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When the Recovery Audit Contractor (RAC) demonstration project began, the RACs began sending out chart requests slowly in the initial months, then increased the volume as the project went on, sometimes issuing requests for as many as 500 records at one time.
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By focusing on discharge on Day 1 and during daily multidisciplinary rounds, Scott & White Healthcare in Round Rock, TX, has maintained an average length of stay for Medicare patients of just 3.2 days and achieved a 30-day readmission rate of just 3%.
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When challenged to increase efficiency and decrease length of stay, a multidisciplinary task force at Mercy St. Vincent's Medical Center in Toledo, OH, made the decision to have case managers on duty on every unit 24 hours a day, seven days a week.
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When Lori Dempsey talks to health care professionals around the country about her experiences with the Recovery Audit Contractors (RACs) demonstration project, she opens her presentation by saying: "Are you nervous? Are you frustrated? Are you anxious about the RACs? Well, I'm here to legitimize all of those concerns."
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Returning an immigrant to his or her native country for post-acute care is a long and complicated process but one that produces great rewards, says Fred Nenner, MSW, director of social services at Lutheran Medical Center in New York City.
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When a Florida hospital transferred a seriously disabled, undocumented immigrant back to his native Guatemala for care and won a subsequent lawsuit filed by the man's American guardians, the case made national headlines.
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This spring during the H1N1 epidemic, registrations through EDs increased dramatically nationwide. The processes of virtually every patient access department were put to the test.
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Within 45 days after daily multidisciplinary patient care conferences were instituted at North Fulton Regional Hospital, the hospital's average length of stay dropped by more than a day and excess days decreased by more than 300 days within the first quarter of implementation.
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Following a systemwide initiative, Catholic Healthcare Partners has reduced its average length of stay by 2%, potentially avoiding 18,000 hospital days in the multistate hospital system with headquarters in Cincinnati.
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A program that pairs new case managers with a preceptor for eight weeks and a mentor for a year has increased staff satisfaction and reduced turnover for the case management department at Carolinas Medical Center in Charlotte, NC.