Hospital Case Management – November 1, 2014
November 1, 2014
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Location, location, location doesn’t work for post-acute care choices
The Medicare Conditions of Participation require hospitals to give patients a choice of post-acute providers, but that doesn’t mean that case managers shouldn’t give them the information they need to make informed choices. -
Giving families the information they need to make a good decision
Many families spend more time and energy researching the best microwave oven to buy than they spend choosing a post-acute facility for their loved ones -
Know the post-acute providers who care for your patients
Before you can give patients the information they need to make a good decision, you need to know something about the facilities on the list you give the patients. -
CMS offers to settle appeals of patient status claim denials
The Centers for Medicare & Medicaid Services has made a one-time offer to hospitals to settle pending appeals of patient status claim denials for 68% of the net payable amount. -
Hospital-SNF collaboration cuts readmission rates
Montefiore Medical Center’s collaboration with five skilled nursing facilities on improving transitions has resulted in a drop in 30-day readmission rates to 15%. -
Stop CAUTI program aims for 25% cut in hospitals
There are two angles of attack to cutting catheter-associated urinary tract infection (CAUTI) rates by 25%, and the harder approach involves changing provider behavior. -
Home visits keep CABG patients out of the hospital
In a pilot study, coronary artery bypass grafting surgery patients who were in North Shore University Hospital’s Follow Your Heart program had a 3.85% 30-day readmission rate compared to a 11.54% rate for at-risk patients not in the program. -
Home Health Care - A Key Component of Discharge Planning
Home care is an important intervention to consider for virtually every patient you discharge to home. By using the strategies discussed above, you can increase your percentage of patients going home with this important service. Remember to assess every patient on admission and to reassess every patient daily. -
Identification of Patients for Referral to Home Care Services