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When patients are admitted to or discharged from St. Johns Hospital in Springfield, IL, in many cases the process is completed by a team of nurses with the sole responsibility of admitting and discharging patients, freeing up the floor nurses to provide care for patients.
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In the last three Parts of Managing Patient Flow, we reviewed all the issues and elements associated with understanding patient flow in the hospital setting. This month we will review some examples of patient flow report cards that you can use to track and trend your patient flow processes as well as identify performance improvement opportunities.
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As the Centers for Medicare & Medicaid Services (CMS) moves to reimbursing hospitals for quality, the agency is paying more attention to discharge planning and is pilot testing worksheets to review how hospitals comply with the Medicare Conditions of Participation as they relate to discharge planning.
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At UNC Hospitals in Chapel Hill, NC, a dedicated team of inpatient case managers, emergency department case managers, and pharmacists evaluates all patients who are potentially at risk for readmissions, makes sure they have everything they need for a successful transition, and follows them for 30 days after discharge regardless of their discharge destination.
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The Centers for Medicare & Medicaid Services (CMS) new emphasis on discharge planning makes it imperative for case managers to start discharge planning on Day 1 and create a discharge plan that takes into account what happened to patients before admission, says Jackie Birmingham, RN, BSN, MS, CMAC, a nurse educator based in Suffield, CT.
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