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There's little doubt that as health care reform rolls out and all payers tighten their reimbursement, hospitals are going to depend more and more on case managers to help them ensure that patients receive the appropriate services in an efficient manner and safely move to the next level of care.
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If you're not already doing it, you need to start reviewing the cases of your patients receiving Medicaid benefits as vigorously as you do those of Medicare patients.
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In 2004, as talk of health care reform escalated, North Oaks Health System appointed a multidisciplinary process improvement team to determine what changes the hospital needed to make to prepare for where health care was going in the future.
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In three months following participation in a program that provides care management and outpatient services to the frail elderly in their homes after discharge, patients in Dartmouth Hitchcock Regional Medical Center's Bridge Program experienced a 41% decrease in emergency department visits and a 27% decrease in inpatient admissions compared to the three months before the program began.
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After The Reading Hospital in Reading, PA, implemented multidisciplinary walking rounds, patient satisfaction increased and length of stay decreased at the 615-bed tertiary care hospital.
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Since North Oaks Health System redesigned its case management program and assigned its RN case managers by physicians, the average length of stay has decreased by a half a day, one-day stays have decreased to within state and national averages, and the readmissions rate has decreased by 43%.
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What role does patient education play in patient satisfaction scores for health care organizations? How important is patient education to the patient's opinion of the entire health care experience?
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As a consumer health librarian at The Ohio State University Medical Center in Columbus, Abigail Jones, MLIS, MS, has become skilled at selecting websites that provide appropriate information for patients and families who may not read well or have low health literacy.
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Despite rising health care costs and shrinking reimbursement, many case managers report that they received a raise last year, but at the same time, their responsibilities increased.
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