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A community case management program for clients with complex conditions has significantly reduced emergency department (ED) visits and inpatient admissions at Poudre Valley Hospital, resulting in a savings of nearly $1.4 million for a sampling of clients in just six months for the Fort Collins, CO, health system.
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When the Obama administration announced its goals for revamping health care, it proposed cutting reimbursement to hospitals that readmit a large number of patients within 30 days of discharge.
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Patients who have a clear understanding of their after-hospital care instructions are 30% less likely to be readmitted or visit the emergency department (ED) than patients who don't have that knowledge, according to a study at Boston University Medical Center.
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Having heart failure advocates work with discharged patients to help them self-manage their care cut the rate of readmissions within 30 days from about 20% to 5%-6% at six hospitals that are part of the Catholic Healthcare Partners health care system.
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One hundred percent of scheduled cases authorized that is the goal set by Boston-based Massachusetts General Hospital's financial access unit.
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When Henrico Doctor's Hospital in Richmond, VA, launched a hospitalwide initiative to improve patient throughput, the team was able to shave 2.5 hours off the average discharge time and decrease the average length of stay on the medical unit from almost 10 days to five days in the first six months of the project.
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If your hospital has been focusing solely on improving Medicare records in preparation for the permanent Recovery Audit Contractor (RAC) program, you may find yourself in a bind as other payers roll out their own audit programs.
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By the end of the year, it's likely that every type of medical record in your hospital will be scrutinized by one auditor or another, predicts Brian Flood, managing director for KPMG LLP, the U.S. audit, tax, and advisory firm.
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Salaries for case managers are increasing, but the vast majority of case managers are working far more than the typical 40-hour week, according to the 2009 Hospital Case Management Salary Survey.
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If the discharge planning community's ideal is to begin the discharge process at the door, when patients are admitted to the hospital, then community provider input is necessary for a smooth care transition.