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As the federal government, private payers, and accrediting agencies crack down on overutilization, underutilization, fraud, and abuse, hospital case managers need to keep an even closer eye on what is going on in their hospitals, experts say.
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If case managers see a problem in their hospital, they have a responsibility to report it, asserts Alice Gosfield, JD, of Alice G. Gosfield and Associates, a Philadelphia law firm.
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Case managers can provide vital assistance during a disaster, Toni Cesta, PhD, RN, FAAN, knows from first hand experience.
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The leadership standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) require that hospitals provide one level of care for all patients.
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A patient daily goals checkoff form used twice daily during rounds has helped the surgical intensive care unit (SICU) team at Hartford (CT) Hospital achieve a 25% drop in its mortality rate, while cutting lengths of stay and ventilator days.
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With patient safety a heightened imperative from the Joint Commission on Accreditation of Healthcare Organizations, and facing its own duplicate medical record problem, Truman Medical Center in Kansas City, MO, launched an initiative aimed at ensuring proper patient identification.
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Is it true that we can violate the Emergency Medical Treatment and Labor Act (EMTALA) by not encouraging a patient to stay for treatment when he wants to leave?
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Hospital Case Managements annual salary survey was mailed to readers along with the April 2003 issue. Questionnaires, response forms, and postage-paid envelopes were inserted into that newsletter.
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Each year, Covenant Health System in Knoxville, TN, has a Case Management University for nurses in the system who are interested in becoming case managers.
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In a time of shortage, there often doesnt seem to be any choice but to use agency nurses. But cutting the use of premium labor became a stated goal at Sinai Hospital, a 398-bed hospital in Baltimore.
