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The CMS efficiency measure has once again raised the issues of length of stay management and cost reduction. These have always been a component of the role of the hospital-based case manager. In todays best practice models, these interventions must be correlated with the roles of coordination and facilitation of care, discharge planning and utilization management. The case managers roles and functions, as well as staffing ratios, must be designed in such a way as to allow for this integration of roles. Be sure that your department is focusing on how to embed this important function in your everyday practice!
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As part of its efforts to decrease readmissions, OSF Saint Francis Medical Center in Peoria, IL, developed a hospitalwide initiative to create safe transitions.
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The researchers who studied patient handoffs at 23 childrens hospitals found an alarmingly high baseline rate of handoff failure: 25.8% of the handoffs were insufficient or inaccurate.
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Lakewood Hospitals pilot project in which a patient navigator worked with at-risk patients saved the hospital $156,000 in just six months.
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As penalties rise for readmissions, it is critical for hospitals to implement and support continuity of care initiatives as patients transition from one level of care to another.
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Google Glass, the eyeglass-like device that provides constant computer access, takes photographs, and streams live video, has been used during surgery at some facilities, but there have been questions about whether some uses would violate the Health Insurance Portability and Accountability Act (HIPAA).
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All patient access employees in Mercy Hospital Springfield (MO)s main admitting area are required to sign a Customer Service Interaction Plan.
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For the second year in a row, Humana ranked first in overall performance among 148 payers, according to the 2014 PayerView Report, an annual report from athenahealth in Watertown, MA.
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At Ronald Reagan UCLA Medical Center in Los Angeles, patient access managers interview 15 patients each month.
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Below is a description of the Go the Extra Mile (GEM) program used by the patient access department at Mercy Hospital Springfield (MO).