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Chronic diseases are the nation's leading cause of death and most are preventable, but helping people keep them under control is a challenge for the healthcare industry.
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Through Capital District Physicians' Health Plan's medication therapy management program, pharmacists in the community and embedded in large primary care practices work with patients to help them adhere to their treatment plan.
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WellCare Health Plans is partnering with community-based organizations that provide social safety net services to provide a diabetes management program for its members.
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There is new evidence that initiating palliative care consults in the ED results in shorter hospital lengths of stay (LOS).
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Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients.
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Florida Hospital East Orlando has developed a transitional care program for uninsured patients to coordinate their healthcare needs as they move from the hospital to home.
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By making personalized recorded discharge information and educational videos available to patients by telephone or computer, Cullman (AL) Regional Hospital has reduced 30-day readmissions by 15% and increased scores on the discharge section of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) by 63%
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A predictable, yet perhaps unwanted, change went into effect on Oct. 1, 2013.
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Tampa General Hospital has created a fund that case managers can use to pay for post-discharge services for unfunded patients when there is no other option.
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Patients at Medical City Dallas Hospital who are likely to have discharge challenges are assigned a dedicated social worker who spends time with patients and family members and starts to identify resources early in the stay.
