Discharge Planning
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American Hospital Association Sues CMS Over Final Rule Changes to OPPS Payments
The American Hospital Association has sued the U.S. Department of Health and Human Services to prevent changes to how Medicare reimburses care in hospital outpatient departments.
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Conflicts on Discharge Decision: Home or Skilled Nursing Facility?
Discharge to a skilled nursing facility is sometimes recommended in order to ensure continued independent community living for frail patients. Conflicting views as to what is best for the patient sometimes raise ethical concerns.
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Coordination Center Uses Real-time Data to Speed Collaborative Decision-making
As high-volume hospitals face continual overcrowding and ED boarding problems, leaders are recognizing that change is needed. To resolve logjams, some institutions are turning to a centralized command center model that relies on a nurse navigator to be the ED point person.
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Some States Provide Funding When SDOH Used to Improve Quality
One health system is finding that the state it operates in is willing to support the use of social determinants of health to address health issues affecting the community.
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Efforts Underway to Reduce Medicare Spending, Meet Standards for Spending Per Beneficiary
With the healthcare industry’s increased focus on value-based purchasing, debate continues as to whether hospitals are meeting standards for total Medicare Spending Per Beneficiary.
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Age-Friendly Health Systems Initiative Improves Delivery, Quality of Care for Older Patients
With thousands of people across the United States reaching age 65 and older every day, hospitals and health systems are looking for ways to improve care for these patients and better suit their needs.
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Strategies for How Case Managers Can Truly ‘Hear’ Patients’ Stories
Case managers have the power to help their patients change their own narratives about their illnesses and injuries.
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Case Managers Can Help Patients Improve Health Outlook
Case managers can learn skills to help patients change their concerns about illness or injury through developing a functional life story that teaches optimism.
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In-house Physician Advisors Can Help Case Managers
Physician advisors, once associated primarily with payers and external vendors, can help case managers and other physicians with utilization management, discharge activities, and documentation accuracy.
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Case Managers Cannot Ignore the Disease of Chronic Pain
Chronic pain is epidemic in the United States, and the medical community struggles with finding solutions that do not involve the use of opioids. Case management strategies can help by teaching patients to self-manage their pain.