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Collaboration between key hospital departments is crucial to making sure discharge planning starts at the earliest possible point in the patient encounter, and the latest advances in technology certainly can facilitate the necessary interdepartmental communication.
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Case management directors struggle daily with how best to assign caseloads to their staff, but its not enough to rely on benchmarks of caseload statistics. Many other factors can affect how many patients a case manager can manage adequately, experts say.
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Commissioners with the Commission for Case Manager Certification (CCMC) frequently are asked in many forums, such as conferences, how applicants can study and prepare for the Certified Case Manager (CCM) certification exam.
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Hospital case management should be a team approach, with everyone on the team looking at what needs to be done for the patients and making sure it gets done, says Judith Martin, RN, CCM, director of medical management for Regional Medical Center, a division of Trover Foundation, a nonprofit health care organization in Madisonville, KY.
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Employees who are injured or ill return to work full time more quickly and experience a shorter period of disability when the health care components and disability components of an insurance company work together, a CIGNA study of 60,000 short-term disability claims has shown.
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Horizon Blue Cross and Blue Shield of New Jersey is taking physician pay for performance to a new level, embarking on a plan to pay a higher standard fee to specialists who outperform their peers.
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Gaps in the system are costing you money: the injury that isnt reported right away; the employee who doesnt keep a doctors appointment; and the supervisor who doesnt make an effort to find a position for an employee with temporary restrictions.
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At CIGNA, disability nurse case managers often partner with nurse case managers from the health care side of the company to facilitate getting an injured worker back on the job.
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Suspecting that a colleague might be impaired by drugs or alcohol is difficult; knowing what to do with those suspicions is even harder.