Discharge Planning
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Case Managers Can Drive Success in Hospitals
Hospitals are moving from the traditionally reactive to newer proactive model of providing quality healthcare. This puts case managers in the driver’s seat when it comes to steering the organization to better outcomes.
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A Closer Look at Trinity Health’s Integrated Care Coordination System
Care coordinators can help hospitals better manage care through an integrated system that provides best practices in the handover process.
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Plan of Care Collaboration Can Reduce Readmissions
Hospital case managers are part of a care team collaboration that spans healthcare settings and disciplines, focusing on improving patient care and preventing high-risk patients from being readmitted to the hospital.
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Health System’s Integrated Care Program Is a People-Centered Strategy
Two Midwestern health systems exemplify the emerging new strategy of coordinating integrated care systems to improve patient care and reduce hospital and ED readmissions.
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Optima Health Applies SDOH With Nutrition Programs, Mobile Healthcare
Social determinants of health continue to influence quality improvement efforts across the healthcare system, with a Virginia health plan and health system using the data to improve nutrition and even provide mobile vans to take services into the community.
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Health System Uses Predictive Analytics to Reduce Readmissions
Advocate Aurora Health is reporting success with a program that uses predictive analytics to identify outpatients with an increased risk of unnecessary hospitalization. Those patients are then provided special intervention to prevent admissions.
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Many Homeless Individuals Need Mental Health, Substance Use Treatment
New research shows that homeless people with substance use disorders are hospitalized and visit EDs significantly less often when they are provided supportive housing.
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Collaboration to Help Homeless Patients Works When a Quarterback Leads the Team
The Center for Housing and Health serves as the quarterback for the Better Health Through Housing program in Chicago. The collaborative includes an alliance of 28 supportive housing agencies across Chicago and Cook County.
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Organizational Plans to Help Homeless Patients Become Healthier
Communities across the country are working to reduce or end chronic homelessness. They are focusing on ways the government, nonprofits, and healthcare providers can work together on solutions that benefit all.
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Collaborations With Community and Health Systems Help Homeless Patients Gain Housing, Healthcare Services
The healthcare system is uniquely positioned to see how the social safety net can fail people who are homeless and who often suffer from substance use disorders and severe mental illness.