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When it comes to boosting return-to-work success after occupational injuries, sometimes more is more.
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When two bombs went off near the finish line of the Boston Marathon, hospital clinicians had one thought: I have to get to work. A surgeon who had just run 26 miles came into Beth Israel Deaconess Medical Center and prepared to operate. Nurses and doctors treating the wounded wondered about their own family and friends.
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The administration at Scottsdale (AZ) Healthcare System thinks it so important for the Important Message from Medicare (IM) to be delivered correctly that all case managers go through extensive training on when and how the IM should be given to patients.
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The role of the hospital case manager has taken many twists and turns over the past two decades. Case management started out as a sectioned-off role of utilization review without any relationship to the direct care providers or interdisciplinary care team.
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In the newly revised Discharge Planning Interpretive Guidelines, the Centers for Medicare & Medicaid Services (CMS) includes what it calls "blue boxes" that advise hospitals on best practices in discharge planning and care transitions.
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Medicare requirements for issuing the Important Message from Medicare (IM) and the Hospital-Issued Notices of Noncoverage (HINNs) have been around so long that they sometimes get short shrift.
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When hospitals determine that the care patients are receiving or are about to receive will not be covered by Medicare because it is not medically necessary, not delivered in an appropriate setting, or is custodial in nature, the hospital should provide the patient with a Hospital-Issued Notice of Noncoverage (HINN) to inform them that they will be responsible for the bill if they choose to stay in the hospital.
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It seems like one of the more straightforward standards: to make sure that you regularly collect and review quality data from providers. And yet, surveyors do find issues with organizations. So what makes for a good Ongoing Professional Practice Evaluation policy? And what are the common problems that Joint Commission surveyors are finding?
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How can you make sure that your nurses make a difference to the outcomes of your patients? According to a study in the January issue of Medical Care1, all it takes is a good patient/nurse ratio and good leadership.
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There were a lot of hospitals and healthcare providers who believed that Meaningful Use would go the way of ICD-10 coding: It would be delayed and delayed and altered and delayed again. So instead of jumping on any bandwagon, they opted to wait.
