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Many top hospital decision makers still fail to recognize that case management is a core function of patient care, not an optional service that needs to prove return on investment, says Karen Zander, RN, MS, CMAC, FAAN, principal and co-owner of the Center for Case Management in South Natick, MA.
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At Ingham Regional Medical Center in Lansing, MI, social workers and case managers work closely together to arrange post-discharge care of dialysis and ventilator patients on the nephrology unit.
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A quality improvement project for hysterectomy patients resulted in a decrease in length of stay from 1.89 days to 1.24 days for patients receiving a vaginal hysterectomy and from 2.59 days to 2.23 days for patients receiving an abdominal hysterectomy at Ingham Medical Center in Lansing, MI.
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A one-word change in the Conditions of Participation (CoP) regulations that went into effect Jan. 26, 2007, will make a dramatic difference in compliance requirements for Medicare and EMTALA, says Stephen A. Frew, JD, a web site publisher and risk management specialist (www.medlaw.com).
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Until a hospital's executive administrators truly acknowledge that case management is part of the cost of doing business, it's likely that those charged with performing that task will continue to struggle with daunting workloads and inadequate staffing, says Karen Zander, RN, MS, CMAC, FAAN, principal and co-owner of the Center for Case Management in South Natick, MA.
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It would be bad enough to be the risk manager at a large medical institution facing multiple lawsuits and allegations of kickbacks, retaliation against a whistle-blower, and violations of various federal regulations.
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A medical center in Baltimore has come up with a unique way to encourage interest in patient safety and quality. It's a "football league" in which staff form teams and can gain points by taking steps to improve safety or improve patient care.
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Informed consent can be a challenge with any patient, but it is particularly difficult with pediatric cases. One option is a multimedia presentation that can help get the necessary information across to the patient and family members in a more engaging way than the standard discussion.
