Hospital Case Management – May 1, 2011
May 1, 2011
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Understand the balance between business and healthcare
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Taking care of hospitalized patients also means taking care of business
As a case manager, your job involves being an advocate for your patients as well as keeping your hospital's best interest in mind. That means you need to be informed about the financial aspects of patient care. -
Case Management Insider: Follow these sure-fire tips to sort through data and measure outcomes in your department
[Editor's note: This is the second part of a multi-part series on demonstrating the value of case management to your organization. Last month, we discussed the vast array of financial and clinical outcome measures to evaluate the effectiveness of your department as well as to demonstrate its impact on the bottom line of the organization. This month, we discuss the tremendous amount of data that can be collected and used for performance improvement, within the department and across the institution. Next month, examples of case management report cards will show how to present this data in a usable format.] -
Rule for conditions acquired at hospital
Now that the Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule that would prohibit payment for healthcare-acquired conditions for Medicaid beneficiaries, it's more important than ever that case managers work with physicians to ensure that conditions that are present on admission are clearly documented in every patient's chart, says Deborah Hale, CCS, president of Administrative Consultant Services, a health care consulting firm based in Shawnee, OK. -
Home monitoring cuts cardiac readmissions
When Ocean Medical Center in Brick, NJ, and Meridian At Home care agency collaborated on a remote monitoring program for heart failure patients, the readmission rate for heart failure dropped from 14.93% before the program began to 4.84% in the first eight months of the pilot program. -
Access Management Quarterly: Surge in underinsured, self-pay? Use these tips
The utilization of services by self-pay patients has increased by 6.9% over the last fiscal year at St. Joseph's Hospital and Candler Hospital, both in Savannah, GA, says Susan M. Younggreen, director of patient financial services.