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Since North Oaks Health System redesigned its case management program and assigned its RN case managers by physicians, the average length of stay has decreased by a half a day, one-day stays have decreased to within state and national averages, and the readmissions rate has decreased by 43%.
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After The Reading Hospital in Reading, PA, implemented multidisciplinary walking rounds, patient satisfaction increased and length of stay decreased at the 615-bed tertiary care hospital.
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In three months following participation in a program that provides care management and outpatient services to the frail elderly in their homes after discharge, patients in Dartmouth Hitchcock Regional Medical Center's Bridge Program experienced a 41% decrease in emergency department visits and a 27% decrease in inpatient admissions compared to the three months before the program began.
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In 2004, as talk of health care reform escalated, North Oaks Health System appointed a multidisciplinary process improvement team to determine what changes the hospital needed to make to prepare for where health care was going in the future.
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If you're not already doing it, you need to start reviewing the cases of your patients receiving Medicaid benefits as vigorously as you do those of Medicare patients.
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There's little doubt that as health care reform rolls out and all payers tighten their reimbursement, hospitals are going to depend more and more on case managers to help them ensure that patients receive the appropriate services in an efficient manner and safely move to the next level of care.
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Nurses and patients in the ED at The George Washington University Hospital in Washington, DC, have responded positively to a new study that allows patients to e-mail cell phone photos of their injuries to ED physicians prior to their treatment.
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Initial data on the use of cell phone photos of injuries, taken by the patients themselves in the ED at The George Washington University Hospital in Washington, DC, offers the promise that they might have the potential to speed treatment without sacrificing diagnostic accuracy.
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There are any number of reasons why an ED and its hospital would have difficulty complying with The Joint Commission standard regarding egress, says Diana S. Contino, RN, MBA, FAEN, senior manager of health care with Deloitte Consulting in Los Angeles.
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In the Planetree model, staff don't treat patients like they'd want to be treated. Instead, they find out how the patient wants to be treated, says Linda Sharkey, RN, MSN, vice president of patient care services and chief nurse executive at Fauquier Hospital.