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At New England Baptist Hospital, in Boston, social workers meet most patients at the pre-admission screening appointment. A case manager follows up with at risk patients after discharge to make sure they have a smooth transition home.
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As part of its efforts to increase patient satisfaction and reduce length of stay, City of Hope reorganized its case management department, assigning case managers by unit and assigning all utilization review activities to a dedicated staff of registered nurses.
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[Editor's note: This month we include the first part of a two-part series on demonstrating the value of case management to your organization. We cover metrics to measure and goals for your department. In next month's issue, we'll continue with examples of benchmarking and case management report cards.]
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Examples of financial outcomes measures include length of stay (LOS), cost per day, cost per case, and third party payer denials.
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Quality outcome metrics, compiled for the entire organization, include readmissions, discharge/disposition delays, delays in service/turnaround time, patient satisfaction, and inappropriate admissions.
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A lawsuit involving a terrible outcome, but good emergency department (ED) care, seemed "very defensible" to Matthew Rice, MD, JD, FACEP, former senior vice president and chief medical officer at Northwest Emergency Physicians of TEAMHealth in Federal Way, WA. Rice was about to recommend that the hospital vigorously defend the case, but it never got to that point.
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Today, it is standard practice for attorneys to do an Internet search on any adverse party and witness, according to Robert D. Kreisman, a medical malpractice attorney with Kreisman Law Offices in Chicago.
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If there was the potential for a better outcome if a patient was transferred, and the patient was harmed and can show that you breached the standard of care, a successful lawsuit could result, says Michael Blaivas, MD, RDMS, professor of emergency medicine in the Department of Emergency Medicine at Northside Hospital Forsyth in Cumming, GA.
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With some hospitals being designated as demonstrating excellence in the care of stroke patients, does this mean a patient can successfully sue the ED if he or she is not treated at one of those facilities?
