Case Management Advisor – June 1, 2003
June 1, 2003
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Case management redesign saves millions for NM health care plan
When Presbyterian Health Plan merged its commercial, Medicare, and Medicaid managed care products, the case managers decided to take the merger a step further. -
Outcomes track benefit of case management
Case managers at Presbyterian Health Plan in Albuquerque, NM, conduct monthly cost-benefit analyses to help demonstrate the benefits of their interventions. -
Plans reap big benefits from nurse triage services
Nurse triage services offered by health plans can improve members access to care, reduce unnecessary or avoidable emergency department (ED) and physician office visits, improve members satisfaction, and proactively identify members in need of case management or disease management services. -
Nurseline service saves lives, costs for employers
A truck driver for a large freight company was hundreds of miles from home when he began having chest pains. -
Triage line screens callers for chronic disease
When members call a nurse triage line about a health problem, theyre at a teachable moment when they are receptive to taking action about their conditions, Kevin Maher, RN says. -
Nurses help members navigate system
HealthPartners of Minneapolis has created a program that bridges the gap between the health plans member services line and the after-hours nurse triage line. -
Document outcomes to prove your value
Todays case managers need to understand outcomes and track them in order to prove that their interventions have value, says Mary Jane McKendry, RN, CCM, MBA, director of education, training and consulting for McKesson and is president-elect of the Case Management Society of New England in Hampstead, NH. -
Determine what to track and how to track it
Before you start your outcomes measuring program, you need to decide what youre going to track and how youre going to document your savings. -
CM can help patients better control chronic conditions
Case manager interventions can benefit patients who are dealing with chronic conditions, a member of an advisory board working to improve health care says. -
Reports From the Field: Asthma treatment, medication survey available from AHRQ
More than 6.5 million adults and 3.2 million children have an asthma attack each year, according to data collected in 2000 by the Agency for Healthcare Research and Quality (AHRQ). -
Reports From the Field: Average hospital stays shorter, CDC reports
The 32.7 million patients in the nations hospitals in 2001 had a much shorter average stay (4.9 days) than patients in 1970, who were hospitalized for an average of 7.8 days, according to the National Hospital Discharge Survey from the Atlanta-based Centers for Disease Control and Prevention (CDC). -
Reports From the Field: Employer group report cards don’t improve quality
The majority of hospital report cards created by employer groups do not improve the quality of care, according to a new report. -
Reports From the Field: Disabled Medicaid patients fare better when they direct their care
Medicaid recipients with disabilities who direct their own supportive services were significantly more satisfied and appeared to get better care than those receiving services through home care agencies, according to a demonstration project supported by the U.S. Department of Health and Human Services and the Robert Wood Johnson Foundation. -
Reports From the Field: Brain injury patients turn to alternative medicine
Patients with traumatic brain injuries are turning to complementary and alternative medicine (CAM) therapies to supplement conventional medical care, but the majority is not discussing it with their physicians, a new study has concluded.