Hospital Case Management
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More Work Needed to Fight Healthcare Disparities
It takes a village to improve population health and whole person care. The village includes the public health system, which can be led by case management or a care coordination team. Populations that experience health inequities can benefit from the whole-person approach, particularly when hospitals form public health partnerships and use telehealth at discharge.
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High-Risk Patients Benefit From Direct Social Needs Assistance
A case management team can help high-risk patients access social assistance. But to be most effective, they need to help clients access psychosocial support and direct assistance for social needs. A health system’s program reduced inpatient hospitalizations by 11% in a randomized study.
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How to Fight Denials
Case managers do not have to settle for denials. In fact, they can use their skills to overturn denials. There are certain tactics that can help in this process, and some case management professionals even specialize in this.
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Solving Transportation Problems Improves Hospital’s Efficiency
Health systems that work to improve social determinants of health, including transportation, may find their actions improve patient care and follow-up, discharge, and throughput efficiency. For example, UCSF Health found case managers could more easily plan discharges and turn over beds once they solved the issue of finding rides home for clients without family or social support.
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Offering Transportation Services Is a No-Brainer for Some Health Systems
Case managers are logistical artists when it comes to helping patients handle care needs during hospitalization and transitions after discharge. But things can get out of control when patients leave the hospital, and transportation is a top obstacle to patients receiving necessary care in the community.
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Long COVID May Linger in Patients for Months or Years
The COVID-19 pandemic may be waning, but its effects continue as many patients experience long-term symptoms, including fatigue, brain fog, and other problems. Healthcare providers across the continuum may see these patients for months — and possibly for years.
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New Solutions to Help Young Patients Who Present with Behavioral Health Crises
Behavioral health mobile teams, comprised of psychiatrists, psychologists, experts in autism and developmental disabilities, nurses, social workers, and case managers, can support medical teams caring for patients in crisis.
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There Could Be Trouble if Providers Board Children with Psychiatric Complaints
If parents disagree with a hold, convey that staff are keeping the child safe, explain the steps they are taking to find an accepting hospital, and detail how the ED cannot discharge a patient who is on an involuntary hold. When families are informed and given space to vent, the situation can de-escalate.
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Challenges in Accessing Resources Lead to ED Psychiatry Consults
Difficulty identifying the “right” level of care for patients, understanding how insurance plays a major role in post-ED care options, and needing help with the operational process of making referrals to outside treatment facilities all are administrative and bureaucratic headaches with which clinicians could use assistance.
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Financial Coaching Boosts Follow-Up Visit, Vaccination Rates for Babies
Assisting low-income new parents can lead to better outcomes.