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Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths

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https://www.readbyqxmd.com/read/27434943/fresh-policies-and-procedures-transparency-fuel-ed-turnaround
#1
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27434942/individual-malpractice-insurance-can-protect-you-in-case-of-lawsuits
#2
(no author information available yet)
In today's litigious society, case managers should have their own malpractice insurance to protect their assets, experts say. Attorneys cast a wide net and often include anyone who has interacted with the patient in malpractice lawsuits. When CMS' new discharge planning guidelines go into effect, case managers will be vulnerable to Lawsuits if discharges are unsuccessful. The hospital's legal counsel will not necessarily represent the case manager's best interests, which is why case managers need their own malpractice coverage...
July 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27434941/case-management-insider-re-engineering-your-case-management-department-it-s-simple-it-s-just-not-easy-part-1
#3
Toni Cesta
This month, we have begun our discussion of the reasons why this is a very good time for hospitals to review and re-engineer their case management models and departments, including the Affordable Care Act and value-based purchasing, among others. Next time, we will discuss the elements you need to review when re-engineering your own case management department.
July 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27434940/look-through-patients-eyes-to-improve-the-delivery-of-care
#4
(no author information available yet)
By developing and implementing a method for seeing the healthcare experience from the standpoint of patients and family members, the University of Pittsburgh Medical Center has improved care delivery, lowered costs, and improved patient satisfaction. Cross-functional, multidisciplinary teams use a six-step patient and family-centered care methodology to identify gaps and develop changes that will improve the patient experience and clinical outcomes. Committee members shadow patients and family members to get firsthand knowledge about what they are going through and what goes wrong and what goes right...
July 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27434939/ed-case-managers-help-with-status-level-of-care-and-more
#5
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27434938/to-get-it-right-up-front-you-have-to-be-up-front
#6
(no author information available yet)
Emergency department case managers are essential to prevent payer denials by ensuring that patient status and level of care is correct; prevent admissions and readmissions by linking patients to community services; improve patient throughput by ensuring that tests are procedures are conducted in a timely manner; and to facilitate hospice and palliative care referrals. Case managers should cover the ED seven days a week during the hours when the volume is highest. Hospitals with a lot of payers that require preauthorization, or a large volume of complex patients, or those with behavioral disorders may need 24-hour coverage...
July 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323512/cms-backs-off-cuts-due-to-two-midnight-rule
#7
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323511/the-sooner-patients-receive-palliative-care-the-better-the-outcomes
#8
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323510/when-patients-are-stressed-in-pain-suggest-palliative-care
#9
(no author information available yet)
Case managers are in a good position to recognize patients who have serious medical problems that are causing them and their family members stress, and refer them for a palliative care consultation, experts say. The palliative care team coordinates with the team providing medical care and helps control pain and other physical symptoms, relieves depression and anxiety, and provides support and spiritual help for the patient and family. The core palliative care team typically includes a medical specialist, a nurse who also acts as a case manager, a social worker, and a spiritual counselor...
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323509/making-the-two-midnight-rule-work-for-you
#10
Toni Cesta
While the Two-Midnight Rule can be confusing to staff and patients alike, if you implement and hardwire your processes you will be more likely to maintain compliance going forward.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323508/when-questions-arise-physician-advisors-are-there-with-the-answers
#11
(no author information available yet)
DCH Health System's seven part-time physician advisors perform a variety of tasks to help ensure that the hospitals are appropriately reimbursed and that patients move smoothly through the continuum of care. They work with care managers on patient status and also assist with documentation, writing medical necessity appeals, resource utilization, and patient throughput. They attend daily transition rounds with the nurses, care managers, and social workers, and participate in weekly long-stay rounds and capacity rounds in the ICU and acute cardiac care...
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323507/who-makes-a-good-physician-advisor-and-what-can-they-do-for-you
#12
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323506/make-your-physician-advisor-your-closest-ally
#13
(no author information available yet)
As the pressure increases for case managers to help ensure that hospitals comply with payer requirements and get paid appropriately, physician advisors can be a valuable ally. Physician advisors have clinical expertise as well as credibility with the physician staff, which gives them an advantage when it comes to educating physicians about patient status, documentation needs, patient throughput, and transitions in care. Case managers and their physician advisors should work together to ensure that everything in the patient record is correct up front so the hospital will avoid costly appeals when the claim is denied...
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27183779/ed-nurses-id-barriers-to-ethical-end-of-life-care
#14
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27183778/hospital-los-confirmed-to-worsen-hip-fracture-outcomes
#15
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27183777/swing-shift-case-managers-facilitate-discharges-late-in-the-day
#16
(no author information available yet)
Swing shift case managers start work at 2 p.m. at UCLA Health and facilitate discharges that need to occur late in the day. An occupancy rate that consistently is 95% or higher makes it imperative for the hospital to have good patient throughput. Day shift case managers refer cases with last minute details that could delay the discharge until the next day. The swing shift case managers cover the house and divide up the pending discharges among themselves.
May 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27183776/make-sure-patients-families-are-informed-about-hospice
#17
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27183775/find-out-patients-goals-before-introducing-the-idea-of-hospice
#18
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27183774/get-in-touch-with-your-own-feelings-before-talking-to-patients
#19
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27183773/help-patients-and-families-as-they-struggle-with-end-of-life-issues
#20
(no author information available yet)
When patients appear to be reaching the end of life, case managers should find out their wishes, alert the treating physician and the rest of the staff, and ensure that patients' wishes are carried out. In an effort to encourage discussions about end-of-life care, the Centers for Medicare & Medicaid Services (CMS) has begun paying physicians for consultations on advance care planning. CMS' push toward pay for performance and bundled payments creates financial incentives for hospitals to consider alternatives to admitting patients as inpatients...
May 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
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