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With increasing scrutiny on medical necessity and cuts in reimbursement, along with a growing emphasis on care coordination and transitions in care, case management's position as a major player in the hospital should be assured. But that's not always the case.
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In this month's issue of Case Management Insider, we will continue our discussion on case management roles, functions, and models, with more information on today's best practice models. We will explore the advantages of each model and minimum staffing ratios for each.
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Since the Presbyterian Healthcare Services in Albuquerque, NM, started its emergency department navigation program, targeting patients who seek treatment for minor ailments, 11,600 patients have been navigated to other levels of care. Only about 5% of them have returned to the emergency department with non-emergent conditions or illnesses.
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When St. Anthony's Hospital and Pinellas Point Nursing and Rehabilitation, both located in St. Petersburg, FL, collaborated on a project to reduce heart failure readmissions, the team determined that many readmissions were for sepsis. They embarked on a project that eliminated sepsis as a reason for readmission in just six months.
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One of the ways busy EDs are attempting to manage long wait times is by enabling patients who don't need immediate care to make an appointment to be seen in the ED one or two hours in advance.
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As part of its efforts to reduce readmissions, WellStar Health System, based in suburban Atlanta, is meeting with post-acute providers to collaborate on ways to make transitions between levels of care smoother. It is piloting a program in which a transition coach works with heart failure patients in the hospital and follows them for four weeks following discharge.
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Each fall, hospitals seek to vaccinate as many health care workers as possible against influenza. But what if you tried to vaccinate as many as possible in one day?
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This advice for employers provides suggestions for handling common problems faced by employees with early dementia. It was excerpted from a guide created by the Alzheimers & Dementia Alliance of Wisconsin.
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A working group of the National Vaccine Advisory Group, which advises the Assistant Secretary for Health in the U.S. Department of Health and Human Services (HHS), developed the following recommendations to improve influenza vaccination of health care workers. They were all recently approved by the full committee and are now under consideration for adoption by the HHS.
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Washington became the first state to issue a rule to protect health care workers who handle hazardous drugs a move that proponents hope will prompt other states to take similar action.
