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In todays litigious society, its more important than ever for case managers to take steps to protect themselves in case of a medical malpractice lawsuit, says Jacqueline Carolan, JD, an attorney with Fox Rothschild in Philadelphia.
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At its 15th Annual Conference in Orlando, FL, the Case Management Society of America (CMSA) presented its National Case Manager of the Year Award to Peter Moran, RN,C, BSN, MS, CCM, a staff nurse in the emergency department (ED) at Massachusetts General Hospital in Boston.
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The most challenging part of redesigning a care management model is developing data and statistics to show the hospital administration that the extra expenditures will have a positive impact on the hospitals bottom line, notes Catherine Korn, RN, MS, CRNP, vice president of nursing at Southern Ocean County Hospital in Manahawkin, NJ.
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A clinical redesign project partnering social work and case management has resulted in a 15% drop in length of stay and a 66% reduction in denials during a period when the average number of cases increased by 24% at Childrens National Medical Center in Washington, DC.
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A quality improvement team that focused on ways clinicians could better manage patients pain developed a one-page clinical pathway that clearly shows what needs to be done.
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Daily multidisciplinary rounds, a full-time medical director who is part of the clinical resource management team, and a clinical resource manager who acts as an additional resource for the case managers on the floor were chosen carefully to promote better patient care when the case management model was developed at the new Memorial Hospital Miramar (FL).
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Continuity of patient care has many facets, such as availability of information, availability or constancy of a clinician, a usual source of care, and follow-up appointment keeping. It is driven by the goal of providing seamless patient transitions from one setting to another.
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What would you think if your computer screen indicated that no measures of success were required for any Joint Commission standards? Would you be relieved or skeptical?
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At a recent five-day unannounced survey at Baptist Hospital of Miami, surveyors werent just looking for compliance with specific standards; they wanted to see evidence of an overall culture of performance improvement and patient safety, says Faith D. Solkoff, RN, BSN, MPA, director of performance improvement.
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A paper published in the Archives of Internal Medicine suggests an apparent conflict between protecting individual patients privacy and improving the quality, safety, and cost of medical care for all patients.
