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If youre tired of the same routine, dealing with your organizations bureaucracy and policies and procedures, and being just another employee who has to take the cases your supervisor gives you, it might be time to look into starting your own case management business as a solo practitioner.
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Many EDs have found ways to streamline their triage processes and slash door-to-provider times. Such department-level improvements are important, but eventually ED administrators have to deal with the inpatient side of the equation for those patients who need to be admitted for further treatment.
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Its not just enough to be a terrific case manager. To become a solo practitioner, you also need to be able to market yourself.
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The Centers for Medicare & Medicaid Services (CMS) proposed rule for the 2014 Inpatient Prospective Payment System (IPPS) is subject to change, but hospital case managers still should familiarize themselves with the rule and determine the impact, says Ralph Wuebker, MD, MBA, chief medical officer for Executive Health Resources, a Newton Square, PA, physician advisor company.
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Faced with high readmission rates and patients who made multiple visits to the emergency department and were hospitalized frequently, a multidisciplinary team at Lehigh Valley Health Network began analyzing the cases of frequent utilizers one at a time, getting to the root cause of the readmissions, and developing a plan to keep them out of the hospital and emergency department.
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At UPMC, an integrated healthcare system with headquarters in Pittsburgh, new case managers spend time on the floor observing a case manager, go through classroom training, then work with a preceptor before going out on their own.
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Theres no one size fits all for case management training, which means that hospitals need to create their own training and orientation process based on the specific responsibilities of the department, says Beverly Cunningham, RN, MS, vice president of resource management at Medical City Dallas Hospital. What is covered will vary from hospital to hospital, depending on the role of case management, she adds.
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Once upon a time, new case managers received their training and orientation as they rotated through the case management department.
