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CMS requirements present challenges, opportunities for case managers.(centers for medicare and medicaid services)
October 1, 2008... CMS requirements present challenges, opportunities for case managers
IPPS expands quality reporting, hospital-acquired condition list
The Centers for Medicare & Medicaid Services (CMS) continues to move at a rapid pace toward...
CMs', coders' role in documenting POAs.(Case managers)(present-on-admission)
October 1, 2008... CMs', coders' role in documenting POAs
CMs can identify where process breakdowns occur
Case managers should be involved in their hospitals' efforts to ensure compliance with the Centers for Medicare & Medicaid Services (CMS)...
Use systematic approach to identify at-risk patients.
October 1, 2008... Use systematic approach to identify at-risk patients
Make sure preventive protocols are applied
As the Centers for Medicare & Medicaid Services (CMS) moves to strengthen the tie between quality of care and hospital reimbursement,...
Critical Path Network: LOS initiative emphasizes interdisciplinary collaboration.
October 1, 2008... Critical Path Network
LOS initiative emphasizes interdisciplinary collaboration
Systemwide staff can earn bonuses if goals are met
As the result of an initiative in which the entire hospital staff collaborate to improve length of...
Critical Path Network: 'Re-engineered' discharge uses checklist.
October 1, 2008... Critical Path Network
'Re-engineered' discharge uses checklist
Project RED incorporates 'virtual advisor'
When a patient discharged on a Friday is back in the hospital the following Monday, there can be many reasons. A few years...
Critical Path Network: Get EKG time down to 11 minutes or less.
October 1, 2008... Critical Path Network
Get EKG time down to 11 minutes or less
At Loma Linda (CA) University Medical Center, ED nurses have decreased door-to-EKG time to 11 minutes from almost an hour a year ago, reports Teri D. Reynolds, RN, BSN,...
Baystate case managers act as quality safety net.
October 1, 2008... Baystate case managers act as quality safety net
CMs ensure that quality checklist is followed
Case managers act as the safety net in making sure that patients receive appropriate evidence-based care interventions and ensuring safety...
Documentation initiative increases case mix index.
October 1, 2008... Documentation initiative increases case mix index
Staff collaborate with coders
A clinical documentation improvement program at Moses Cone Health System in Greensboro, NC, has resulted in a 6.43% increase in the case mix index and a...
CE, communication keys to successful initiative.
October 1, 2008... CE, communication keys to successful initiative
Nurses, coders meet monthly, collaborate daily
Ongoing education between the clinical documentation improvement specialists, the coders, and managers of each department is essential to...
CNE objectives/questions.
October 1, 2008... 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;
...