Discharge Planning
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Use Data to Identify Opportunities, Monitor Progress to Make Bundled Payments Work
Success under bundled payments requires using past data to identify opportunities for improvement and analyzing current trends to uncover problematic situations and make changes in real time.
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It Takes Collaboration and Consistency for Success in Bundled Payments
It takes a lot of planning and oversight for hospitals to succeed financially under bundled payment initiatives, which work best when representatives from all levels of the healthcare continuum work together.
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Get On the Bundled Payments Bandwagon — Even if Your Hospital Isn’t Participating
Even though the latest rounds of bundled payments are voluntary, the shift toward value-based reimbursements continues — meaning hospitals and their case management staffs still should focus on improving patient care, reducing readmissions, and containing costs at the same time.
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ED-based Intervention Connects Frequent Users With Program to Address Underlying Needs
A new program at Grady Memorial Hospital in Atlanta seeks to short-circuit the cycle of frequent ED care so that patients with complex conditions are connected with the help they need without continually sapping emergency medicine resources.
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Compliance Measures for the Case Manager’s Daily Practice — Part 2
Last month, we reviewed the Medicare Conditions of Participation for Utilization Review and how they affect the role of the case manager. This month, we will discuss the Conditions of Participation for Discharge Planning.
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CMS Announces Voluntary Bundled Payment Program
Continuing its move toward basing reimbursement on quality, the Centers for Medicare & Medicaid Services announced a new voluntary bundled payment model that starts Oct. 1 and ties payment to participants’ performance on quality measures.
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Increase Job Satisfaction by Making Staff Feel Appreciated
Retaining experienced staff should be a focus of every case management department. The secret to keeping experienced staff on the job is to make them feel appreciated and give them the tools they need to be successful, according to long-time case managers.
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There’s No Such Thing as an Instantly Prepared Case Manager
It often take six months to a year for a new case manager to feel comfortable in the role. That’s why case management departments must develop a formal training and educational program for new hires, according to case management experts.
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What Makes a Good Case Manager? Look Beyond the Résumé
The skills that make a good case manager are not necessarily those you find on a résumé. Look for people with a passion for giving, nurturing, and caring for people.
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Get Input From Staff About Team Member Candidates
The most effective way to choose a new employee who will fit in with the current team is to give the team a chance to interview the candidates and provide input.