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Hospital discharge planners must use their ingenuity to find a discharge destination for undocumented workers who need post-acute care.
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A Six Sigma initiative to improve care for ventilator patients has decreased ventilators days by more than 50% at St. Anthony's Hospital in St. Petersburg, FL.
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Three years ago, the average length of stay (LOS) for admitted ED patients was about 7.5 hours at the 17th Street campus of New Hanover Regional Medical Center in Wilmington, NC. Today, it is down to just more than five hours.
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The creation of an "Access Center" to handle interhospital transfer coordination and unscheduled admissions at Saint Francis Hospital in Tulsa, OK, has vastly improved the movement of patients into beds.
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In the process of collecting restraint data, you learn that certain physicians are not signing daily orders. Other data being collected show that patient education is being documented 97 times out of 100.
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When older, frail patients are hospitalized at Akron City Hospital in Akron, OH, they're likely to be placed on a home-like unit with carpeted floors, a common area with a parlor and a stocked kitchen their families can use, better lighting, and furniture designed so older people can easily get in and out of it.
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A new rule being proposed by the Centers for Medicare & Medicaid Services (CMS) and drawing criticism from case managers who have reviewed it would require hospitals to alert all Medicare patients 24 hours before discharge that their costs probably won't be covered if they stay longer, and that they have until noon the next day to request a review of the discharge decision.
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When a team of physicians, nurse practitioners, case managers, and social workers provided care for at-risk members of Priority Health health plan in their homes, emergency department visits and inpatient admissions for patients in the program dropped by 47%.
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A multidisciplinary team at CareSource, a Dayton, OH-based health plan, coordinates care for at-risk pregnant women and follows them for a year, or longer, after the birth.
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Margaret Leonard, who recently was presented the Lifetime Achievement Award by the Case Management Society of America, points out that the Affordable Care Act and other legislation all include the concept of care coordination.
