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An unusual collaboration among three competing California hospitals is providing much-needed post-discharge care for homeless people. It is linking those individuals to ongoing medical benefits while freeing up hospital beds for more acute patients.
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One of the biggest discharge planning challenges at Sutter General Hospital in Sacramento, CA, involves patients who need dialysis after they come into the hospital, says Kate Tenney, RN, manager of case management.
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The new patient flow standards from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) create opportunities for case managers to take the lead in their hospitals compliance and adherence initiatives, says Hussein A. Tahan, SNSc, RN, CNA.
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At one time, the emergency department (ED) at Seton Medical Center in Austin, TX, sometimes had to hold patients overnight because there wasn't a bed available, and local physicians complained that they could not get patients admitted when they needed to.
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Danbury (CT) Hospital takes a team approach to facilitating patient flow, with a series of initiatives coordinated by a multidisciplinary Discharge Admissions Review Team (DART) that meets regularly to assess whats working and what needs improvement to get patients in and out of the hospital safely.
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A study published in the Dec. 21, 2004, Annals of Internal Medicine showed that patients enrolled in the Department of Veterans Affairs health system (VHA) were more likely than a national sample of similar patients in the general population to receive preventive care and chronic care recommended by established national guidelines.
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New Jersey hospital wins Baldrige award; AHRQ releases new diabetes care guide.
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Case managers rarely are involved in adverse patient incidents, yet they can learn a lot about discharge planning failures by applying accident investigation tools. Accident investigation techniques can be helpful for evaluating why discharge planning didnt go as expected.
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A study conducted by Saeed Syed, MD, a hospitalist physician with Cogent Healthcare, a provider of inpatient management programs, compared results between patients treated by voluntary attending physicians and those treated by the hospitalist/clinical pharmacist team. The hospitalist/clinical pharmacist group had a 23% shorter length of stay, a 21% lower cost of medications, and 1.5 fewer medications per patient than the comparable patient group treated by the voluntary attending model.
