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Hospital Case Management

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  • For senior citizens, there's no place like home

    Senior citizens are just like everyone else: They prefer living in their own homes where they feel secure and can do as they please, when they please, instead of being in an institution where they are at the mercy of the facility's routine.
  • Nurse calls reduce risk from gestational diabetes

    Women with gestational diabetes who received telephone-based management from a nurse had a lower risk of high birth weight for newborns in a study conducted by the Kaiser Permanente Northern California Division of Research.
  • Checklists, hand hygiene cited as top strategies

    Of the hundreds, if not thousands, of patient safety strategies employed at hospitals across the country, the Agency for Healthcare Research and Quality (AHRQ) has released a report identifying the top 10 patient safety strategies that can be implemented immediately by healthcare providers.
  • Study: Checklists can improve patient safety

    When doctors, nurses, and other hospital operating room staff follow a written safety checklist to respond when a patient experiences cardiac arrest, severe allergic reaction, bleeding followed by an irregular heartbeat, or other crisis during surgery, they are nearly 75% less likely to miss a critical clinical step, according to a new study funded by the Agency for Healthcare Research and Quality (AHRQ).
  • Hospital’s proactive approach to RAs pays off

    A proactive approach to the Recovery Auditor (RA) process has paid off for Alamance Regional Medical Center in Burlington, NC. Out of more than 800 denials from the auditor, the hospital has appealed up to the administrative law judge level, if necessary. So far, the hospital has won a high percentage of the appeals. Many are still pending because of a backlog.
  • Care coordination cuts admissions, ED visits, LOS

    Gundersen Healths integrated care coordination program, in which a team of RN care coordinators and social workers follows the 1% to 2% most complex patients through the continuum, has resulted in a 46% decrease in average length of stay and a 64% decrease in unplanned hospital admissions or emergency department visits.
  • Focus on value-based purchasing to help your hospital succeed

    As the Centers for Medicare & Medicaid Services (CMS) Value-Based Purchasing program moves toward basing reimbursement on quality, case managers can take the lead in making sure their hospitals score well and dont lose reimbursement.
  • Navigators help patients manage their health

    Patients who participate in Hospital Sisters Health System Medical Groups Nurse Navigator Program have shown significantly fewer emergency department visits and hospital visits as well as better control of their chronic conditions than patients who are not being followed by a nurse navigator.
  • Patient flow gets new look, standards

    Patient flow and boarding have been recognized for some time as problems that hospitals need to address. But whatever is being done isnt enough, and The Joint Commission (TJC) released a report in December outlining new standards in the Leadership section, some of which came into effect on January 1, and some of which will take effect in another year.
  • Transition nurses follow patients after discharge

    To eliminate gaps in care after their members have been hospitalized, Cigna Medical Group has assigned RN care coordinators to local hospitals to act as a bridge between the primary care practice and the hospital and has a dedicated team of physicians, pharmacists, and nurses who see the majority of patients for their first follow-up visit.