Hospital Case Management – February 1, 2015
February 1, 2015
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They’re Back! Once Out of Favor, Clinical Pathways are Surging
Clinical pathways are being reinvented as changes in reimbursement require hospitals to get a handle on resource consumption and healthcare costs.
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Developing Pathways is a Team Effort
The first step in creating clinical pathways is to know and understand your data. Identify your opportunities to affect quality and costs.
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Taking the lead in ensuring that pathways are followed
Case managers are the logical leaders in their hospital’s effort to follow clinical pathways, says Larry Burnett, RN, MS, managing director for Huron Healthcare, a healthcare consulting firm with headquarters in Chicago.
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Worksheet is a guide to discharge planning CoPs
The Centers for Medicare & Medicaid Services (CMS) has issued the final worksheets for state and federal surveyors to use when they assess hospitals’ compliance with the Medicare Conditions of Participation for quality assessment and performance improvement, infection control, and discharge planning.
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Hospital’s transition program coordinates care throughout the continuum
The Transitions Home program at UnityPoint Health-St. Luke’s Hospital has reduced the all-cause readmission rate for the 532-bed Cedar Rapids, IA, hospital from 11.4% to an average of 10%.
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CMS issues infection control survey
The Centers for Medicare & Medicaid Services (CMS) has finalized its long anticipated infection control survey for hospitals, telling its inspectors the requirements are “effective immediately” and can be used to issue citations in unannounced inspections.
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CMS sets the table for regulation requiring antibiotic stewardship programs
The Centers for Medicare & Medicaid Services does not currently have regulations in place to require antibiotic stewardship programs in hospitals, but the fact that it expanded that section in the final version of its infection control survey suggests that is only a temporary situation.