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Patient flow and boarding have been recognized for some time as problems that hospitals need to address. But whatever is being done isnt enough, and The Joint Commission (TJC) released a report in December outlining new standards in the Leadership section, some of which came into effect on January 1, and some of which will take effect in another year.
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Patients who participate in Hospital Sisters Health System Medical Groups Nurse Navigator Program have shown significantly fewer emergency department visits and hospital visits as well as better control of their chronic conditions than patients who are not being followed by a nurse navigator.
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As the Centers for Medicare & Medicaid Services (CMS) Value-Based Purchasing program moves toward basing reimbursement on quality, case managers can take the lead in making sure their hospitals score well and dont lose reimbursement.
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Gundersen Healths integrated care coordination program, in which a team of RN care coordinators and social workers follows the 1% to 2% most complex patients through the continuum, has resulted in a 46% decrease in average length of stay and a 64% decrease in unplanned hospital admissions or emergency department visits.
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A proactive approach to the Recovery Auditor (RA) process has paid off for Alamance Regional Medical Center in Burlington, NC. Out of more than 800 denials from the auditor, the hospital has appealed up to the administrative law judge level, if necessary. So far, the hospital has won a high percentage of the appeals. Many are still pending because of a backlog.
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When doctors, nurses, and other hospital operating room staff follow a written safety checklist to respond when a patient experiences cardiac arrest, severe allergic reaction, bleeding followed by an irregular heartbeat, or other crisis during surgery, they are nearly 75% less likely to miss a critical clinical step, according to a new study funded by the Agency for Healthcare Research and Quality (AHRQ).
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Of the hundreds, if not thousands, of patient safety strategies employed at hospitals across the country, the Agency for Healthcare Research and Quality (AHRQ) has released a report identifying the top 10 patient safety strategies that can be implemented immediately by healthcare providers.
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Nothing changes, nobody cares. That bleak title of a recent journal article tells the story of workplace violence through the eyes of emergency room nurses.
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The Centers for Medicare & Medicaid Services is increasing its emphasis on discharge planning and has developed a worksheet for surveyors to use to determine if hospitals are in compliance with the Conditions of Participation.
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The discharge planning worksheet that surveyors will use to assess hospitals compliance with Medicare Conditions of Participation highlights the need for case managers to be more proactive in discharge planning and identifying the right post-acute setting in a timely fashion, says Laura Jacquin, RN, MBA, managing director for Huron Healthcare, a Chicago-based consulting firm.
