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Discharge Planning

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  • IHI Issues Action Plan on Patient Safety

    The Institute for Healthcare Improvement’s National Steering Committee for Patient Safety recently released its national action plan, aimed at helping healthcare organizations reduce preventable medical harm.

  • Nurse Navigator Role Helps Reduce 30-Day Readmissions

    A program that used nurse navigators with heart failure patients cut its 30-day readmission rate in half and provided more thorough follow-up care in transitioning patients home.

  • CHECK Program Works to Solve Problems Brewing Beneath Surface

    The CHECK program prevents rehospitalizations by employing a team of community health workers and licensed behavioral health professionals to help people with chronic diseases deal with the social determinants of health that hinder their disease management.

  • CHECK Program Addresses Chronic Illnesses with a Holistic Approach

    A program created to help children and young people, from birth to age 25 years, with chronic illnesses has evolved into a way to prevent emergency department visits and rehospitalizations for any population, including at-risk, older adults.

  • Practice the Five Disciplines in Case Management

    Hospital case managers, just as case managers in all work settings, have faced unbelievable challenges this year. Hospitals are slowly transitioning back to more of a “normal” environment. With the new year approaching, it is a good time to revisit the Five Disciplines that help case management teams refocus on the business side of client care.

  • COVID-19 Increases Need for Case Managers

    COVID-19 has spurred myriad changes in hospitals as providers scrambled to adapt to the new normal. That includes new and creative ways to connect and support patients.

  • Non-Medical Home Care Can Fill Gaps to Help Seniors at Home

    The frontline caregivers who visit patients’ homes and provide help with their activities of daily living often are the unrecognized helpers, preventing chronically ill patients from heading to the emergency department or hospital. As population health initiatives and case management increasingly transition at-risk patients home and keep them out of the hospital, there is a greater need for home-based resources.

  • A Look at STRIDE Study Intervention

    The Strategies to Reduce Injuries and Develop Confidence in Elders study produced breakthrough findings that suggest fall prevention among older adults is more challenging than the authors of previous research found.

  • Engage Staff When Training or Implementing New Programs

    Quality improvement professionals often must train staff in new processes or initiatives, but the effectiveness of those sessions can depend on the approach. A simple meeting with a PowerPoint presentation may not be the best way to get good results. The best results will come when the participants feel involved with the effort and want to help reach the desired goal.

  • Kaizen Method Can Improve Case Management

    Efficiency and cost savings are worthy goals. Satisfaction also is relevant, whether applied to patients, frontline staff, managers, or chief executive officers. If your hospital workday is inefficient, satisfaction suffers at all levels. That is where the Kaizen method can help.