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The discharge planning worksheet that surveyors will use to assess hospitals compliance with Medicare Conditions of Participation highlights the need for case managers to be more proactive in discharge planning and identifying the right post-acute setting in a timely fashion, says Laura Jacquin, RN, MBA, managing director for Huron Healthcare, a Chicago-based consulting firm.
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Nurses are at high risk of stress caused by work-family conflict (WFC) partly because of the physical and emotional demands of their long shifts. One solution could be to permit some worker self-scheduling, an expert says.
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Using a Centers for Medicare & Medicaid Services Innovation grant, Beth Israel Deaconess Medical Center in Boston launched a program to prevent readmissions.
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By analyzing heart failure readmissions and collaborating with post-acute providers and community organizations, Essentia Health-St. Josephs Medical Center in Brainerd, MN, cut its readmission rate from 18% to a low of 6%.
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When the Centers for Medicare & Medicaid Services (CMS) changed the way in which it would reimburse hospitals based on the number of Medicare 30-day readmissions they had, hospitals began a long journey of discovery.
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Its no longer enough for case managers to create a discharge plan and forget about the patient as soon as he or she is out the door, advises Jackie Birmingham, RN, BSN, MS, CMAC, vice president emerita of clinical leadership for Curaspan Health Group, a Newton, MA-based transition management software company.
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Staff members at provider offices often think, wrongly, that the hospital is responsible for obtaining or denying authorizations.
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By spending about an hour rounding in registration areas, patient access leaders can resolve many staff concerns and boost morale. By rounding, managers can do the following:
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Standardized registration processes decrease claims denials and increase success with cross-training, according to patient access leaders. Eligibility denials decreased by 14% each quarter in the last fiscal year at UK Healthcare.
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Posting collection scores on a board in patient access areas increased upfront collections at Maury Regional Medical Center in Columbia, TN, by 30%.
