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The latest requirements from the Centers for Medicare & Medicaid Services (CMS) call for more detailed evaluation of processes than ever before, causing one health care system to look to industry for the tools needed to respond appropriately.
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The Disease-Specific Care (DSC) certification offered by the Joint Commission on Accreditation of Healthcare Organizations is designed to evaluate disease management and chronic care services provided by hospitals, health plans, disease management service companies, and other care delivery settings.
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With a care coordination program in place that has dramatically reduced acute care and emergency department (ED) utilization by the chronic frail elderly while enhancing patients quality of life, Sutter Health Sacramento Sierra Region (SHSSR) was looking for a way to take the program to yet a higher level, says Jan Van der Mei, RN, care management director.
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The best way for hospital case managers to provide patient-centric care is to get themselves in a position to influence the physicians who are treating their patients, asserts Stefani Daniels, RN, MSNA, managing partner of PHOENIX Medical Management Inc., a Pompano Beach, FL-based consulting firm.
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A pre-discharge order form and an 11 a.m. target time for discharging patients are among the initiatives the care management teams at the Medical University of South Carolina (MUSC) in Charleston have created to help move patients through the continuum of care more efficiently. The 596-bed tertiary care center serves as a resource for the entire state of South Carolina.
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A team effort to improve care for congestive heart failure and heart attack patients has paid off for Saint Lukes Hospital and Mid American Heart Institute of Kansas City, MO. The health care organization has been recognized by VHA Inc., a cooperative of not-for-profit health care organizations, for surpassing national standards for clinical excellence in treating the two cardiac conditions.
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Infection control professionals in a group of cancer centers have developed an algorithm to help meet new patient safety goals by the Joint Commission on Accreditation of Healthcare Organizations. The Joint Commission requires health care organizations to manage as sentinel events all identified cases of unanticipated death or major loss of function due to nosocomial infections.
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Salaries for case management are increasing, but the vast majority of case managers are working far more than the traditional 40-hour week, according to the results of the 2004 Hospital Case Management Salary Survey. The 2004 survey was mailed to readers of HCM in the June issue. More than half the respondents (58%) were case management directors. Others were case managers, utilization managers, social workers, or had other titles.
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The wound care center at Presbyterian Hospital of Plano (TX) takes a holistic approach to patient care by assigning each patient to one nurse who provides hands-on care and case management. The case management piece is unusual in the outpatient setting. The outpatient wound care case management program has paid off in outcomes that have improved steadily.
