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After Sentara Healthcare System’s embedded case management program was redesigned, the total cost of care for patients in the program dropped by 17% over a three-year period.
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The answer should restore a little of your faith in humanity. For the most part, healthcare workers call in with legitimate illness.
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An initiative that included hiring an RN care coordinator to work with patients who needed a higher level of care, or had gaps in care, resulted in significant improvements in preventive care exams, lower costs for hospitalizations, and a decrease in emergency department visits for patients in the program at Jackson Clinic, a multispecialty practice with 136 providers in western Tennessee.
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According to a report1 from the The Journal of the American Medical Association (JAMA), patients discharged from acute care hospitals might be at risk for unintentional discontinuation of medications prescribed for chronic diseases. The report says that the intensive care unit (ICU) might pose an even greater risk because of the focus on acute events and the presence of multiple transitions in care.
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Medicare spends about $17 billion a year on hospital readmissions that could have been prevented, experts say.
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Even though many Americans learn through community health screenings that they are at high risk for having a stroke, they rarely follow up with their doctor for care.
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Medicare patients with advance directives specifying limits in treatment who lived in regions with higher levels of end-of-life spending were less likely to have an in-hospital death, averaged significantly lower end-of-life Medicare spending, and had significantly greater odds of hospice use than decedents without advance directives in these regions, according to a study in a recent issue of the The Journal of the American Medical Association (JAMA).
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Visiting a primary care clinician every two weeks was associated with greater control of blood glucose, blood pressure, and cholesterol levels among patients with diabetes, according to a report1 in a recent issue of Archives of Internal Medicine.
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As payers and providers grapple with ways to ensure that people obtain the healthcare services they need to stay healthy and to keep rising costs down, it's a good time to be a case manager.
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When Jan T. Homan, RN, BSN, was a home health nurse, she encountered several "revolving door" patients who would receive home health services for six weeks, keep their chronic condition under control for a few months, then end up back in the hospital and be discharged again with home health services.
