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Discharge planners/case managers are likely to encounter instances in which home care, hospice, and home medical equipment (HME) providers state that they cannot accept patients because they are "unsafe" at home.
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A disease management program implemented by nurse case managers helps chronically ill unfunded patients cared for by the North Broward Hospital District avoid hospitalizations and emergency room visits.
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The "yes-means-no" phenomenon was one of several challenges encountered by the team conducting a community case management pilot project for diabetes patients in Nogales, AZ, says Donna Zazworsky, RN, MS, CCM, FAAN, diabetes care center manager for the Tucson-based Carondelet Health Network.
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With studies showing that 10% of patients are using 90% of the nation's health care resources, traditional case management must move to a disease management model, says Bob Whipple, RNC, CCM, CCS, MHA, a Boston-based senior management consultant with ACS Healthcare Solutions.
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When a 43-year-old woman's family and a bystander had to call 911 to seek help for her as she was lying on the floor in the ED at Martin Luther King Jr. — Harbor Hospital in Los Angeles, it was the beginning of the end for the troubled hospital.
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The recent case in which a woman died while awaiting care in a hospital emergency department (ED), while others called 911 for help, could be a reminder of the need for staff to check for updates on patients waiting for emergency treatment.
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A recent incident in which police officers used a stun gun to stop a man who was trying to leave a hospital with his own child has prompted concern among health care professionals who wonder if the action was justified, especially because the man was holding the infant at the time he was stunned.
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Pass the baton or pass the NUTS, but either way you're passing on vital patient information that can improve patient safety and reduce the risk of adverse events, say the risk managers who use these innovative patient handoff strategies.
