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The 1,000-page final outpatient prospective payment system (OPPS) rule, which takes effect this month, provides the congressionally mandated inflationary update and increases overall spending, but still pays hospitals only 83 cents for every dollar spent on outpatient care, the Chicago-based American Hospital Association (AHA) points out.
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Twenty million ambulatory care patient records will be connected as part of an early warning system for terrorism-related illness outbreaks.
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Every year, Hospital Case Managements reader survey asks case managers what they like most and least about the newsletter. And every year, readers variously compliment and criticize us for the extent to which we cover clinical pathways.
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One of the major challenges facing case managers is what to consider when selecting comparative performance data. But that is just the first of several questions that must be addressed, says Patrice Spath, BA, RHIT, a consultant in health care quality with Brown-Spath & Associates in Forest Grove, OR. It also is important to identify and correct serious flaws in utilization and outcome data, she adds.
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Hospitals are running the gamut of possible solutions as they struggle to interpret the provisions of the the Health Insurance Portability and Accountability Act (HIPAA) privacy rule, says Tony Mogavero, director of physician services for St. Petersburg, FL-based John Putnam International, a company that provides web-based and teacher-led education for access personnel.
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If one case manager oversees the care of 20 patients in a day and another handles only 18 cases, the first case manager must be more productive, right?
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A time study is one way to measure productivity at the same time you reduce the disparity in assignments between your case managers.
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Discharge planning for patients who need long-term care often is a challenge for hospital case managers, particularly if the patient is from another region.
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As the Commission on Certification of Case Managers (CCMC) celebrates its 10th anniversary, leaders in the case management field say the demand for case management will continue to grow as the health care system becomes more chaotic and complicated than ever.
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It was a typical scenario: The emergency department (ED) at Stonybrook (NY) University Medical Center was holding 15 or 20 admitted patients waiting for an inpatient bed to become available.
