Articles Tagged With: capacity
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Effect of COVID-19 on Patient Severity of Illness, Evaluating Hospital Performance
Patients with COVID-19 not only experience a higher mortality rate, but also a longer length of stay than other viral illness patients, even when adjusted for other patient factors such as age and comorbidities. Because of this, it is a challenge to evaluate hospital performance during the pandemic. -
The Steep Costs of Operating Under Crisis Standards of Care
New data shine a harsh light on what can happen when hospitals become so overcrowded that they have to resort to crisis standards of care, a level of care where practice standards are relaxed under the strain of scarce resources.
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Develop Best Practices for Shared Decision-Making
Case managers are learning more about how to include patients in their care transitions, as part of shared decision-making. The first step in shared decision-making is to assess the patient’s situation, followed by educating the patient about all facets of their self-care and health management. -
PATH-s Tool Helps Caregivers Understand What Is Needed
Researchers developed a transition care tool that helps caregivers better understand their role and what is expected of them in supporting and caring for patients. A new study on the Preparedness Assessment for the Transition Home After Stroke revealed what caregivers understand about patients’ disease and their own role.
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Capacity and COVID-19: Where Is Case Management?
As of this writing, there are reports about hospitals across the country that have reached or exceeded capacity. These hospitals have only one or two available critical care beds, and some have no open medical or surgical beds. It is clear the hospitals are overwhelmed with COVID-19 cases, and they are coming at rates that are outside the bounds of anyone’s experience. But as I listen, I have to wonder. Where is case management? Are these administrators using case management to its fullest? Is there a capacity management plan?
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The Four C’s of Patient Care
Every day, case managers face pressure to achieve optimal outcomes in a multitude of scenarios. At the core of each case is the patient’s understanding of medical care, their ability to think critically, make decisions about their care, and use good judgment. Capacity, competency, coping, and choice are the core considerations every case manager should examine with each patient.
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Leading the Charge in 2021: Managing Capacity
Approaching one year after COVID-19 began spreading in the United States, case managers are considering how to make the most of their new perspective in 2021 and beyond. The pandemic has shone a light on case management program and healthcare facility weaknesses, but also has brought new opportunities for leadership and advocacy. What can case managers do to maximize these opportunities and avoid pitfalls?
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Ethical Considerations for Complex Discharges
What will you do if a patient refuses prescribed treatment? If the patient does not follow doctor’s orders, how will you advise them? If adult children will not let you tell the patient his diagnosis, what will you do? These are common situations in healthcare. Each raises an ethical dilemma for hospital case managers.
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CDC Guidance for Use of Facemasks During Crisis
The CDC’s recommendation for optimizing the supply of facemasks include “contingency” and “crisis” capacity. These are steps hospitals can take if they are no longer at “conventional” capacity, when standard measures remain in effect. The CDC defines contingency capacity as practices that may be used temporarily during periods of expected facemask shortages. Crisis capacity may call for stopgap measures “that are not commensurate with U.S. standards of care."
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This Flu Season, Consider These Tactics to Manage Capacity, Prioritize Safer Care
Tips include hastening the early discharge of patients so inpatient beds become available faster and smoothing elective, scheduled admissions across the week.