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Hospital Case Management

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  • COVID-19 Increases Need for Case Managers

    COVID-19 has spurred myriad changes in hospitals as providers scrambled to adapt to the new normal. That includes new and creative ways to connect and support patients.

  • CMS Releases Preliminary Data for Accountable Health Communities Model

    One-third of Medicare and Medicaid beneficiaries screened so far have reported at least one health-related social need.

  • Engage Staff When Training or Implementing New Programs

    Quality improvement professionals often must train staff in new processes or initiatives, but the effectiveness of those sessions can depend on the approach. A simple meeting with a PowerPoint presentation may not be the best way to get good results. The best results will come when the participants feel involved with the effort and want to help reach the desired goal.

  • Kaizen Method Can Improve Case Management

    Efficiency and cost savings are worthy goals. Satisfaction also is relevant, whether applied to patients, frontline staff, managers, or chief executive officers. If your hospital workday is inefficient, satisfaction suffers at all levels. That is where the Kaizen method can help.

  • Medical Records in the COVID-19 Era: Renewing the Case for Interoperability

    The problems of electronic medical records (EMRs) have been all too real during this pandemic. Patients with life-threatening COVID-19 symptoms have gone to hospitals without family or friends. They may not recall critical details of their medical history, including medications. At the crux of this crisis is the patient’s EMR, which holds important details that help providers make treatment decisions. Too often in hospitals, healthcare providers cannot access all these records, which is frustrating for everyone.

  • Look for Undocumented Social Determinants of Health in Patient Charts

    One conundrum for hospital case managers involves identifying patients’ social determinants of health needs when the hospital record does not list all these data. The visible data could be missing critical factors related to why patients are returning to emergency departments or are not taking their medications.

  • COVID-19 Can Cause Neurological Symptoms and Strokes in Patients

    One major health problem related to COVID-19 involves neurological symptoms and signs of brain injury. Patients with COVID-19 can experience acute periods of confusion, post-traumatic amnesia, and delirium. Physicians and researchers do not know what will happen to patients with COVID-19 over the long term and whether they will fully regain their prior cognitive status.

  • Case Managers Can Guide Patients with COVID-19 to Rehab Services

    After days, weeks, or even months of hospitalization with COVID-19, patients often need considerable help with their post-discharge recovery. This is especially true for people who need pulmonary, brain injury, or cardiac rehabilitation. Hospital case managers can help patients recover by educating them about various rehabilitation services.

  • COVERED Project Seeks to Protect ED Personnel from COVID-19

    Few questions are of greater concern to emergency health personnel these days than how they can protect themselves from COVID-19. It is an issue loaded with nuance. Much depends on such factors as how someone works in the emergency department, what procedures they perform, what specific practices they use when performing those procedures, and how often they are exposed.

  • Rural Hospitals Struggle Amid Budgetary Constraints, Reporting Requirements

    Hospitals across the United States have their hands full dealing with COVID-19 pandemic-related obstacles that are straining resources and increasing the stress levels of frontline providers. Meanwhile, hospitals in many rural communities are facing added concerns. Many have seen their already-precarious financial health pushed almost to the breaking point while staff struggle to keep up with ever-changing medical advisories and reporting requirements. All this on top of meeting the care needs of their communities in an environment where many patients fear accessing care.