Case Management Advisor – June 1, 2007
June 1, 2007
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Telephone calls, home visits help members avoid preterm births
A combination of telephonic case management and home visits has helped Optima Health decrease preterm births and low-birth-weight infants. -
CM program keeps preterm delivery rate low
A program that targets women at risk for premature deliveries for case management has paid off for ConnectiCare, a regional HMO based in Farmington, CT. -
Programs follow moms through pregnancy, NICU
Two programs at Passport Health Plan help pregnant Medicaid recipients overcome the obstacles to a healthy pregnancy and follow preterm infants through the neonatal intensive care unit and back home. -
Court decides if EMTALA should apply to inpatients
A 2003 Center for Medicare & Medicaid Services (CMS) regulation that interpreted EMTALA not to apply to inpatients does not have the "force and effect of law," according to a recent decision by a U.S. District Court in Puerto Rico. -
Promoting patient ed vital to keep it at the forefront
Patient education must be promoted so clinicians will understand how to effectively teach patients and use the resources available to them to do a good job. Yet without support from leadership, patient education initiatives often falter. -
'Discharge by appointment' taking 'hard-wiring'
A "discharge by appointment" initiative at St. Joseph's Medical Center in Towson, MD, has had some success, but is being challenged by physician delays and families who aren't arriving on time. -
Heart failure patients present challenges
Patients with heart failure may be among the most challenging for case managers who are coordinating their care. Patients with heart failure must take multiple medications, eat a low-salt diet to keep their condition under control, and monitor their condition constantly.