-
Before Blue Cross Blue Shield of Michigan launched its BlueHealthConnection program, disease management nurses and case management nurses were in separate departments and never talked.
-
When Blue Cross Blue Shield of Michigan decided to create a proactive case management and disease management program, the Detroit-based insurer turned to predictive modeling to identify which of its members were eligible for the BlueHealthConnection program.
-
Its not unusual for members covered by Blue Cross Blue Shield of Arkansas to drop by the office and visit their case manager in person.
-
-
Do you shudder to think of the workload involved in completing
the periodic performance review (PPR) now required by the Joint Commission on Accreditation of Healthcare Organizations? Are you finding yourself solely responsible for all the data collection this entails? Is your goal to do the minimum required to pass muster with surveyors?
-
To share or not to share? Thats the question for many organizations currently in the thick of the decision-making process for whether to send in the results of their periodic performance review (PPR) to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
-
Throughout a recent Joint Commission survey at Paradise Valley Hospital in National City, CA, surveyors zeroed in on two key areas: staff knowledge and patient care, reports Catherine M. Fay, RN, director of performance improvement.
-
Health care practitioners now have had a couple years of experience in doing failure mode and effect analysis (FMEA) projects. Now that weve got some know-how in how to do a FMEA, it is clear that these projects arent easy.
-
-
Question: Ive heard the Centers for Medicare & Medicaid Services (CMS) recently issued instructions that require us to provide emergency physicians more detail on what procedures are billed under their names. How is this going to affect billing for my ED?