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With the number of uninsured patients increasing rapidly, the case management and social work staff at North Broward Medical Center are faced with the challenge of making sure patients receive the follow up they need to stay healthy and out of the hospital.
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"We try to address the issue of continuum of care, explaining to the family why members are at the current level of care, and when and where they should receive care in the future. We work with the discharge planners at the facility to help the member transition between levels of care," King says.
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The biggest challenge that home health managers will face with the proposed OASIS C is the addition of 30 process measures that will affect outcomes.
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Although the proposed OASIS C is often described as more user-friendly than the current OASIS, the addition of process measures will be a major change for many agencies.
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President-elect Obama has indicated that health care reform will be a top priority in his administration. Former Sen. Tom Daschle, (D-SD) who has accepted Obama's offer to serve as Health and Human Services Secretary, is the leader of the Transition's Health Policy Team. Daschle is asking Americans to help with reform efforts by sharing their health care experiences and concerns.
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Change is never easy, but the toughest type of change is behavior or culture change within a hospice, says Susan Levitt, executive director of CNS Home Health and Hospice in Carol Stream, IL. As hospices face more regulation, fiscal responsibility will become an important part of every staff member's mindset, she says.
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The Centers for Medicare & Medicaid Services (CMS) issued a notice to update the Home Health Prospective Payment System (HH PPS) for calendar year 2009.
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The annual number of patients discharged from U.S. community hospitals to home health care rose 53% between 1997 and 2006, while the number discharged to long-term care and other facilities rose 30%, according to a new report from the Agency for Healthcare Research and Quality (AHRQ).
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The National Association of Social Workers (NASW) and the National Hospice and Palliative Care Organization (NHPCO) have created the advanced certified hospice and palliative social worker credential (ACHP-SW).
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Intravenous patient-controlled analgesia (PCA) allows patients to control their own pain medication, but a new study published in the December 2008 issue of The Joint Commission Journal on Quality and Patient Safety shows that errors related to this practice are four times more likely to result in patient harm than errors that occur with other medications.
