Hospital Case Management
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Turn that Little Black Book into a Comprehensive Database
With payers’ increasing emphasis on costs over the entire episode of care, case managers need to expand their address books to add resources throughout the community.
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Start Now to Identify Gaps in Transitions Before the Hospital is at Risk
Even if your hospital has little or no financial risk for what happens to patients after treatment in an acute care setting, case managers should connect with community organizations that provide the types of resources your patients need.
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Going ‘Beyond the Hospital Walls’ May Be Further than You Thought
With new initiatives that put hospitals at risk for what happens to patients for as long as 90 days after discharge, case managers need to look at resources in the community when creating a discharge plan.
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GAO Report Takes OSHA to Task on Healthcare Violence
The Occupational Safety and Health Administration has ineffective enforcement programs for issuing citations and following up warnings for workplace violence in healthcare, the U.S. General Accountability Office reports.
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Best Practices, Investments Needed to Communicate Effectively with LEP Patients
There is evidence that a growing number of hospitals are beginning to realize that the kind of investments needed to accommodate limited English proficiency patients may pale in comparison to the tab for maintaining the status quo.
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Re-Engineering Your Case Management Department: It’s Simple, It’s Just Not Easy, Part 2
This month, we will review the elements to be considered when re-engineering an acute care case management model or department.
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CMS Launches Oncology Care Bundled Payment Program
Nearly 200 physician groups and 17 payers are participating in the CMS Oncology Care Model aimed at lowering the cost of cancer care by giving physicians financial and performance accountability for episodes of care involving administration of chemotherapy.
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Health System Takes Part in Bundled Payments to Learn for the Future
When CMS announced the Bundled Payments for Care Improvement initiative, Sentara Healthcare chose to participate in a big way and now has implemented bundled payments across 12 hospitals, covering 180-plus DRGs.
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BPCI Initiative Cuts Readmissions, Costs for Patients Having Cardiac Valve Surgery
After Vanderbilt University Medical Center began a bundled payment project for patients who had cardiac valve replacement or valve repair surgery, readmissions for those patients dropped by 20% and the cost of care decreased at the same time.
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Provider Partnerships Must go Beyond Collaboration, Include Data Sharing
The significant role that post-acute care plays in bundled payments makes it crucial for hospitals to identify providers that perform the best and enter into agreements with them to establish a high-performing post-acute network