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A couple of years ago, Lisa Zerull, RN, MS, the force behind the dramatically successful community nurse case management (CNCM) program at Valley Health System in Winchester, VA, faced a new challenge: She was informed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) that it would begin surveying the program based on the agencys home care standards, in conjunction with the health systems home health program.
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Making sure patients without an insurance plan for prescription drugs get the medications they need is an increasing challenge, case managers and discharge planners tell Discharge Planning Advisor.
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The 1,000-page final outpatient prospective payment system (OPPS) rule, which takes effect this month, provides the congressionally mandated inflationary update and increases overall spending, but still pays hospitals only 83 cents for every dollar spent on outpatient care, the Chicago-based American Hospital Association (AHA) points out.
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Twenty million ambulatory care patient records will be connected as part of an early warning system for terrorism-related illness outbreaks.
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Every year, Hospital Case Managements reader survey asks case managers what they like most and least about the newsletter. And every year, readers variously compliment and criticize us for the extent to which we cover clinical pathways.
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One of the major challenges facing case managers is what to consider when selecting comparative performance data. But that is just the first of several questions that must be addressed, says Patrice Spath, BA, RHIT, a consultant in health care quality with Brown-Spath & Associates in Forest Grove, OR. It also is important to identify and correct serious flaws in utilization and outcome data, she adds.
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Hospitals are running the gamut of possible solutions as they struggle to interpret the provisions of the the Health Insurance Portability and Accountability Act (HIPAA) privacy rule, says Tony Mogavero, director of physician services for St. Petersburg, FL-based John Putnam International, a company that provides web-based and teacher-led education for access personnel.
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Surveyors from the Joint Commission on Accreditation of Healthcare Organizations no longer will be allowed to work as survey readiness consultants on the side after Jan. 1, 2004, according to a new rule.
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Question: Our facility is not an acute-care hospital and does not provide emergency services, so we dont expect to provide care in any community disaster.
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The Department of Health and Human Services (HHS) Secretary Tommy G. Thompson has launched the national Nursing Home Quality Initiative in an effort to improve the quality of care given to the millions of long-term care residents.
