Hospital Case Management
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Separating Utilization Review, Case Management Creates Transitional Care Coordinator Role
Hospitals that still assign case managers to utilization review and care coordination at discharge might consider separating the duties to improve care quality.
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Nursing Shortage or Not? It Depends on Location
Although reports often emerge with predictions of a pending nursing shortage, some evidence also points to the opposite: plenty of new nursing graduates to meet the demand.
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American Hospital Association Sues CMS Over Final Rule Changes to OPPS Payments
The American Hospital Association has sued the U.S. Department of Health and Human Services to prevent changes to how Medicare reimburses care in hospital outpatient departments.
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Hospitals Take Social Determinants of Health Beyond Theory, Put Data to Use
The healthcare community is gradually accepting that social determinants of health can improve quality of care. Finding a way to apply the data can be difficult, but several hospitals and health systems are showing how it can be done.
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Coordination Center Uses Real-time Data to Speed Collaborative Decision-making
As high-volume hospitals face continual overcrowding and ED boarding problems, leaders are recognizing that change is needed. To resolve logjams, some institutions are turning to a centralized command center model that relies on a nurse navigator to be the ED point person.
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Some States Provide Funding When SDOH Used to Improve Quality
One health system is finding that the state it operates in is willing to support the use of social determinants of health to address health issues affecting the community.
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Efforts Underway to Reduce Medicare Spending, Meet Standards for Spending Per Beneficiary
With the healthcare industry’s increased focus on value-based purchasing, debate continues as to whether hospitals are meeting standards for total Medicare Spending Per Beneficiary.
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Age-Friendly Health Systems Initiative Improves Delivery, Quality of Care for Older Patients
With thousands of people across the United States reaching age 65 and older every day, hospitals and health systems are looking for ways to improve care for these patients and better suit their needs.
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Strategies for How Case Managers Can Truly ‘Hear’ Patients’ Stories
Case managers have the power to help their patients change their own narratives about their illnesses and injuries.
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Case Managers Can Help Patients Improve Health Outlook
Case managers can learn skills to help patients change their concerns about illness or injury through developing a functional life story that teaches optimism.