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As a case manager, you should be aware of your hospitals policies on safety and medical errors and, as an advocate for your patients, take a role in ensuring that their care is safe and that they are informed about any errors that occur, case management experts say.
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A program designed to prevent emergency department (ED) visits and readmissions for chronically ill older adults sends nurse case managers from Valley Health in Winchester, VA, into Virginias northern Shenandoah Valley to assist clients with special health needs.
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There are times when EDs can achieve dramatic improvements in average length of stay (ALOS) or reductions in their left without being seen (LWBS) percentages in a relatively short period of time by instituting significant new process improvements, such as bedside registration or new triage protocols.
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Patients face a significant risk for preventable adverse events and serious medical errors in hospital critical care units, according to a study sponsored by the Agency for Healthcare Research and Quality (AHRQ).
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A Moment of Truth Analysis can help case managers better understand the level of service they provide to patients and families. A case management moment of truth is an occasion when the patient experiences some interaction with case managers and forms a judgment about the quality of the services.
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Evidence-based medicine and clinical practice guidelines (CPGs) have become mantras of health care quality in the 21st century, but as a new study suggests, when it comes to older patients those guidelines should be used with extreme caution.
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In addition to providing interpreter services for its increasing immigrant population, staff from Harborview Medical Center in Seattle go into the community, helping eligible patients learn to navigate the health care system.
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If you arent taking advantage of the assistance your case management physician advisor can offer, or if you dont have an advisor, you may be missing opportunities to move patients safely and efficiently through the continuum of care.
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By working as a team, the physician advisor and case management staff at Mercy Medical Center in Canton, OH, have decreased Medicare length of stay, cut managed care denials dramatically, and made physicians aware of the cost to the hospital of inpatient services that could be done on the outpatient side.
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If your hospital is routinely filing claims under Condition Code 44, which changes a patients status from inpatient to outpatient, your system for determining appropriate admissions may be failing.
