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As part of its efforts to facilitate post-acute care for unfunded patients who no longer meet inpatient criteria, Sentara Healthcare has developed an Indigent Care Agreement for Post Acute Services that sets out four levels of bundled payments to the health system's seven skilled nursing facilities when patients who can't pay are transferred.
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As a Level 1 trauma center, Lutheran Medical Center treats a lot of patients who come in unconscious, appear to be homeless, or are confused as to their identify.
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The pharmacy at Strong Memorial Hospital in Rochester, NY, fills about 75% of the prescriptions that patients are given at discharge.
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Having pharmacists on the multidisciplinary team can help ensure that patients progress well in the hospital and that they follow their medication plan at home and avoid emergency department visits or readmissions.
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At The Nebraska Medical Center in Omaha, pharmacists are part of a multidisciplinary team and see many patients in person starting on Day 1.
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When hospitals determine after discharge that a patient did not meet inpatient criteria, they can file a provider liable claim using Condition Code W2 and be reimbursed for all services as if the patient were an outpatient, according to Deborah Hale, CCS, CCDS.
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Mountain State Health Alliance opened a free heart failure clinic after determining that patients' inability to get a timely follow-up appointment and financial issues were the cause of many readmissions.
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Case managers are working long hours and most get only cost-of-living raises.
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To alleviate the problem of social admissions from the emergency department, Northeast Medical Center in Concord, NC, established an ED case management staff and made arrangement with local assisted living facilities to admit patients directly from the ED.
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Before Thomas Hospital in Fairhope, AL, redesigned its case management program, nurses from two separate departments social services and utilization review performed case management-type functions. In 2002, the hospital hired a division director to redesign its case management program and oversee the social work, discharge planning, and utilization review functions.
