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As they wait to learn the next steps in health care reform, case managers should start thinking about what they need to do to get ready for the future, says Beverly Cunningham, RN, MS, vice president, clinical performance improvement, Medical City Dallas Hospital.
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By implementing a series of patient flow initiatives over a 10-month period, UC Health University Hospital, a 693-bed academic medical center in Cincinnati, was able to decrease the average patient length of stay by 5.34 hours, giving the hospital the ability to serve 1,300 more patients each year.
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A series of initiatives at Central DuPage Hospital has helped decrease length of stay and improve patient flow, according to Corinne Haviley, RN, MS, associate chief nurse at the 313-bed hospital in Winfield, IL.
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It sounds fairly cut and dried: If an authorization isn't obtained from a payer, the claim will be denied. However, payer requirements are getting more and more complex and stringent.
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By dedicating a wing of the hospital to patients being cared for by hospitalists, St. Mary's Health Center in St. Louis has decreased the length of stay by 4% compared to a 2% reduction in the non-hospitalist unit, as well as improved patient satisfaction and decreased the 30-day readmission rate for patients on the hospitalist unit.
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Uncollectible funds, or "bad debt," is a problem your patient access department can't afford to ignore. With increasing numbers of self-pay, uninsured, and underinsured patients access managers should revamp processes sooner rather than later.
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Capital BlueCross members who have been diagnosed with cancer are getting support during all phases of treatment through a new oncology case management program launched in the spring of 2010 by the Harrisburg, PA-based health plan.
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Preventing an illness or disease from happening in the first place may seem like "invisible" gains to many, but you don't have to settle for that. Instead, come up with figures to show the large dollar amount of savings that occurs by preventing just one costly diagnosis.
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Why is it that back injuries are one of the most costly and common worker's compensation injuries? "There are a lot of factors associated with back injuries that create tough challenges," according to Kathy Dayvault, RN, MPH, COHN-S/CM, an occupational health nurse at PureSafety in Franklin, TN.
