Hospital Case Management
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Hospital at Home Model Benefits from Traditional QI Approach
The Hospital at Home care model is gaining favor with hospitals and health systems as a way to provide hospital-level care in a patient’s home while lowering costs by almost one-third and reducing complications. The approach is receiving more attention now as a way to avoid asking patients to come to the hospital during the COVID-19 pandemic.
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Keeping an Eye on Mental Health
The Centers for Disease Control and Prevention reported that nearly 20% of U.S. adults were living with a mental illness in 2019 — and that percentage shockingly doubled to 40% in 2020. For young adults in particular, the rate of suicidal thoughts rose to an alarming 25%. Since hospital case managers typically have a front-row view of what is happening in the healthcare world, they no doubt have seen these statistics firsthand.
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Technology Can Help Patients with Self-Care of Pain
Patients experiencing chronic pain could improve their self-care by using a novel, digital pain management tool, according to the results of a recent study. The Manage My Pain app was part of a study that included chronic pain participants in both urban and rural pain clinics. Researchers wanted to find out if the app would help with patient care during the COVID-19 pandemic shutdown in which in-person patient visits dropped to a small percentage overnight.
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Health System Nursing Students Follow Up with High-Risk Patients During Pandemic
Health systems and their case management or population health departments could benefit from providing student nurses with clinical experience opportunities, such as calling complex care patients for follow-up. Nursing students, following a script aimed at assessing social determinants of health, contacted the high-risk patients of UC San Diego Health.
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The Balancing Act: Patient Satisfaction and the Hospital Bottom Line
In some ways, it seems that it is nearly impossible to please both the hospital administration and the patients and their families, especially in times of crisis. However, the case manager is in a unique position to bring both along — assuming they have the right tools to do so. Without the help of a wise and invested hospital case manager, the chances of a positive experience for the patient are lower, and hospital spending is more likely to be higher.
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PATH-s Tool Helps Caregivers Understand What Is Needed
Researchers developed a transition care tool that helps caregivers better understand their role and what is expected of them in supporting and caring for patients. A new study on the Preparedness Assessment for the Transition Home After Stroke revealed what caregivers understand about patients’ disease and their own role.
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The Basic Elements of Healthcare Reimbursement, Part 3
In this month’s issue, the conversation on healthcare reimbursement turns to the additional prospective payment systems found across the continuum of care. Prospective payment remains a way in which the Centers for Medicare & Medicaid Services can determine the rates for care based on predetermined amounts rather than on billing. The processes are similar to the use of the diagnosis-related groups in the acute care setting, with some differences.
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Leaders Plot How They Will Leverage the Lessons of COVID-19
While healthcare leaders continue to battle a global pandemic, many also are plotting how they will use the lessons of this emergency to make their health systems better. Several shared their ideas during the Institute for Healthcare Improvement’s annual forum.
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Opioid Use and the Role of the Case Manager
Regardless of whether they know it, many case managers are faced with patients and clients each day who are struggling with opioid use disorder (OUD). As rates of OUD continue to increase, it is essential for case managers to hone their skills of confidently recognizing and addressing the disorder.
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Occupational Therapy and Hospital Readmissions
Occupational therapy is a bit like case management. In both vocations, the greater healthcare community (and population in general) is not entirely familiar with their purpose. Both positions often are all-encompassing, diverse, and necessary as they consider the whole person. Both occupational therapists and case managers often play a role in helping control hospital spending.