Case Management Advisor – August 1, 2010
August 1, 2010
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Initiatives reduce readmission rates for Medicare Advantage members
After two successful pilot projects aimed at reducing readmission rates, Capital District Physicians' Health Plan Inc. (CDPHP) has implemented a program aimed at ensuring that its Medicare Advantage members get the care they need after discharge to avoid a return trip to the hospital. -
Oncology CMs guide patients through treatment
Capital BlueCross members who have been diagnosed with cancer are getting support during all phases of treatment through a new oncology case management program launched in the spring of 2010 by the Harrisburg, PA-based health plan. -
CMs ensure low-income women get follow-up
Low-income women with abnormal mammogram results are more likely to receive appropriate diagnostic procedures in a shorter time frame when a case manager guides them through follow-up care, a study has shown. -
Compute $$ saved by preventing illness
Preventing an illness or disease from happening in the first place may seem like "invisible" gains to many, but you don't have to settle for that. Instead, come up with figures to show the large dollar amount of savings that occurs by preventing just one costly diagnosis. -
ID root causes of specific injury types
Imagine being an occupational health nurse at a plant that had 10% of its workforce off work because of work-related injuries or illnesses. That was the challenge facing consultant Patricia B. Strasser, PhD, RN, COHN-S/CM, FAAOHN, principal of Partners in BusinessHealth Solutions in Toledo, OH. -
Do you want to see back injury rates plummet?
Why is it that back injuries are one of the most costly and common worker's compensation injuries? "There are a lot of factors associated with back injuries that create tough challenges," according to Kathy Dayvault, RN, MPH, COHN-S/CM, an occupational health nurse at PureSafety in Franklin, TN. -
Usability testing ensures clear info
Consider evaluating educational materials, such as an educational sheet, self-care instructions, or an informational website, with a usability test instead of a focus group, says Dana Botka, manager of customer communications with the Washington Department of Labor and Industries in Olympia.