Hospital Case Management – January 1, 2011
January 1, 2011
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'Case management's day': Health care reform focus proves CMs' importance
There's little doubt that as health care reform rolls out and all payers tighten their reimbursement, hospitals are going to depend more and more on case managers to help them ensure that patients receive the appropriate services in an efficient manner and safely move to the next level of care. -
Medicaid RACs coming your way in April
If you're not already doing it, you need to start reviewing the cases of your patients receiving Medicaid benefits as vigorously as you do those of Medicare patients. -
Rounds cut LOS, improve patient satisfaction
After The Reading Hospital in Reading, PA, implemented multidisciplinary walking rounds, patient satisfaction increased and length of stay decreased at the 615-bed tertiary care hospital. -
Critical Path Network: Department redesign leads to cuts in LOS, readmissions
Since North Oaks Health System redesigned its case management program and assigned its RN case managers by physicians, the average length of stay has decreased by a half a day, one-day stays have decreased to within state and national averages, and the readmissions rate has decreased by 43%. -
Critical Path Network: CM redesign proactive approach to reform
In 2004, as talk of health care reform escalated, North Oaks Health System appointed a multidisciplinary process improvement team to determine what changes the hospital needed to make to prepare for where health care was going in the future. -
Critical Path Network: Patient ed affects patient satisfaction
What role does patient education play in patient satisfaction scores for health care organizations? How important is patient education to the patient's opinion of the entire health care experience? -
CM in the home reduces ED, inpatient visits
In three months following participation in a program that provides care management and outpatient services to the frail elderly in their homes after discharge, patients in Dartmouth Hitchcock Regional Medical Center's Bridge Program experienced a 41% decrease in emergency department visits and a 27% decrease in inpatient admissions compared to the three months before the program began. -
Websites providing easy-to-read info
As a consumer health librarian at The Ohio State University Medical Center in Columbus, Abigail Jones, MLIS, MS, has become skilled at selecting websites that provide appropriate information for patients and families who may not read well or have low health literacy. -
2010 Salary Survey Results: Salaries are increasing, but so are CM responsibilities
Despite rising health care costs and shrinking reimbursement, many case managers report that they received a raise last year, but at the same time, their responsibilities increased.