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  • CDC Advisors Draw Fire for COVID-19 Vaccine Recommendations

    A CDC advisory panel has designated frontline essential workers and those age 75 years and older as the next priority groups to receive COVID-19 vaccine in the United States. The decision came amid considerable criticism and controversy at an emergency meeting on Dec. 20, 2020, with the CDC Advisory Committee on Immunization Practices voting to continue the rationing process while vaccine stocks are insufficient.

  • Rare, but Real: Anaphylaxis After COVID-19 Vaccination

    As COVID-19 vaccinations roll out, a handful of people have experienced anaphylactic allergic reactions after receiving the Pfizer vaccine. These cases appear to be extremely rare, but the Centers for Disease Control and Prevention advises several measures to recognize and respond to severe allergic reactions to the vaccine.

  • COVID-19 Vaccines for Healthcare Workers: The Good, the Bad, and the Ugly

    Healthcare workers — some of whom were initially hesitant to take one of the rapidly developed COVID-19 vaccines — are receiving immunization in an uneven national rollout marked by delays, chaos, and disruptions. Although there are reports of some healthcare workers declining vaccination, there is a growing perception that most healthcare workers will welcome immunization at a time when the pandemic is worsening.

  • Tips for Fostering Effective Relationships Across the Long-Term Care Continuum

    Case management is a relationship-based profession that benefits health systems, patients, colleagues, and case managers. Establishing strong relationships with representatives from the long-term care continuum, including skilled nursing facilities, rehabilitation centers, memory care units, and assisted living and independent living communities, is important for case managers.

  • Centralized Utilization Management: The Good, the Bad, and the Best Practices

    Challenged with employing enough staff in case management departments, the need for expertise in every role, and the increased requirements from payers, case management leaders are evaluating centralizing utilization review. This centralization carries both benefits and challenges, some of which are amplified because of the current healthcare climate.

  • Home Devices Expand Telemedicine Options

    As telemedicine use increases, case management professionals can harness its benefits to improve outcomes and provide a better experience for patients and physicians. COVID-19 played a large part in the increase as providers worked to minimize exposure to the virus. However, many patients still need proper monitoring.

  • Q&A: CM Leadership During Pandemic Surge

    Case management leaders have been navigating another COVID-19 case surge. Angie Roberson, MSN, RN, ACM-RN, director of case management at Spartanburg Regional Healthcare System in Spartanburg, SC, works in one of the worst-hit counties in one of the worst-hit states during the late 2020 and early 2021 surge of COVID-19 that swept across the United States.

  • Case Management Is Critical to Bundled Payment Programs

    A healthcare organization’s Medicare Bundled Payments for Care Improvement Advanced (BCPI Advanced) program resulted in lower hospital readmission rates. The program reduced readmission rates from 30% to 19%.

  • As COVID-19 Vaccine Rolls Out, Leaders Need to Roll Up Sleeves

    The new COVID-19 vaccine provide good news for a pandemic-weary healthcare world, offering case managers and other hospital professionals an opportunity to become vaccinated against COVID-19. Case managers should expect uncertainty about how the first vaccines are distributed.

  • Telemental Health Survey: Increased Risk of Fraud

    The expansion of telehealth services brings more risk of fraud and a greater need for internal compliance programs, according to the 2020 Telemental Health Laws survey from Epstein Becker Green in Washington, DC.