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Emergency department (ED) managers may not possess a crystal ball, but the ability to predict future events is nonetheless critical to their success, notes Bonnie Coalt, RN, MS, director of nursing at Miami Valley Hospital in Dayton, OH.
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An administrative huddle at Latter Day Saints (LDS) Hospital in Salt Lake City has been tremendously helpful in determining when to postpone elective surgeries, but it has had a much broader impact on patient flow in the emergency department (ED) and the hospital as a whole.
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When Sonja Boone, MD, director of diversity for Northwestern Memorial Hospital in Chicago, talks to case managers about how they can provide patient-centered care to people from other cultures, she encourages them to talk directly to the patients about their beliefs and practices and about how the hospital can meet their needs.
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If its not currently doing so, your case management department should make use of your Program for Evaluating Payment Patterns Electronic Report (PEPPER) to identify areas where you may be overcoding or undercoding, medical necessity of admissions is questionable, or readmissions are too frequent.
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Hospitals tread a fine line when it comes to placing patients in observation status. If patients dont meet criteria for observation, your claim probably will be denied.
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Everyone wants a good outcome from case management services, but not everyone knows what the result should be or how to measure it.
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To comply with the Joint Commission on Accreditation of Healthcare Organizations new National Patient Safety Goal to reduce the risk of patient harm resulting from falls, your organization must assess and periodically re-assess each patients risk of falling including the potential risk associated with the patients medication regimen and take action to address any identified risks.
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The wound care center at Presbyterian Hospital of Plano (TX) takes a holistic approach to patient care by assigning each patient to one nurse who provides hands-on care and case management.
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After an exhaustive process that involved collecting more than 150 ways to define case management and testing them in the field, the Case Management Leadership Coalition has come up with a way that case managers can tell consumers what they do.