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As case management leaders, you will be looking for the next generation of case managers to come from the bedside. The following information will review the process you might consider using to facilitate recruitment of staff to your department.
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As the clock ticks down toward the implementation of ICD-10, case managers should start learning about the new coding requirements and how they are going to affect what they do on a daily basis.
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Systems will need to be remediated if they will be used to check medical necessity for ICD-10 standards when they are implemented in October 2013, says Jeffrey Smith, RN, MBA, CPC, a New York City-based manager at Accenture Insight Driven Health, a management and technology consulting company.
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A pilot program in which parents or caregivers of patients were screened for health literacy reduced healthcare costs and emergency department use for patients at Cook Children's Medical Center in Fort Worth, TX.
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After Bassett Medical Center in Cooperstown, NY, began a multidisciplinary program to reduce readmissions, the 30-day readmission rate for high-risk patient diagnoses dropped 70% from 13.4% in 2009 to 0.7% 2010. The initiative earned the medical center a Pinnacle Award for Quality and Patient Safety from the Hospital Association of New York State.
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When it comes to ensuring that patients are receiving high-value, cost-effective care, case managers are where the rubber hits the road, says Michael Taylor, MD, vice president of operations at Executive Health Resources, a Newton Square, PA, healthcare consulting firm.
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Social media is opening up new avenues for delivering health and safety information. Employee health professionals can download training videos from YouTube, track occupational health news or research on a blog or Twitter, and even communicate with their own employees through social networking sites.
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At Independence Blue Cross in Philadelphia, case managers work closely by telephone with Medicare Advantage members with chronic conditions that put them at risk for rehospitalization, which helps them transition from the hospital to the community and ensures that their needs are met after discharge.
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Just six months after Geisinger Wyoming Valley Medical Center in Wilkes-Barre, PA, began its Geriatric Fracture Care Program, the average length of stay (LOS) for seniors having orthopedic surgery for fractures dropped from 7.2 days to 5.1 days.
