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The sick treating the sick: HCWs pressured to work ill
Employee health professionals must work with clinical colleagues to develop clear, supportive policies that clarify when ill healthcare workers should take a sick day rather than expose vulnerable patients and co-workers, researchers recommend.
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Multidisciplinary team brainstorms on transitions for complex patients
At Spectrum Health Butterworth and Blodgett Hospitals in Grand Rapids, MI, patients who are likely to have complex discharge needs are identified early in the hospital stay and referred to a multidisciplinary Complex Transitions Team, which develops a plan of action designed to remove barriers and produce a smooth transition to the next level of care.
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Beef up your discharge planning to prepare for new rules
CMS has announced a proposed revision of the discharge planning requirements for acute care hospitals, long-term care hospitals, inpatient rehabilitation facilities, critical access hospitals, and home health agencies.
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ACO teams with post-acute providers for improved care coordination
As part of its efforts to provide better coordinated care to Medicare beneficiaries at a lower cost, the Michigan Pioneer Accountable Care Organization at Detroit Medical Center has partnered with post-acute providers and works with them face to face to coordinate care and ensure that patients get what they need in a timely manner.
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CMS launches mandatory joint replacement bundled payment initiative
Beginning April 1, approximately 800 hospitals in 67 geographic areas will begin participating in the first mandatory Medicare bundled payment initiative.
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Interdisciplinary Walking Rounds: A Key Strategy for Improving Case Management Outcomes – Part 2
In last month’s edition of Case Management Insider, we began exploring the evolving world of interdisciplinary care rounds. “State of the art,” as defined by The Joint Commission and the Institute for Healthcare Improvement, is to have some form of bedside or walking rounds.
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Justifying short inpatient stays just got easier — or did it?
The Centers for Medicare & Medicaid Services has modified the controversial two-midnight rule to allow shorter stays to be billed as inpatient stays based on the physician’s judgment, but the change means that complete documentation is more important than ever before.
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Talk to each other to improve patient care, reduce readmissions
When hospital staff start examining the reasons patients are being readmitted, the famous line from the movie Cool Hand Luke may come to mind: “What we’ve got here is failure to communicate.”
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Congenital syphilis on rise — What you can do
Are you testing your pregnant patients for syphilis at the first prenatal visit and treating them if infected? If not, it’s time to step up your efforts. An analysis from the CDC shows that after years of decline, the number of congenital syphilis cases reported in the United States increased between 2012 and 2014.
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Over-the-counter oral contraception is caught up in politics
Over the past several years, a small cadre of socially conservative policymakers and candidates, often hailing from swing states, have started to promote the idea of moving oral contraceptives over the counter as a supposed compromise in the political fight over contraception and, more broadly, reproductive health.