Hospital Case Management
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Who’s in observation? The treatment team needs to know instantly
Patients receiving observation services can fall through the cracks and stay in the hospital longer than necessary if there’s not a way for the treatment team to easily distinguish between them and admitted patients.
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Review patients at every entry point to ensure patient status
The solution to getting patient status right is to have case managers in the right places to review the cases of patients who are coming into the hospital, says Beverly Cunningham, RN, MS, consultant and partner at Oklahoma-based Case Management Concepts.
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Inpatient or observation: Will the difference ever be clear?
CMS has been trying for several years to clear up the confusion about which patients should be admitted as inpatients and which should receive observation services as outpatients, but the new rules seem to make it more difficult to understand.
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Thinking of Separating Utilization Management and Case Management? Think Again!
The more siloed your department, the more likely that the staff will resort to tasks rather than looking at all of the elements and data associated with the patient in an integrated fashion. This month, we will talk about the pros and cons of separating utilization management out from the role of the case manager.
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A burnout barometer to assess your work culture
The American Association of Critical-Care Nurses has created tools to address issues associated with a healthy work environment, including burnout and “compassion fatigue."
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Hospital safety scores show some improvements
The Hospital Safety Scores released recently by The Leapfrog Group show key shifts among many hospitals on the letter grades rating them on errors, injuries, accidents, and infections.
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Readmissions are focus of TJC resources
The Joint Commission has developed two new resources to help healthcare providers in their efforts to reduce patient readmissions and improve the discharge process.
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Transitional coordinator nurses focus on at-risk patients with chronic diseases
Tucson Medical Center keeps its readmission rates low by having transitional coordinators work closely for patients with chronic disease who are at risk for readmissions.
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Safety net hospital, community providers collaborate to improve transitions
A Care Transitional Task Force at San Francisco General Hospital created a cross-continuum program that has reduced readmissions and increased timely primary care visits for discharged patients.
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CMS gives the RA program a makeover with more changes in store
CMS has made changes in the scope of work for the Recovery Auditor program and has proposed a number of other changes to be implemented when new RA contracts are issued.