Hospital Case Management
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New Tool Helps Administrators Evaluate Patients’ Need for Care Coordination
Researchers developed a new tool, the Special Intensity Score, that healthcare administrators can use to determine a patient’s need for care coordination across multiple specialist doctors. It also helps with evaluation of care coordination practices.
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Half of Hospitals and Skilled Nursing Facilities Use Care Integration Activities, Study Shows
A major point of vulnerability at skilled nursing facilities is the high rate of readmission caused by errors and gaps in care — usually involving medication issues, according to the results of a recent study.
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Some Case Management Conflicts Can Be Tricky
There are times when best practices and calming techniques might not work in resolving conflicts involving case managers. These situations are trickier and more complex because of behavioral issues or the people involved. When this occurs, case management leaders need to be more proactive and take charge of the situation.
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Learn Best Practices for Conflict Management
One of the most important tactics case management leaders can learn and teach their staff is how to resolve interpersonal conflicts. During the COVID-19 pandemic, case managers and other healthcare professionals have seen a rise in stress and tension at work. This can lead to more conflicts between employees and managers.
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Include Staff Mental Health in Disaster Plan
Mental health needs increase following a disaster. This is true of healthcare professionals as well as disaster victims. Disasters can increase burnout and stress in healthcare providers.
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Ways Case Managers Can Improve Disaster Planning
Effective disaster planning requires improved annual preparedness training, better focus on patient transition, more emphasis on rehabilitation after discharge, strengthened teams, and transitions of care contingencies.
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Hospitals and Case Managers Need More — and Better — Disaster Planning
The COVID-19 pandemic and other recent crises have shown the need for improved disaster planning. Disaster plans should be clear, well-defined, and ready to implement before a crisis even strikes. This includes preparation for surge, triage, and crisis standards of care as well as skills training for case managers and other health professionals. -
The Patient-Centered Medical Home
Many people familiar with the concept of the patient-centered medical home (PCMH) might think it is a bit of a pipe dream. But does it have to be that way, or can it become a reality? The PCMH model of care enables a patient’s primary care physician to be the main point of contact — the avenue through which the patient’s treatment and care is coordinated across the continuum. This kind of care also is notable for availability when and where a patient needs it, and is conveyed in a way the patient can easily understand. -
Making the Most of Multidisciplinary Rounds
Communication is one of the most important aspects of the healthcare experience. This is true for the patient, but it also holds for the staff. The better the communication, the smoother the process — and the more lacking the communication, the more frustrating the process. Multidisciplinary rounds (also called interdisciplinary rounds at some organizations) should center on positive communications that keep processes running smoothly. -
Dual-Eligible Medicare Advantage Plans Can Reduce Hospital Admissions
As U.S. healthcare providers shift to value-based care, they need to keep up with various governmental funding plans that could increase options for patients. For example, some states create opportunities for dual-eligible beneficiaries to join Medicare Advantage Dual-Eligible Special Needs Plans and Medicaid plans operated by the same insurer. Researchers suggest these plans can decrease inpatient admissions and nursing home admissions.