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Are the terms discharge planning and case management interchangeable, or are they distinct, and is there a place for both in todays health care environment?
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A patient readiness scoring system that arose out of the tragedy of 9/11 has served as an effective way to address throughput, as well as an emergency preparedness tool, says Dee Page, RN, director of case management for Virtua Memorial Hospital of Burlington County in Mount Holly, NJ.
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When the Greenville (SC) Hospital System realized it was serving a growing population that didnt speak English, the four-hospital system launched a diversity initiative that not only helps staff understand the multicultural patients it treats but has the goal of making the hospitals the health care providers of choice among the citys immigrant population.
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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, you must assess and periodically reassess 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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Before clinical staff at the University of Washington Medical Center in Seattle provide care to a patient from another culture, they consult the hospitals Culture Clues, one-page laminated sheets with key points about a particular culture and how its members generally perceive health care.
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In an effort to spur documentation, standardize teaching, and ensure patients will be ready for a safe discharge, many institutions utilize checklists, guidelines, and teaching plans. However, the implementation of these tools doesnt necessarily guarantee the desired result will be achieved.
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By using the hospitals on-site interpreters when they make assessments of patients who dont speak English, case managers at Boston Medical Center are able to start the discharge plan early in the stay and identify resources in the community that provide services for people of different religions and ethnic backgrounds.
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Continuity of patient care has many facets, such as availability of information, availability or constancy of a clinician, a usual source of care, and follow-up appointment keeping. It is driven by the goal of providing seamless patient transitions from one setting to another.
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Daily multidisciplinary rounds, a full-time medical director who is part of the clinical resource management team, and a clinical resource manager who acts as an additional resource for the case managers on the floor were chosen carefully to promote better patient care when the case management model was developed at the new Memorial Hospital Miramar (FL).