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Revamp puts case management in control of hospital beds: aim is maximum reimbursement for ED, surgical patients.
August 1, 2003... When the administration at Davis Memorial Hospital in Elkins, WV, redesigned its case management department, improving reimbursement for emergency department (ED) patients and same-day-surgery patients was a major goal.
"We didn't have...
Work week of four 10-hour days is a hit with CMs: staff can choose their own days off.
August 1, 2003... At Davis Memorial Hospital, case managers work 10-hour shifts, four days a week, often choosing their own days off.
Since the shift from five-day work weeks in 2000, staff satisfaction has improved, and Tod Thorpe, RN, CPC-H, director of...
Balance clinical, financial sides of patient care: CM, UM should go hand in hand.
August 1, 2003... Case managers are in an excellent position to help their hospitals balance both the clinical and the financial sides of patient care, asserts Teresa C. Fugate, RN, BBA, CPHQ, CCM.
"Health care is in a bad way and can only get worse if we...
Study says EDs don't meet time targets for stroke: patients not given diagnostic tests in recommended time frames. (Critical Path Network[TM]).
August 1, 2003... Do stroke patients in your emergency department (ED) always receive a computed tomography (CT) scan within 25 minutes, and do you have results within 45 minutes? If not, you're not following recommended time frames for stroke care--a scenario...
CDC addressing monkey pox cases.(Brief Article)
August 1, 2003... The Centers for Disease Control and Prevention (CDC) has issued infection control guidance for managing people in the health care setting and in the community who may be infected with the monkey pox virus. In a late June news briefing, a CDC...
Get a handle on denials, increase reimbursement: central clearinghouse for all rejections is a must. (Access Management Quarterly).
August 1, 2003... In these times of dwindling health care reimbursement, there s no phrase more significant to managers--and their bosses--than "denial management."
There are several key components that must be in place if a hospital is to achieve best...
Proper ID of plans cut denials by $20 million: initiative yields significant annual savings.
August 1, 2003... When Millie Brown, a former manager in the billing department at Children's Health Care of Atlanta, became director of patient access at the hospital about two years ago, it was natural that she would look for opportunities for improvement in...
CE questions.
August 1, 2003... 5. Under the integrated case management model adopted by Elkins, WV-based Davis Memorial Hospital in 2000, case management staff were cross-trained to handle what two processes?
A. risk management and infection control
B. risk...
Document outcomes to prove your value: tallying soft savings is not enough anymore.
August 1, 2003... Today's case managers need to understand outcomes and track them in order to prove that their interventions have value, says Mary Jane McKendry, RN, CCM, MBA, director of education, training, and consulting for McKesson and president-elect of...