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A quality improvement team that focused on ways clinicians could better manage patients pain developed a one-page clinical pathway that clearly shows what needs to be done.
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A clinical redesign project partnering social work and case management has resulted in a 15% drop in length of stay and a 66% reduction in denials during a period when the average number of cases increased by 24% at Childrens National Medical Center in Washington, DC.
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The most challenging part of redesigning a care management model is developing data and statistics to show the hospital administration that the extra expenditures will have a positive impact on the hospitals bottom line, notes Catherine Korn, RN, MS, CRNP, vice president of nursing at Southern Ocean County Hospital in Manahawkin, NJ.
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At its 15th Annual Conference in Orlando, FL, the Case Management Society of America (CMSA) presented its National Case Manager of the Year Award to Peter Moran, RN,C, BSN, MS, CCM, a staff nurse in the emergency department (ED) at Massachusetts General Hospital in Boston.
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In todays litigious society, its more important than ever for case managers to take steps to protect themselves in case of a medical malpractice lawsuit, says Jacqueline Carolan, JD, an attorney with Fox Rothschild in Philadelphia.
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If your length of stay is above your expected target and your denial rate is rising, you might need to consider redesigning your case management department, suggests Toni Cesta, PhD, RN, FAAN, vice president for administration at North Shore-Long Island Jewish Health System in Great Neck, NY.
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Salaries for case management are increasing, but the vast majority of case managers are working far more than the traditional 40-hour week and in many cases are being asked to be more than ever before, according to respondents to the 2005 Hospital Case Management Salary Survey.
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Under the banner of a comprehensive initiative called Operational Excellence, employees at Portland, OR-based Providence Health System are working to help their organization meet its strategic goals, says Nancy Roberts, regional director for integrated performance and Six Sigma champion.
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Providence Health System is pulling out all the stops as it focuses this year and next on improving patient throughput at its three Portland, OR-area hospitals, says Kathy Campbell, black belt project manager for health services integration.
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At the University of Wisconsin Hospital and Clinics, the case management support team is in an off-site Resource Center.