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In three months following participation in a program that provides care management and outpatient services to the frail elderly in their homes after discharge, patients in Dartmouth Hitchcock Regional Medical Center's Bridge Program experienced a 41% decrease in emergency department visits and a 27% decrease in inpatient admissions compared to the three months before the program began.
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After The Reading Hospital in Reading, PA, implemented multidisciplinary walking rounds, patient satisfaction increased and length of stay decreased at the 615-bed tertiary care hospital.
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Since North Oaks Health System redesigned its case management program and assigned its RN case managers by physicians, the average length of stay has decreased by a half a day, one-day stays have decreased to within state and national averages, and the readmissions rate has decreased by 43%.
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What role does patient education play in patient satisfaction scores for health care organizations? How important is patient education to the patient's opinion of the entire health care experience?
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As a consumer health librarian at The Ohio State University Medical Center in Columbus, Abigail Jones, MLIS, MS, has become skilled at selecting websites that provide appropriate information for patients and families who may not read well or have low health literacy.
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Despite rising health care costs and shrinking reimbursement, many case managers report that they received a raise last year, but at the same time, their responsibilities increased.
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Now that the permanent Recovery Audit Contractor (RAC) program has gone into high gear, hospitals can lessen their vulnerability to losing revenue if they know how to respond and what to expect, says Deborah Hale, CCS, president of Administrative Consultant Services LLC, a health care consulting firm based in Shawnee, OK.
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As a case manager on the congestive heart failure unit at Danbury Hospital, Karen Morgan, RN, MSN, CCM, RN-BC, often manages the care of elderly patients.
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As Karen Morgan, RN, MSN, CCM, RN-BC, makes rounds with the rest of the treatment team on Danbury Hospital's heart failure unit, she uses her knowledge as a certified gerontology nurse to point out the special considerations that the elderly patients on the unit may need.
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Every summer The Joint Commission issues a list of those standards hospitals find most difficult to comply with. Among those challenging standards are three that experts say most directly impact the ED:
