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The recent case in which a woman died while awaiting care in a hospital emergency department (ED), while others called 911 for help, could be a reminder of the need for staff to check for updates on patients waiting for emergency treatment.
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When a 43-year-old woman's family and a bystander had to call 911 to seek help for her as she was lying on the floor in the ED at Martin Luther King Jr. — Harbor Hospital in Los Angeles, it was the beginning of the end for the troubled hospital.
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With studies showing that 10% of patients are using 90% of the nation's health care resources, traditional case management must move to a disease management model, says Bob Whipple, RNC, CCM, CCS, MHA, a Boston-based senior management consultant with ACS Healthcare Solutions.
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The "yes-means-no" phenomenon was one of several challenges encountered by the team conducting a community case management pilot project for diabetes patients in Nogales, AZ, says Donna Zazworsky, RN, MS, CCM, FAAN, diabetes care center manager for the Tucson-based Carondelet Health Network.
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A disease management program implemented by nurse case managers helps chronically ill unfunded patients cared for by the North Broward Hospital District avoid hospitalizations and emergency room visits.
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Discharge planners/case managers are likely to encounter instances in which home care, hospice, and home medical equipment (HME) providers state that they cannot accept patients because they are "unsafe" at home.
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Eight Medicare chronic care improvement demonstrations cost more than they saved in their first six months, according to an early review of the programs by RTI International.
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Patients at Seton Medical Center are made aware of their proposed discharge date early in the stay through a laminated poster with a Wizard of Oz theme titled "The Road Home."
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If your hospital is having difficulty complying with the new Medicare rule for notifying patients of their right to appeal their discharge, you're not alone.