Hospital Case Management – November 1, 2003
November 1, 2003
View Issues
-
Case management and compliance: What every CM needs to know
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. -
Act cautiously if you see a compliance problem
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. -
Educate yourself on compliance requirements
As Mindy Owen, RN, CRN, CCM, travels around the country for the Commission for Case Manager Certification (CCMC), shes always surprised to find how few case managers are familiar with the standards of practice under which they operate. -
Include case managers in hospital’s disaster plan
Case managers can provide vital assistance during a disaster, Toni Cesta, PhD, RN, FAAN, knows from first hand experience. -
Do patients get uniform case management?
The leadership standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) require that hospitals provide one level of care for all patients. -
Critical Path Network: Checkoffs play key role in SICU improvement
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. -
Critical Path Network: Proper patient ID focus of hospital initiative
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. -
Access Management Quarterly: CMS hopes final EMTALA rule will ease burden
There is much to rejoice about in the final rule of the Emergency Medical Treatment and Active Labor Act (EMTALA), with many of the most vexing parts of the law either clarified or eliminated altogether, but there still is plenty to keep you busy. -
Access Management Quarterly: Some finer points of the updated EMTALA
These highlights of the final Emergency Medical Treatment and Labor Act (EMTALA) rule were summarized by the Centers for Medicare & Medicaid Services (CMS). -
Access Management Quarterly: ‘Just the facts’ not enough if patient asks about bill
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? -
2003 Salary Survey Results: How do your salary and benefits stack up against your case management peers’?
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. -
2003 Salary Survey Results: Creativity helps with CM recruitment, retention
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.