts over how aggressive treatment should be, whether to treat at all, how to discharge, and how to follow up with compliance with treatment. Creating a template for actions to take related to unrepresented persons who present to the hospital is a proactive first step.
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Obstacles to ED Admission Cause Legal Problems
When faced with this tricky situation, emergency physicians should carefully document discussions and remember they are responsible for clearly communicating about the patient’s condition, test results, and indication for admission.