-
The Medicare Conditions of Participation require hospitals to give patients a choice of post-acute providers, but that doesn’t mean that case managers shouldn’t give them the information they need to make informed choices.
-
Before you can give patients the information they need to make a good decision, you need to know something about the facilities on the list you give the patients.
-
Many families spend more time and energy researching the best microwave oven to buy than they spend choosing a post-acute facility for their loved ones
-
The Centers for Medicare & Medicaid Services has made a one-time offer to hospitals to settle pending appeals of patient status claim denials for 68% of the net payable amount.
-
Home care is an important intervention to consider for virtually every patient you discharge to home. By using the strategies discussed above, you can increase your percentage of patients going home with this important service. Remember to assess every patient on admission and to reassess every patient daily.
-
There are two angles of attack to cutting catheter-associated urinary tract infection (CAUTI) rates by 25%, and the harder approach involves changing provider behavior.
-
-
Case managers are a hospital's first line of defense when it comes to smoothing transitions of care and preventing readmissions.
-
Case managers typically have concentrated on what has to happen before the patient can be discharged from the hospital, but now, to reduce readmissions, hospitals also have to take into consideration what happens to patients after they leave the acute care setting, says Beverly Cunningham, RN, MS, vice president, clinical performance improvement, Medical City Dallas Hospital, and health care consultant and partner in Case Management Concepts LLC.
-
As part of the ongoing education to prepare for Medicare's Recovery Audit Contractors (RAC) program, Cynthia Lawson, RN-BC, MBA, CPHQ, director of case management at North Hills (TX) Hospital is teaching her case management staff to think innovatively when reviewing charts.
