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The devastation and human suffering caused by Hurricane Katrina is mind-boggling. While the television and radio talk shows were filled with people blaming each other for the slow response, home health agencies joined together to address the needs of patients who found themselves away from their homes, unable to reach their own health care providers, and in some cases, separated from their families.
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When officials with the Everett (WA) Clinic wanted to change the organizations culture to emphasize patient safety, they realized that a key strategy was getting physicians and employees to report their concerns freely and without fear of backlash.
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During a career that spanned four decades and began at a time when selling case management services was like selling ice cubes to an Eskimo, Mary Gambosh, RN, CCM, was truly a pioneer in case management, says Jeanne Boling, MSN, CRRN, CDSM, CCM, executive director of the Case Management Society of American (CMSA), based in Little Rock, AR.
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Based on the success of a weight management program targeted at already obese employees of a major Northwest corporation, Premera Blue Cross is offering a five-tier comprehensive weight management program to eligible employer groups who want to help their employees lose weight or stay fit.
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A Pennsylvania hospital reports that it is seeing tremendous results from a computerized order entry system (CPOE), with an 85.7% decrease in improper doses and a 76.8% decrease in medication omissions.
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Salaries for case management are increasing, but the vast majority of case managers are working far more than the traditional 40-hour week and are being asked to take on expanded duties that may include health coaching, utilization management, motivational interviewing, and disease management.
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At Good Samaritan Hospital in Baltimore, support staff collaborate with case managers to follow up on tests, consultations, evaluations, and other procedures, making sure anything that could impede a patients progress is carried out in a timely manner.
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For case managers at Our Lady of the Lake Medical Center in Baton Rouge, LA, Hurricane Katrina presented challenges most people cant even imagine.
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The percentage of patients with community-acquired pneumonia who received antibiotics within four hours of admission doubled in just three quarters after the staff at Saint Lukes Health System in Kansas City, MO, instituted a process improvement initiative.
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When a case manager or social worker at Saint Lukes Medical Center is concerned about a patient who is being discharged, he or she asks the RNs staffing the hospitals Nurseline to make a follow up call after the patient gets home.
