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Everyone wants a good outcome from case management services, but not everyone knows what the result should be or how to measure it.
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To comply with the Joint Commission on Accreditation of Healthcare Organizations new National Patient Safety Goal to reduce the risk of patient harm resulting from falls, your organization must assess and periodically re-assess each patients risk of falling including the potential risk associated with the patients medication regimen and take action to address any identified risks.
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The wound care center at Presbyterian Hospital of Plano (TX) takes a holistic approach to patient care by assigning each patient to one nurse who provides hands-on care and case management.
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After an exhaustive process that involved collecting more than 150 ways to define case management and testing them in the field, the Case Management Leadership Coalition has come up with a way that case managers can tell consumers what they do.
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A team approach to hospice care helps members of the interdisciplinary team provide support for patients and each other at HealthEast Hospice Care, based at St. Josephs Hospital in St. Paul, MN. The hospital is part of the HealthEast Care System, also in St. Paul.
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A program that places nurse case managers in all admissions areas of the hospital has helped Our Lady of the Lake Regional Medical Center in Baton Rouge, LA, cut down on inappropriate admissions and transfers and improve patient flow.
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When you choose an information system for your case management department, make sure it will meet your future needs, as well as your current needs, advises Vicky Mahn-DiNicola,RN, MS, CPHQ, vice president for clinical design support services at ACS Healthcare Solutions, Midas+ with headquarters in Tucson, AZ.
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If your case management department isnt replacing paper records with electronic technology, its likely to become more difficult to find the information you need to cut down on avoidable days and denials, track outcomes information, and demonstrate the value of case management to your hospitals administration team.
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A woman presented to the ED of a hospital. When told there would be a two-hour wait to be seen, she tried to drive to another hospital but had to stop and call for emergency medical assistance. She was taken by ambulance back to the first hospital where, several hours she later, she was diagnosed with a perforated bowel. Rather than immediately undergo the required emergency surgery, she agreed to be transferred to another hospital. She died shortly after arriving at the receiving facility.