Hospital Case Management – September 1, 2005
September 1, 2005
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Consider a new CM model to help your staff work more efficiently
If your length of stay is above your expected target and your denial rate is rising, you might need to consider redesigning your case management department, suggests Toni Cesta, PhD, RN, FAAN, vice president for administration at North Shore-Long Island Jewish Health System in Great Neck, NY. -
Do your homework before submitting a redesign plan
The most challenging part of redesigning a care management model is developing data and statistics to show the hospital administration that the extra expenditures will have a positive impact on the hospitals bottom line, notes Catherine Korn, RN, MS, CRNP, vice president of nursing at Southern Ocean County Hospital in Manahawkin, NJ. -
Is your facility vulnerable to a malpractice lawsuit?
In todays litigious society, its more important than ever for case managers to take steps to protect themselves in case of a medical malpractice lawsuit, says Jacqueline Carolan, JD, an attorney with Fox Rothschild in Philadelphia. -
Critical Path Network: Clinical redesign cuts LOS, reduces denials, improves care
A clinical redesign project partnering social work and case management has resulted in a 15% drop in length of stay and a 66% reduction in denials during a period when the average number of cases increased by 24% at Childrens National Medical Center in Washington, DC. -
Critical Path Network: Pain management project includes hospital pathway
A quality improvement team that focused on ways clinicians could better manage patients pain developed a one-page clinical pathway that clearly shows what needs to be done. -
Critical Path Network: CMSA announces case manager of the year
At its 15th Annual Conference in Orlando, FL, the Case Management Society of America (CMSA) presented its National Case Manager of the Year Award to Peter Moran, RN,C, BSN, MS, CCM, a staff nurse in the emergency department (ED) at Massachusetts General Hospital in Boston. -
New hospital uses tried-and-true CM practices
Daily multidisciplinary rounds, a full-time medical director who is part of the clinical resource management team, and a clinical resource manager who acts as an additional resource for the case managers on the floor were chosen carefully to promote better patient care when the case management model was developed at the new Memorial Hospital Miramar (FL). -
Guest Column: Learn how to measure the effectiveness of handoffs
Continuity of patient care has many facets, such as availability of information, availability or constancy of a clinician, a usual source of care, and follow-up appointment keeping. It is driven by the goal of providing seamless patient transitions from one setting to another.