Hospital Management
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Workers’ Comp Case Managers Juggle Many Skills for Clients
For nurse case managers who enjoy a challenge, workers’ compensation offers the opportunity to use every organizational and creative skill to make things happen for people whose lives are in crisis. Workers’ compensation case managers must be highly skilled in communicating with a variety of stakeholders, including providers, insurance companies, patients, and others. They must ensure everyone understands that the patient should receive the right treatment at the right time to return to work as soon, efficiently, and timely as possible.
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Bundled Payments, Population Health Fuel Move to New Healthcare Models
A health network with more than a dozen acute care hospitals has developed teams with advanced care providers to work with Medicare at-risk patients to improve care and reduce costs. The case management-style teams also work with some privately insured patients. The team approach has resulted in a 9.5% reduction in 30-day readmissions, according to a healthcare organization’s internal data.
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Healthcare Organizations Use Different Approaches to Reducing Readmissions
Two different techniques highlight success in reducing healthcare costs and readmissions. What they have in common is a focus on teams. Developing the right skills and putting the right team in place are key to success.
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Report Shows Potential Value of PCMH Model
The Patient-Centered Medical Home Recognition program requires practice management processes and patient care quality metrics that address both high-cost chronic care patients and overall patient satisfaction.
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Government Moving to More Risk Arrangements Based on Quality
The Center for Medicare & Medicaid Innovation wants 100% of providers in upside/downside by 2025 and is using the Bundled Payments for Care Improvement Advanced model, primary care models, and (increasingly) more mandatory models to get there.
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Moving From Hospital Quality Improvement to C-Suite: How It Happens
A quality professional in Kansas has made the transition successfully, noting her background in quality, safety, and compliance will serve her well in the new position.
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Stroke Care Lessons Learned From Award-Winning Hospitals
The hospitals focused on nationally recognized guidelines and the latest scientific research to improve stroke care.
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Cameras Help Monitor Compliance, Reduce Patient Falls
A health system based in Florida has found using cameras can improve compliance with quality and safety efforts, especially when the camera includes a speaker for communicating with people.
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Hospital Improves Acute Care for Elders With Dedicated Unit
A Massachusetts-based health system is reporting positive results from an initiative designed to improve care for geriatric patients and increase the use of advance care planning.
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Governance by Experts, Aligned Goals Critical to Successful Quality Improvement
Never forget the fundamental elements of a successful quality improvement program, experts say, even as your attention may be drawn away by complex data analysis.