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While new requirements are not always welcomed in the ED, to be sure, managers and front-line providers do have reason to feel optimistic about new standards, unveiled by The Joint Commission (TJC), regarding how hospitals manage patient flow.
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Every healthcare professional needs to develop a basic set of skills to help them cope with difficult patients so they can get through the encounter and not come out emotionally bruised, says John Banja, PhD, professor of rehabilitation medicine, medical ethicist at Emory Universitys Center for Ethics and director of the Section on Ethics in Research at Emorys Atlanta Clinical and Translational Science Institute.
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To eliminate gaps in care after their members have been hospitalized, Cigna Medical Group has assigned RN care coordinators to local hospitals to act as a bridge between the primary care practice and the hospital and has a dedicated team of physicians, pharmacists, and nurses who see the majority of patients for their first follow-up visit.
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Patient flow and boarding have been recognized for some time as problems that hospitals need to address. But whatever is being done isnt enough, and The Joint Commission (TJC) released a report in December outlining new standards in the Leadership section, some of which came into effect on January 1, and some of which will take effect in another year.
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Regardless of the healthcare setting in which they work, case managers are likely to encounter challenging patients and family members those who are irate, provocative, depressed, or just plain ornery.
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Patients who participate in Hospital Sisters Health System Medical Groups Nurse Navigator Program have shown significantly fewer emergency department visits and hospital visits as well as better control of their chronic conditions than patients who are not being followed by a nurse navigator.
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While an increasing number of hospital systems are creating senior-friendly EDs, one new study suggests that many of the tenets of geriatric medicine are also applicable to the care of patients with complex health problems, especially with respect to care transitions.
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Rather than just cutting off the supply of controlled substances, CareSource case managers work with members with substance abuse problems and help them reduce their dependency.
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Pediatric case managers from UPMC for You collaborate with caseworkers to ensure that children in foster care get the care, preventive, and behavioral health services they need.
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Recognizing that case management programs should be tailored to the special populations being served, health plans are creating specialty programs to meet the needs of their members.
