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Some ED managers call the system virtual beds; others prefer the terms outside waiting room, or waiting room by appointment. Whatever you choose to call it, its a no wasted real estate approach to ED management that can help you decrease door-to-doc times and increase patient satisfaction.
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Necessity, they say, is the mother of invention, and it cant get much more necessary than trying to track several thousand patients whove suddenly been transferred to your city. Thats precisely the challenge that faced the city of Houston in the wake of Hurricane Katrina.
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By modifying its automated case management system to identify patients with barriers to discharge, enabling the clinical staff to set priorities, Good Samaritan Hospital in Baltimore was able to decrease the percentage of denied days by more than 50% in just six months.
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In much the way 401k investment plans forever changed retirement benefits and led to the realignment of the financial industry in the 1980s, a concept called consumer-directed health care (CDH) appears poised to transform the way health care is delivered.
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A proposal by the Centers for Medicare & Medicaid Services (CMS) to include nearly half of the existing diagnosis-related groups (DRGs) covered by the post-acute care transfer rule will cut Medicare payments to hospitals by $880 million a year, or approximately 1.1% of Medicare payments, according to the Chicago-based American Hospital Association (AHA).
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Readmission rates, average length of stay (LOS), and cost per case for children with low-acuity asthma improved after a clinical redesign initiative at the University of Michigan C.S. Mott Childrens Hospital (UMMCH) in Ann Arbor.
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With the help of case managers, the average length of stay has significantly decreased without adversely impacting quality or outcomes. In todays economic atmosphere, you must be able to positively impact the length of stay as well as maintain our high standard for quality of care, says Pat Eason, RN, BSN, administrative director for case management services at HUMC.
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For some quality teams, being good is just not good enough. That was certainly the case at Providence Hospital, part of the St. John Health System in Southfield, MI.
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When the case management department at University of Wisconsin Hospitals and Clinics implemented a series of initiatives to improve the throughput of patients, the average length of stay for surgical patients dropped from 7.9 days to 4.6 days and overall length of stay dropped from 6.3 days to 5.1 days including all the outliers.
