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A good working relationship between a knowledgeable and effective case manager and a cooperative, clinically up-to-date physician can result in excellent, cost-effective patient care with superior outcomes and high levels of patient satisfaction.
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Clinicians at PacifiCare Behavioral Health use a variety of techniques to identify patients who may be at risk for suicide, beginning with a members first call to the managed behavioral health plans behavioral health line, which is staffed by customer service associates trained to identify members who need immediate interventions.
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Discharge planners at some facilities apparently are either unaware of or are ignoring a federal requirement that hospitals offer patients a choice of home care providers and that they tell patients when there is a financial interest between the hospital and an agency to which the patient is being referred.
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Reducing patient length of stay (LOS) from nearly seven days to the regional average of 5.5 days usually takes two years, according to the Health Care Advisory Board, a nationally recognized organization that provides best practices research and analysis to the health care industry.
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For years, health care managers have been reworking documentation forms trying to streamline the process to make it fast and efficient to increase compliance. No one ever designed the perfect form.
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While many case management organizations are struggling to demonstrate the contributions they make to patient care, reimbursement, and cost containment, the integrated case management department at Sarasota (FL) Memorial Hospital has overcome the barrier and can demonstrate with confidence how it contributes to organizational success.
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At Sarasota (FL) Memorial Hospital, discharge planners dont spend a lot of time checking off boxes to document each individual task they have performed.
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When Jeanne Musolf, MS, RN, CCM, talks with new employees about the inpatient case management program at Childrens Hospital of Wisconsin, she often tells them, expect that how things are currently will not be how they are six months from now. Were always trying to improve and change.
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As hospital discharge planners and case managers struggle to place patients with complex care needs in skilled nursing facility (SNF) beds amidst the challenges of the prospective payment system (PPS), many are keeping their heads above water with a mix of timely planning, community collaboration, and creative thinking.
