Hospital Case Management articles from January 2006

Hospital Case Management archives from January 2006

Physician advisors can help case managers do their job better.
January 1, 2006... Physician advisors can help case managers do their job better Rely on them to intervene when problems arise If you aren't taking advantage of the assistance your case management physician advisor can offer, or if you don't have an...

Physician-case manager team cuts LOS, denials.(length of stay cut at Mercy Medical Center)
January 1, 2006... Physician-case manager team cuts LOS, denials Collaborative effort focuses on top 10 DRGs By working as a team, the physician advisor and case management staff at Mercy Medical Center in Canton, OH, have decreased Medicare length of...

Don't rely on Condition Code 44 to fix mistakes.(rule governing status change from inpatient to outpatient)
January 1, 2006... Don't rely on Condition Code 44 to fix mistakes Catch inappropriate admissions in advance If your hospital is routinely filing claims under Condition Code 44, which changes a patient's status from inpatient to outpatient, your system...

Get involved in your insurance contracts.
January 1, 2006... Get involved in your insurance contracts CMs' knowledge is invaluable in negotiations If you're not involved when your hospital contracts with managed care companies, you may miss an opportunity to eliminate denied or avoidable days...

Critical Path Network: Hospital's DM program cuts admissions, ED visits.
January 1, 2006... Critial Path Network Hospital's DM program cuts admissions, ED visits Program saved $5 for every $1 spent When Jackson Health System in Miami started its first hospital-based disease management program in 1995, the case management...

Critical Path Network: Lean production efforts help save $7.5M in 1 year.(Park Nicollett Health Services )
January 1, 2006... Critial Path Network Lean production efforts help save $7.5M in 1 year Each service line has a dedicated director Park Nicollett Health Services (PNHS), a health care system based in St. Louis Park, MN, has demonstrated savings of...

Critical Path Network: JCAHO to look closely at patient handoffs.
January 1, 2006... Critial Path Network JCAHO to look closely at patient handoffs Communication lapses will be key focus An emergency department patient is brought in for an X-ray, but the nurse forgets to tell the radiologist about the patient's...

Discharge Planning Advisor: System achieves 'right patient, right level of care'.
January 1, 2006... Discharge Planning Advisor System achieves 'right patient, right level of care' Training nurses to ask questions was key An increasing number of one-day stays and patients who failed to meet admission criteria formed the impetus...

Discharge Planning Advisor: CHF project aims to bridge gap between providers.(Michigan's Cardiovascular Health Project)
January 1, 2006... Discharge Planning Advisor CHF project aims to bridge gap between providers Goal is better outcomes, fewer readmissions Drawing on 20 years of quality improvement experience, MPRO, Michigan's Health Care Quality Improvement...

CE objectives/questions.(continuing medical education on case management)(Brief Article)
January 1, 2006... CE objectives After reading each issue of Hospital Case Management, the nurse will be able to do the following: *identify particular clinical, administrative, or regulatory issues related to the profession of case management; ...