Discharge Planning
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Value-Based Care: Tips for Case Managers
Hospitals are struggling to meet the goals of value-based payment models. Value-based models are designed to improve outcomes, such as quality of care, satisfaction, and complications, while reducing costs. The impetus comes from CMS, which has set quality and efficiency standards for hospitals.
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Hospital Improves Acute Care for Elders With Dedicated Unit
A Massachusetts-based health system is reporting positive results from an initiative designed to improve care for geriatric patients and increase the use of advance care planning. Baystate Health’s Acute Care for Elders model of care is a designated unit that includes staff trained on mobility, rationalizing, medication, early discharge planning, and early recognition and treatment of dementia.
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Health System’s Risk Analytics Find Patients in Most Need
Artificial intelligence and case management can help patients stay out of the hospital. An inpatient rehabilitation hospital system uses risk stratification data from electronic health records to identify patients with declining health who might need to be sent to an acute care hospital.
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Connected Care Management Model Helps Rehab Patients
A connected care management program for stroke and other inpatient rehabilitation patients could work for all at-risk patients as they transition from inpatient acute care to rehabilitation care, home health, and the community.
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Navajo Case Management Program Combines Cultural, Patient-Centered Care
The best way to improve the health of high-risk patients might require case management that is sensitive to the population’s particular cultural, religious, and socioeconomic needs. Chinle Comprehensive Health Care Facility in Chinle, AZ, created a program that employs culturally sensitive care management staff. Health coaches meet with patients to help them make their first doctor appointments and to navigate them through the healthcare system.
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Program for Navajo Diabetes Population Uses Case Management Techniques
A health center that works with a Navajo population in Arizona faced challenges in improving care for people who struggle to overcome cultural and economic barriers to care. The center’s solution combines case management with cultural integration in medical care.
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Ethical Issues and Standards in Case Management, Part 2
In October, we began our discussion on ethical issues of relevance to case management professionals. The principles should provide case managers with a framework when dealing with the tensions between providing quality healthcare and containing costs. However, it is doubtful that the tension can be overcome completely. Even when payers or health insurance plans make legitimate decisions, healthcare professionals may sometimes find that they cannot support these decisions in good conscience. How you respond to these dilemmas is significant in terms of maintaining ethical integrity.
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Report Shows Potential Value of PCMH Model
Hospital leaders can make the business case for patient-centered medical homes (PCMH) by using recent research from the National Committee for Quality Assurance (NCQA) in Washington, DC. NCQA reports that PCMH can increase annual revenue — and perhaps a great deal, depending on the payment model. Improvement measures are dependent on a practice’s patient population.
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Medicare Now Covers Nonskilled Home Care
Typically, when discharge planning involves the need for home care assistance, case managers rely on the patient’s family and friends to assist with activities of daily living. In many families, this can work just fine. But where there are odd family dynamics or if a family member is not equipped to be a caregiver, there is a need for outside help.
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Tips for Case Managers With Transgender Patients
These tips will help case managers understand transgender patients' healthcare needs and ensure they are treated with respect.