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Since Childrens National Medical Center in Washington, DC, implemented its diabetes clinical pathway, the hospitals average length of stay for diabetes patients has been significantly lower than the national average, and the 72-hour readmission rate has been less than 1%.
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If youre not using your clinical pathways on a regular basis, youre missing an opportunity to facilitate the collection of quality indicators and outcomes information and to affect your patients length of stay.
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The Centers for Medicare & Medicaid Services (CMS) has made sweeping changes to the Inpatient Prospective Payment System (IPPS) that will have a major impact on hospital reimbursement.
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A study conducted by Saeed Syed, MD, a hospitalist physician with Cogent Healthcare, a provider of inpatient management programs, compared results between patients treated by voluntary attending physicians and those treated by the hospitalist/clinical pharmacist team. The hospitalist/clinical pharmacist group had a 23% shorter length of stay, a 21% lower cost of medications, and 1.5 fewer medications per patient than the comparable patient group treated by the voluntary attending model.
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Case managers rarely are involved in adverse patient incidents, yet they can learn a lot about discharge planning failures by applying accident investigation tools. Accident investigation techniques can be helpful for evaluating why discharge planning didnt go as expected.
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New Jersey hospital wins Baldrige award; AHRQ releases new diabetes care guide.
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A study published in the Dec. 21, 2004, Annals of Internal Medicine showed that patients enrolled in the Department of Veterans Affairs health system (VHA) were more likely than a national sample of similar patients in the general population to receive preventive care and chronic care recommended by established national guidelines.
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Danbury (CT) Hospital takes a team approach to facilitating patient flow, with a series of initiatives coordinated by a multidisciplinary Discharge Admissions Review Team (DART) that meets regularly to assess whats working and what needs improvement to get patients in and out of the hospital safely.
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At one time, the emergency department (ED) at Seton Medical Center in Austin, TX, sometimes had to hold patients overnight because there wasn't a bed available, and local physicians complained that they could not get patients admitted when they needed to.
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The new patient flow standards from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) create opportunities for case managers to take the lead in their hospitals compliance and adherence initiatives, says Hussein A. Tahan, SNSc, RN, CNA.
