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Thrombosis of prosthetic heart valves is one of the most feared complications of heart-valve replacement.
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One of the most complicated issues facing medical staff, patients, and their caregivers is medication reconciliation. The medicines a patient is taking when he or she enters a hospital should be reconciled with any new medication the patient is given or prescribed while in the hospital.
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By placing on-site nurse case managers in hospitals and post-acute facilities, Presbyterian Health Plan of New Mexico has saved more than $1 million in just 10 months, according to Paula Casey, MSN, RN, ONC, CCM, clinical director for inpatient and recovery services at the Albuquerque-based health plan.
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WellPoint's initiatives to reduce hospital readmissions by following up with Medicare Advantage members after discharge has decreased the readmission rate and reduced skilled nursing days, according to Karen Amstutz, MD, vice president and medical director of care management for seniors and state sponsored business for the Indianapolis-headquartered health benefits company.
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There are literally dozens of studies that enumerate some of the problems that plague patients as a result of imperfect transitions of care.
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Don't say "discharge" to Hussein Michael Tahan. He prefers that you use the word "transition," as in transition planning and management.
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Health care professionals are familiar with the "time out" surgical teams take before beginning an operation. Teams check and validate vital information on each patent in order to prevent drastic mistakes.
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In today's healthcare environment, as patients are being discharged from the hospital sicker and quicker than ever before, some patients are in and out of the hospital as if they are going through a revolving door, says Catherine M. Mullahy, RN, BS, CRRN, CCM, president and founder of Mullahy & Associates, a case management training and consulting company based in Huntington, NY.
