Hospital Case Management
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Care Transition Program Shows Success with Long-Term Outcomes
A hospital’s Care Transitions Clinical Coordinators program provides patients and caregivers with care transition support. The program focuses on assessment and identification of the root cause of readmission, as well as other key interventions.
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Discharge Algorithm Improves Transitions, Results
Decision support technology can help case managers improve transitions of care and more easily access patient information necessary for an optimal discharge. The algorithm can collect data on patients’ functional status, cognition, caregiver status, and other important characteristics.
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Hospital-SNF Partnership Brings Better Care for Complex Patients
Coordinating post-acute services for patients has been an ongoing challenge during the COVID-19 pandemic. One solution is for hospitals to form partnerships with local skilled nursing facilities. These partnerships can help hospitals find adequate care for complex patients. Hospital case managers and other staff can help the skilled nursing facility with difficult problem-solving and care coordination.
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Capacity and COVID-19: Where Is Case Management?
As of this writing, there are reports about hospitals across the country that have reached or exceeded capacity. These hospitals have only one or two available critical care beds, and some have no open medical or surgical beds. It is clear the hospitals are overwhelmed with COVID-19 cases, and they are coming at rates that are outside the bounds of anyone’s experience. But as I listen, I have to wonder. Where is case management? Are these administrators using case management to its fullest? Is there a capacity management plan?
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Teaming with Physician Advisors
As modern healthcare continues to unfold and advance, new procedures and even positions often are put in place to best serve professionals and patients. One role that has been enhanced in recent years is the physician advisor. These professionals are known as the liaisons between physicians and the administrative side of hospital operations. It is no surprise they rub shoulders regularly with hospital case managers.
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Keeping It Together: Hospital Consolidation
Whether for financial reasons, to improve integration of care, decrease duplication of clinical services, or to mitigate the financial effect of COVID-19, more hospitals are choosing to consolidate into larger systems. What can hospital case managers do to prepare for this, and how can they handle the transition with grace?
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The Perks of Palliative Care
Most healthcare providers know that compassionate care and honest conversations with patients can lead to trusting relationships and better outcomes. Those relationships are even more important as a patient edges toward the end of life, or received a diagnosis of chronic or terminal illness. This is where palliative care comes in.
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The Need for More Post-Acute COVID-19 Care Is on the Rise
Hospitals nationwide have focused on handling overflow of COVID-19 patients needing acute care. They also are developing programs to handle post-acute medical problems discharged COVID-19 patients face.
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Care Transition Programs Falter with Inconsistencies
For case management and transitional care services to produce positive results in patient and economic outcomes, they need to be consistent, researchers suggest.
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Case Managers Play Big Role in Stroke Care Transitions
Vulnerable stroke patients often are transitioned home, which can create challenges and the continued need for case management or follow-up care. Researchers studied these transitions in a pragmatic trial to see if health systems would implement transitional care for certain stroke patients.