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The pharmacy at Strong Memorial Hospital in Rochester, NY, fills about 75% of the prescriptions that patients are given at discharge.
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Having pharmacists on the multidisciplinary team can help ensure that patients progress well in the hospital and that they follow their medication plan at home and avoid emergency department visits or readmissions.
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At The Nebraska Medical Center in Omaha, pharmacists are part of a multidisciplinary team and see many patients in person starting on Day 1.
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When hospitals determine after discharge that a patient did not meet inpatient criteria, they can file a provider liable claim using Condition Code W2 and be reimbursed for all services as if the patient were an outpatient, according to Deborah Hale, CCS, CCDS.
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Mountain State Health Alliance opened a free heart failure clinic after determining that patients' inability to get a timely follow-up appointment and financial issues were the cause of many readmissions.
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Case managers are working long hours and most get only cost-of-living raises.
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The Case Management Society of America (CMSA) in Little Rock, AR, has revised its Standards of Practice to reflect changes in the health care system and the evolving role of case managers within that system.
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A couple of years ago, Lisa Zerull, RN, MS, the force behind the dramatically successful community nurse case management (CNCM) program at Valley Health System in Winchester, VA, faced a new challenge: She was informed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) that it would begin surveying the program based on the agencys home care standards, in conjunction with the health systems home health program.
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Making sure patients without an insurance plan for prescription drugs get the medications they need is an increasing challenge, case managers and discharge planners tell Discharge Planning Advisor.
