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Stop inappropriate admissions to improve your hospital's patient flow.
January 1, 2009... Stop inappropriate admissions to improve your hospital's patient flow
Emergency department case managers are a key
With today's shrinking health care dollars and pressure from payers to move patients through the continuum faster than...
Compile data to make your case to administration.
January 1, 2009... Compile data to make your case to administration
Show CMs affect patient flow, bottom line
It will take well-organized data to show your hospital administration how case managers can affect patient flow and to justify additional staff...
Innovations help medical center keep LOS low.
January 1, 2009... Innovations help medical center keep LOS low
CMs assign DRG, follow patients through stay
When patients are admitted to Alamance Regional Medical Center in Burlington, NC, care managers are responsible for assigning the DRG and length...
Critical Path Network: CM protocol results in decreased denials.(case management)
January 1, 2009... Critical Path Network
CM protocol results in decreased denials
Physicians delegate patient status determination to CMs
Payer denials for inappropriate observation patient status dropped by 50% the first year after Good Samaritan...
Critical Path Network: Education was key to success of CM protocol.
January 1, 2009... Critical Path Network
Education was key to success of CM protocol
Research also critical
Before developing a protocol that delegates authority for determining patient status to case managers, a multidisciplinary team at Good...
Critical Path Network: Multifaceted approach keeps patients flowing.
January 1, 2009... Critical Path Network
Multifaceted approach keeps patients flowing
The emergency department at Middle Tennessee Medical Center (MTMC) in Murfreesboro certainly qualifies as busy: It sees nearly 63,000 patients a year and averages more...
Final OPPS rule links quality of care to payment.
January 1, 2009... Final OPPS rule links quality of care to payment
Four new quality measures
In announcing its final rule for the Hospital Outpatient Prospective Payment System (OPPS) for calendar year 2009, the Centers for Medicare & Medicaid Services...
Discharge Planning Quarterly: Pre-admission prediction tool improves process.
January 1, 2009... Discharge Planning Quarterly
Pre-admission prediction tool improves process
Idea is to gain patient buy-in
Sometimes the best response to regulatory and payer changes in health care is to improve the discharge planning process.
...
Discharge Planning Quarterly: DP process begins five weeks before surgery.
January 1, 2009... Discharge Planning Quarterly
DP process begins five weeks before surgery
And ends after discharge
Discharge planning for orthopedic surgery patients at one major hospital begins well in advance of patients being admitted for...
Family interpreters can cause harm.
January 1, 2009... Family interpreters can cause harm
They might purposely misinterpret
When hospitals rely on a patient's family members to interpret medical news, they might be placing the patient at risk, an expert says.
Family members sometimes...
2008 Salary Survey Results: Salaries are up, but case managers have more responsibilities.(Survey)
January 1, 2009... 2008 Salary Survey Results
Salaries are up, but case managers have more responsibilities
Creative strategies help with staff retention
Case management salaries are on the rise, but the vast majority of case managers are working far...
CNE objectives/questions.
January 1, 2009... CNE 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;
...