Hospital Case Management – October 1, 2010
October 1, 2010
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IPPS final rule means hospitals must do more with less
The inpatient prospective payment system (IPPS) final rule, issued by the Centers for Medicare & Medicaid Services on July 30 makes it clear that the health care agency expects hospitals to do more with less reimbursement. -
Throughput plan includes department redesign
Before patients are admitted to Intermountain McKay-Dee Hospital, a patient flow nurse completes the first level of review for medical necessity and works with the admitting physician to determine the patient status. -
Palliative care team, CMs help patients
When Integris Baptist Medical Center in Oklahoma City began looking at implementing palliative care and end-of-life services, the case management department was the appropriate place to start, says Anita Bell, RN, MEd CHPN, palliative care coordinator at the 508-bed facility. -
Critical Path Network: Systemwide HF program decreases readmissions
A systemwide initiative that coordinates care across the continuum for heart failure patients has reduced the 30-day readmission rate for the North Shore-LIJ health system. -
Critical Path Network: Provide better ED discharge planning
The health care system benefits when unnecessary hospital admissions are avoided, and sometimes the best place to impact that trend is by focusing discharge services on the hospital emergency department (ED), an expert says. -
Keep patients' blood sugar at normal levels
With its approach to glycemic control, SMS St. Mary's Health Center in St. Louis, aims to shorten lengths of stay and "break the cycle of the revolving hospital door," for patients with diabetes as a primary or secondary condition, says Philip Vaidyan, MD, head of the IPC academic hospitalist program. -
Physicians use checklists for quality DP
Mistakes happen even to the best clinicians. This is why hospitals increasingly are relying on checklists and other tools to assist clinicians in the discharge process.