Hospital Case Management
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Thinking Like a Payer
Part of what makes so many case managers successful is their ability to understand countless roles within healthcare and move between them smoothly. Whether managing discharges, providing social work support, or completing utilization review, the case management experience often is varied. However, many struggle in the quest to work more seamlessly with payers. -
Researchers: Telehealth Visits OK for High Blood Pressure Monitoring
Although there was no difference in long-term outcomes, patients treated virtually were happier with their care than those who went to the clinic.
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Adults with Developmental Disabilities at Risk for Poor End-of-Life Care
Policies should specify that the wishes of these patients should be known. They should be able to access all medically appropriate care, without bias, and have the right to avoid medical interventions they wish to refuse.
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Informed Consent Requirements May Hinder Innovation in Stroke Treatments
IRBs and regulatory bodies should consider the changing scope of acute stroke care, and collaborate with investigators to design studies that can ethically answer important questions and allow innovation and progress in the field.
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IRS Resolves ‘Family Glitch’ in Affordable Care Act
The long-standing blind spot had left many ineligible for marketplace subsidies.
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Multidisciplinary Program Accelerates Care, Boosting Outcomes for Hip Fracture Patients
Returning Seniors to Orthopedic Excellence focuses on prioritizing early pain management and shortening the time to surgery for patients with confirmed hip fractures. Since implementation in early 2021, lengths of stay are shorter, time to surgery has declined, and attendance rates at follow-up appointments are higher.
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Racial Disparities in Hypertension Appear Related to Social Determinants of Health
Recent research revealed a reason why more Black Americans than white Americans die from hypertension. It also provides a care coordination solution to this health inequity.
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Burnout Affects Nearly Half of Nurses, Physicians
Teamwork may be an antidote to burnout in healthcare. Before the COVID-19 pandemic, burnout affected 43% of physicians and nurses. Doctors reported more isolation, according to a recent study. Worse, the pandemic pushed burnout to crisis levels, affecting more than half of all nurses and physicians.
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Interprofessional Meetings Can Prepare Caregivers of Brain Injury Patients
Brain injury patients and their caregivers face difficult care transitions after leaving an inpatient setting. But care teams with case management can help caregivers by assessing their readiness and engaging with them in interprofessional meetings early.
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Poor Care Coordination Affects Patients with Ambulatory Care-Sensitive Conditions
A veteran population at risk of poor outcomes after being treated in an ED needed follow-up care and outreach to improve care coordination, according to recent research. Patients with unmet needs after an ED visit are more likely to report poor outcomes, including returning to the hospital.