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At its 15th Annual Conference in Orlando, FL, the Case Management Society of America (CMSA) presented its National Case Manager of the Year Award to Peter Moran, RN,C, BSN, MS, CCM, a staff nurse in the emergency department (ED) at Massachusetts General Hospital in Boston.
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The most challenging part of redesigning a care management model is developing data and statistics to show the hospital administration that the extra expenditures will have a positive impact on the hospitals bottom line, notes Catherine Korn, RN, MS, CRNP, vice president of nursing at Southern Ocean County Hospital in Manahawkin, NJ.
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A clinical redesign project partnering social work and case management has resulted in a 15% drop in length of stay and a 66% reduction in denials during a period when the average number of cases increased by 24% at Childrens National Medical Center in Washington, DC.
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A quality improvement team that focused on ways clinicians could better manage patients pain developed a one-page clinical pathway that clearly shows what needs to be done.
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Daily multidisciplinary rounds, a full-time medical director who is part of the clinical resource management team, and a clinical resource manager who acts as an additional resource for the case managers on the floor were chosen carefully to promote better patient care when the case management model was developed at the new Memorial Hospital Miramar (FL).
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Continuity of patient care has many facets, such as availability of information, availability or constancy of a clinician, a usual source of care, and follow-up appointment keeping. It is driven by the goal of providing seamless patient transitions from one setting to another.
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At Good Samaritan Hospital in Baltimore, support staff collaborate with case managers to follow up on tests, consultations, evaluations, and other procedures, making sure anything that could impede a patients progress is carried out in a timely manner.
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For case managers at Our Lady of the Lake Medical Center in Baton Rouge, LA, Hurricane Katrina presented challenges most people cant even imagine.
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The percentage of patients with community-acquired pneumonia who received antibiotics within four hours of admission doubled in just three quarters after the staff at Saint Lukes Health System in Kansas City, MO, instituted a process improvement initiative.
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When a case manager or social worker at Saint Lukes Medical Center is concerned about a patient who is being discharged, he or she asks the RNs staffing the hospitals Nurseline to make a follow up call after the patient gets home.
