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Now that hospitals' 30-day readmission rates for heart failure, heart attack, and pneumonia are being posted on the Hospital Compare web site, the stage is set for the Centers for Medicare & Medicaid Services (CMS) to start reducing or eliminating payments for patients who are readmitted to the hospital.
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Sutter Health's Sacramento Sierra Region's customized electronic case management system with embedded InterQual criteria enables the case management department to track everything from individual case manager performance to regional outcomes.
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At Sutter Health's Sacramento (CA) Sierra Region, case manager supervisors at each hospital conduct a secondary, retrospective review of 100% of one-day stays of Medicare patients to ensure that the individual case managers are making the right determination and using any deficits they uncover as an educational opportunity.
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Within 45 days after daily multidisciplinary patient care conferences were instituted at North Fulton Regional Hospital, the hospital's average length of stay dropped by more than a day and excess days decreased by more than 300 days within the first quarter of implementation.
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Patients with heart attacks and other forms of chest pain are three to five times more likely to experience serious complications after hospital admission when they are treated in a crowded ED, according to a new study published online in the journal Academic Emergency Medicine.
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The medical literature shows that educating children and their parents about asthma can reduce return visits to the ED as well as hospital admissions, and experts say the ED may well be the best place to provide that education.
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The ED at Twin County Regional Hospital in Galax, VA, succeeded in cutting its door-to-doc time from 121 minutes to 19 minutes in just seven weeks while annual volume was climbing from 19,000 to about 30,000 by combining a process improvement plan designed by a health care consulting firm, the leadership of the hospital CEO, and the ED's medical director.
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When the Obama administration announced its goals for revamping health care, it proposed cutting reimbursement to hospitals that readmit a large number of patients within 30 days of discharge.
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A community case management program for clients with complex conditions has significantly reduced emergency department (ED) visits and inpatient admissions at Poudre Valley Hospital, resulting in a savings of nearly $1.4 million for a sampling of clients in just six months for the Fort Collins, CO, health system.
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When an elderly woman continued to have elevated blood pressure after her physician prescribed a medication regimen, the doctor assumed the patient was confused and not taking her medication properly.
