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Hospitals stand to lose more reimbursement.
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In the Inpatient Prospective Payment System final rule for 2014, the Centers for Medicare & Medicaid Services established a benchmark of two midnights for an inpatient admission and issued robust requirements for documentation.
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Scottsdale Health System has seen a decrease in readmissions and emergency department visits among the elderly since the three-hospital system brought together all the community organizations and agencies to collaborate on improving transitions.
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Chart review remains of utmost importance
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Depression takes a toll on nurses and other health care workers.
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Back to Basics: A Day in the Life of a Hospital Case Manager Part 2
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Most adults retain only 20% of what they are told, and if their only education is right before discharge, they dont learn much. People are being readmitted because they dont understand the importance of a follow-up appointment or how they should take their medication,
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In a study by the Bronx Collaborative, patients who received two or more interventions by a dedicated care transition manager had a 17.6% readmission rate compared to a rate of 26.3% for patients who received the current standard of care.
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Historically, clinicians have always done for the patient and not with the patient, a practice that has to change in order to ensure a safe discharge and prevent readmissions.
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As penalties for excess readmissions rise and more diagnoses are included in the program, case managers can play a major role in helping their hospitals avoid penalties.