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When the Greenville (SC) Hospital System realized it was serving a growing population that didnt speak English, the four-hospital system launched a diversity initiative that not only helps staff understand the multicultural patients it treats but has the goal of making the hospitals the health care providers of choice among the citys immigrant population.
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A patient readiness scoring system that arose out of the tragedy of 9/11 has served as an effective way to address throughput, as well as an emergency preparedness tool, says Dee Page, RN, director of case management for Virtua Memorial Hospital of Burlington County in Mount Holly, NJ.
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Are the terms discharge planning and case management interchangeable, or are they distinct, and is there a place for both in todays health care environment?
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At Medical City Dallas Hospital, case managers and social workers tailor their discharge planning and education around the patient and familys cultural beliefs, particularly when end-of-life issues are involved.
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By using the hospitals on-site interpreters when they make assessments of patients who dont speak English, case managers at Boston Medical Center are able to start the discharge plan early in the stay and identify resources in the community that provide services for people of different religions and ethnic backgrounds.
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In an effort to spur documentation, standardize teaching, and ensure patients will be ready for a safe discharge, many institutions utilize checklists, guidelines, and teaching plans. However, the implementation of these tools doesnt necessarily guarantee the desired result will be achieved.
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If your length of stay is above your expected target and your denial rate is rising, you might need to consider redesigning your case management department, suggests Toni Cesta, PhD, RN, FAAN, vice president for administration at North Shore-Long Island Jewish Health System in Great Neck, NY.
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In todays litigious society, its more important than ever for case managers to take steps to protect themselves in case of a medical malpractice lawsuit, says Jacqueline Carolan, JD, an attorney with Fox Rothschild in Philadelphia.
