Hospital Case Management – August 1, 2005
August 1, 2005
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CMS proposal will increase DRGs covered by transfer rule
A proposal by the Centers for Medicare & Medicaid Services (CMS) to include nearly half of the existing diagnosis-related groups (DRGs) covered by the post-acute care transfer rule will cut Medicare payments to hospitals by $880 million a year, or approximately 1.1% of Medicare payments, according to the Chicago-based American Hospital Association (AHA). -
CM system cuts denied days by setting priorities
By modifying its automated case management system to identify patients with barriers to discharge, enabling the clinical staff to set priorities, Good Samaritan Hospital in Baltimore was able to decrease the percentage of denied days by more than 50% in just six months. -
Project cuts admissions for kids with asthma
Readmission rates, average length of stay (LOS), and cost per case for children with low-acuity asthma improved after a clinical redesign initiative at the University of Michigan C.S. Mott Childrens Hospital (UMMCH) in Ann Arbor. -
Critical Path Network: Hospital cuts overall length of stay by 1.3 days
With the help of case managers, the average length of stay has significantly decreased without adversely impacting quality or outcomes. In todays economic atmosphere, you must be able to positively impact the length of stay as well as maintain our high standard for quality of care, says Pat Eason, RN, BSN, administrative director for case management services at HUMC. -
Critical Path Network: Education earns high comparative AMI rankings
For some quality teams, being good is just not good enough. That was certainly the case at Providence Hospital, part of the St. John Health System in Southfield, MI. -
Access Management Quarterly: Consumers take health care reins: Are you ready?
In much the way 401k investment plans forever changed retirement benefits and led to the realignment of the financial industry in the 1980s, a concept called consumer-directed health care (CDH) appears poised to transform the way health care is delivered.