Hospital Case Management – March 1, 2003
March 1, 2003
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FMEA: A new QI tool to help improve case management processes
Case managers are no strangers to quality improvement (QI) tools; for many years they have used a number of QI tools to improve processes and to help them meet accreditation standards. -
CMs, social workers collaborate for better care
A multidisciplinary program staffed by nurse practitioner case managers and social workers has resulted in dramatic decreases in admissions, lengths of stay, and emergency department visits among indigent patients cared for at the University of Iowa Hospitals and Clinics in Iowa City. -
Indigent patients present multiple challenges
The approximately 4,000 indigent patients in the University of Iowa Hospital and Clinics Care Management program (CMPUI) in Iowa City make up 3% of patients but utilize 6.5% of hospital resources and represent 6.4% of acute admissions. -
Team care management = lower lengths of stay
At Griffin Hospital in Derby, CT, the patients care is managed by their primary care nurse, their case manager, and by the patients themselves. As a result, the nonprofit hospitals lengths of stay are at or below the averages reported by the Centers for Medicare & Medicaid Services. -
The Planetree philosophy: A recipe for satisfaction
Griffin Hospital in Derby, CT, routinely gets a 97% to 100% patient satisfaction rating on a monthly telephone survey of about 15% of discharged patients. More than 80% of patients say they are willing to return to Griffin Hospital and would recommend the services to their family and friends. -
Patient education is key to shorter lengths of stay
At Griffin Hospital, patients sometimes point out to the staff that they were scheduled for a test but didnt have it. Some comb their patient record and suggest changes. -
Coalition of organizations develops common vision
Case management stands at a crossroads and needs a common vision plan that unites case managers across the broad health care spectrum, a group of case management leaders has concluded. -
Ambulatory Care Quarterly: How will you measure up to new CARF standards?
Starting July 1, all organizations accredited by the Tucson, AZ-based Commission on Accreditation of Rehabilitation Facilities (CARF) must meet a new set of standards, regardless of what area of rehabilitation they are involved in. -
Clinical Path Network: Computer technology improves operations
A multimodal education program to teach nursing and respiratory therapy staffs about improved techniques has led to a significant reduction in the incidence of ventilator-associated pneumonia (VAP). -
These standards effective July 1
These are the Commission on Accreditation of Rehabilitation Facilities (CARF) standards (copyrighted by CARF in the 2003 standards manuals) that are new for every type of facility: