Discharge Planning
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Patient-Centered Care Can Improve Transitions
Patient-centered care is a simple, evidence-based way to improve care transitions and patient outcomes. Hospital case managers can benefit from learning more shared decision-making tactics.
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Target Low-Hanging Fruit in Preventing, Overturning Denials
The keys to preventing and overturning payer denials are to collect data to identify problem areas and to train staff in best practices. The case management team should understand the information each payer wants and how best to share those data.
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Understanding Medical Necessity Improves Utilization Review Process, Reduces Denials
The case management team should be trained thoroughly on utilization review and medical necessity to avoid payer denials. The goal is to ensure patients receive medically necessary, high-quality care. -
COVID-19 Pandemic Put Pioneering Capacity Command Center to the Test
No knew the world would be in the grips of COVID-19 in 2016. That is when Johns Hopkins Hospital unveiled a first-of-its-kind Capacity Command Center (CCC), a high-tech control room designed to apply all the latest analytical tools to bed management, patient transfers, and surge planning. CCC leaders have spent the last five years working around the clock to optimize patient flow and anticipate any potential bottlenecks. But there is no question the concept has been put to the test by pandemic conditions. How did it fare?
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Ethical Responses Needed if Clinicians Say Discharge Is Unsafe
For some patients, there are no caregivers at home. Others may be living in unsafe conditions. Ethicists can help by brainstorming scenarios, and trying to connect resources accordingly.
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Start Small, Employ Relevant Personnel to Manage Complex Social Problems
Every hospital relies on a problem-solving method for performance improvement. The key is putting the right people on an intervention.
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Address Social Determinants of Health with Multidisciplinary Team, Community Partnerships
An ED Social Medicine team tackles social issues that often sabotage positive health outcomes and prompt repeat ED visits. The team includes clinicians, social workers, mental healthcare providers, patient navigators, a pharmacist, and transitional care personnel.
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Accommodating Expanded ASC Orthopedic, Spine Procedures
Some patients will need pain control and monitoring beyond the 23 hours, 59 minutes recovery window CMS allows in an ambulatory surgery center. While there are no uniform solutions that solve all problems for everyone, there are some options that can help.
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Age, BMI, Gender Among Factors Affecting Same-Day Surgery Discharge Rate
Total knee arthroplasty procedures are less likely to lead to successful same-day discharge among patients who are older, female, nonwhite, with a body mass index of 35 kg/m2 or higher, living with primary hypertension, and living with other comorbidities, according to the results of a recent paper.
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Text Messaging App Might Improve Patient Response Rate
Using an automated text messaging system as a communication tool proved to be handy for patient follow-up, specifically for ambulatory surgery patients who received a nerve block.