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High Efficacy of COVID-19 Vaccines Buoys Hopes
Although questions and caveats remain, preliminary reports of two new COVID-19 vaccines in the 90% to 95% effectiveness range have bolstered hopes that healthcare workers may soon be protected and potentially large portions of the public immunized in 2021.
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The Basic Elements of Healthcare Reimbursement, Part 2
This month will continue the discussion of healthcare reimbursement by third-party payers. We began last month with a review of the diagnosis-related groups (DRGs) and associated terminology. We will continue by reviewing how medical records are coded followed by the new MS-DRGs implemented in 2007.
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The Four C’s of Patient Care
Every day, case managers face pressure to achieve optimal outcomes in a multitude of scenarios. At the core of each case is the patient’s understanding of medical care, their ability to think critically, make decisions about their care, and use good judgment. Capacity, competency, coping, and choice are the core considerations every case manager should examine with each patient.
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New Research Suggests More Data on Readmissions Can Help
A recent study of Medicare data revealed facilities have many opportunities to improve readmissions — to either a medical or psychiatric hospital — after psychiatric hospitalization.
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Methods for Case Managers to Build and Enhance Resilience
Hospital case management departments can anticipate increased levels of stress among their staff as the COVID-19 pandemic continues. This could cause employees to burn out and leave their jobs. But before things reach a crisis point, there are practical and evidence-based steps leaders can take to help their employees shore up their resiliency to deal with pandemic-related stressors.
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Case Management Leaders Can Help Staff Weather Ongoing Crisis
Research on the effects of the COVID-19 pandemic on nurses, physicians, and other healthcare workers across the world shows disturbing levels of anxiety, depression, stress, burnout, and suicide. The authors of one study estimate the prevalence of burnout among registered nurses in the United States to range from 35% to 45%.
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Leading the Charge in 2021: Managing Capacity
Approaching one year after COVID-19 began spreading in the United States, case managers are considering how to make the most of their new perspective in 2021 and beyond. The pandemic has shone a light on case management program and healthcare facility weaknesses, but also has brought new opportunities for leadership and advocacy. What can case managers do to maximize these opportunities and avoid pitfalls?
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Accreditation Program Elevates Pain and Addiction Care in the ED
Long before the COVID-19 pandemic, frontline providers were confronting an epidemic of patients struggling with opioid use disorders (OUD). Recognizing the urgent need for improvement in this area, the American College of Emergency Physicians is rolling out a new accreditation program that is aimed at nudging EDs across the country to up their game when it comes to both the treatment of pain and the way they manage patients who present with OUD.
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Try Using Telehealth to Diagnose and Manage Patients with Dizziness
Appreciating the need for more guidance in this area, an international task force comprised of physician-scientists from 10 countries developed consensus-based guidelines to help frontline providers diagnose and triage patients with dizziness over a telehealth or virtual platform.
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Researchers Study the Effects of Intensive Primary Care
A case management-type of model, called primary care intensive management, could provide some limited benefits for more complex patients, research shows. But the research also suggests questions about how population health resources are best spent.