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An administrative huddle at Latter Day Saints (LDS) Hospital in Salt Lake City has been tremendously helpful in determining when to postpone elective surgeries, but it has had a much broader impact on patient flow in the emergency department (ED) and the hospital as a whole.
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Emergency department (ED) managers may not possess a crystal ball, but the ability to predict future events is nonetheless critical to their success, notes Bonnie Coalt, RN, MS, director of nursing at Miami Valley Hospital in Dayton, OH.
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When reading a New England Journal of Medicine article1 describing intensive monitoring of blood glucose levels for surgical intensive care unit (ICU) patients on ventilators, which resulted in decreased mortality rates, James Krinsley, MD, director of critical care at Stamford (CT) Hospital, had a revelation.
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Two of your surgeons want you to purchase an expensive piece of technology, but youre wary because youre unsure how much they will use it. What should you do?
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In-room registration reduces patients total length of stay significantly, says this study from the Childrens Hospital and Health System in Milwaukee.
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If your case management department isnt replacing paper records with electronic technology, its likely to become more difficult to find the information you need to cut down on avoidable days and denials, track outcomes information, and demonstrate the value of case management to your hospitals administration team.
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When you choose an information system for your case management department, make sure it will meet your future needs, as well as your current needs, advises Vicky Mahn-DiNicola,RN, MS, CPHQ, vice president for clinical design support services at ACS Healthcare Solutions, Midas+ with headquarters in Tucson, AZ.
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A program that places nurse case managers in all admissions areas of the hospital has helped Our Lady of the Lake Regional Medical Center in Baton Rouge, LA, cut down on inappropriate admissions and transfers and improve patient flow.
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A team approach to hospice care helps members of the interdisciplinary team provide support for patients and each other at HealthEast Hospice Care, based at St. Josephs Hospital in St. Paul, MN. The hospital is part of the HealthEast Care System, also in St. Paul.
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After an exhaustive process that involved collecting more than 150 ways to define case management and testing them in the field, the Case Management Leadership Coalition has come up with a way that case managers can tell consumers what they do.
