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Heart attacks in women go largely unrecognized 30 to 55% of the time, and those who miss the warning signs and fail or delay getting help, run the risk of death or grave disability.
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When Catherine M. Mullahy was a practicing case manager, she received a referral to manage the care of a patient who was recuperating at home on short-term disability, after being hospitalized with a severe case of cellulitis.
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More than 20% of U.S. adults receive periodic health examinations (PHE) each year, yet new research shows that patients who have an annual routine visit to their doctor might not receive recommended preventive screening tests and counseling services that could benefit their health.
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When Sharon Gauthier, RN, MSN, iRNPA, was a hospital case manager, she saw people return to the hospital over and over, with issues that might have been avoided if someone had better coordinated care in the community.
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Hospital systems and care transition teams should take a close look at their practices regarding patients for substance use problems, with a goal of improving screening and discharge planning to prevent readmission of these patients, experts say.
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Case management follows a process, not unlike the clinical nursing process or social work process. By following a process, case managers can function more effectively and efficiently.
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With the increase in uninsured and underinsured patients, hospitals face the challenge of finding post-acute care for unfunded or underfunded patients, or keeping them in a bed when they no longer need the acute level of care.
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In its efforts to ensure that the uninsured and homeless receive the healthcare services they need, Carondelet Health Network in Tucson, AZ, has developed a list of community resources and partnered with community agencies to provide care for patients underserved patients.
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In order to provide consistent post-acute care for uninsured or under insured patients, hospitals need to think like payers and develop a payment assistance policy so that at admission or registration, a financial counselor can do a quick assessment and determine who qualifies and who doesn't, according to Matt Boettcher, LSW, MSW, vice president for continuum of care for Scott and White Healthcare, with headquarters in Temple, TX, and consultant for the Center for Case Management, a patient care management consulting firm based in Wellesley, MA.
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At Montefiore Medical Center in the Bronx, NY, a complex care case manager coordinates appropriate post-discharge options for uninsured and under-insured patients who are likely to need complex care after discharge.
