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As part of its efforts to decrease readmissions, OSF Saint Francis Medical Center in Peoria, IL, developed a hospitalwide initiative to create safe transitions.
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The CMS efficiency measure has once again raised the issues of length of stay management and cost reduction. These have always been a component of the role of the hospital-based case manager. In todays best practice models, these interventions must be correlated with the roles of coordination and facilitation of care, discharge planning and utilization management. The case managers roles and functions, as well as staffing ratios, must be designed in such a way as to allow for this integration of roles. Be sure that your department is focusing on how to embed this important function in your everyday practice!
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The Affordable Care Act and other provisions of healthcare reform definitely have shone a bright light on utilization, care coordination, and case management interventions.
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Hospitalized children were discharged sooner and were less likely to be readmitted when physicians followed the recommendations of an antibiotic stewardship program, researchers reported recently in Philadelphia at the IDWeek 2014 conference. The study is the first to show the benefits of drug stewardship on childrens health.
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Eliminating distractions and standardizing the process for patient handoffs has helped a group of childrens hospitals reduce handoff errors by 69%.
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The Affordable Care Act and other healthcare reform measures are making far-reaching changes to the way healthcare works, and hospitals and case managers are going to have to change their way of thinking to succeed.
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As penalties rise for readmissions, it is critical for hospitals to implement and support continuity of care initiatives as patients transition from one level of care to another.
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Lakewood Hospitals pilot project in which a patient navigator worked with at-risk patients saved the hospital $156,000 in just six months.
