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Racial discrimination and its effect on maternal and infant health will be addressed in the Pregnancy Risk Assessment Monitoring System (PRAMS), according to the authors of a recent paper.
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The results of a pilot study show case management can help patients with non-cardiac chest pain by addressing their biopsychosocial factors and providing follow-up care management.
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The CMS waiver of Conditions of Participation for utilization management may end when the COVID-19 emergency ends. Hospitals that did not have to hold review meetings might have to return to those practices.
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At some point, a hospital needs to build or improve a case management department. Whether working from the ground up, completely overhauling a program, or simply making slight adjustments, good leadership and strategy is key to a thriving case management program.
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One large health system successfully employed a hospital at home program during the COVID-19 pandemic using remote technology and a multidisciplinary team. By the end of 2021, the program had built a strong central team to support 13 medical centers across California.
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The concept of hospital at home may have flourished during the COVID-19 pandemic, but it also will be a possible post-pandemic model for care.
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Early in the COVID-19 pandemic, it was clear patients would flood hospitals in large cities, overwhelming health systems and public health infrastructure. One health system quickly ramped up its home monitoring program to safely keep some patients out of the hospital.
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Insurers and CMS have encouraged providers and health systems to adopt value-based care to lower healthcare costs and increase competitive positioning. Investing in value-based care means a greater emphasis on the primary care physician and preventing hospital admissions and readmissions.
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Just as health systems continue to move toward patient-centered care models, they also need to consider engaging patients and their caregivers in the process of developing new policies, guidelines, and methods for improving care transitions and care management.
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When efficiency is the goal, case management and healthcare systems need to consider using technology and innovation solutions to improve the process of admitting patients to the right bed at the right time and transitioned to the right place.
