Articles Tagged With: discharge
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Occupational Therapy and Hospital Readmissions
Occupational therapy is a bit like case management. In both vocations, the greater healthcare community (and population in general) is not entirely familiar with their purpose. Both positions often are all-encompassing, diverse, and necessary as they consider the whole person. Both occupational therapists and case managers often play a role in helping control hospital spending.
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Care Transition Program Shows Success with Long-Term Outcomes
A hospital’s Care Transitions Clinical Coordinators program provides patients and caregivers with care transition support. The program focuses on assessment and identification of the root cause of readmission, as well as other key interventions.
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Discharge Algorithm Improves Transitions, Results
Decision support technology can help case managers improve transitions of care and more easily access patient information necessary for an optimal discharge. The algorithm can collect data on patients’ functional status, cognition, caregiver status, and other important characteristics.
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Hospital-SNF Partnership Brings Better Care for Complex Patients
Coordinating post-acute services for patients has been an ongoing challenge during the COVID-19 pandemic. One solution is for hospitals to form partnerships with local skilled nursing facilities. These partnerships can help hospitals find adequate care for complex patients. Hospital case managers and other staff can help the skilled nursing facility with difficult problem-solving and care coordination.
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Documentation Can Determine Outcome of Missed Myocardial Infarction Lawsuit
Some charts might indicate there was chest pain and an abnormal ECG, but the patient was discharged with no explanation. Plaintiffs can use this to make a case the emergency physician missed classic presentation of myocardial infarction. Counter this allegation with specific documentation outlined here.
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Capacity and COVID-19: Where Is Case Management?
As of this writing, there are reports about hospitals across the country that have reached or exceeded capacity. These hospitals have only one or two available critical care beds, and some have no open medical or surgical beds. It is clear the hospitals are overwhelmed with COVID-19 cases, and they are coming at rates that are outside the bounds of anyone’s experience. But as I listen, I have to wonder. Where is case management? Are these administrators using case management to its fullest? Is there a capacity management plan?
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Case Managers Play Big Role in Stroke Care Transitions
Vulnerable stroke patients often are transitioned home, which can create challenges and the continued need for case management or follow-up care. Researchers studied these transitions in a pragmatic trial to see if health systems would implement transitional care for certain stroke patients.
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Tips for Fostering Effective Relationships Across the Long-Term Care Continuum
Case management is a relationship-based profession that benefits health systems, patients, colleagues, and case managers. Establishing strong relationships with representatives from the long-term care continuum, including skilled nursing facilities, rehabilitation centers, memory care units, and assisted living and independent living communities, is important for case managers.
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Case Management Is Critical to Bundled Payment Programs
A healthcare organization’s Medicare Bundled Payments for Care Improvement Advanced (BCPI Advanced) program resulted in lower hospital readmission rates. The program reduced readmission rates from 30% to 19%.
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Incomplete ED Registrations Disastrous for Copay Collections
Hospitals are trying to shorten door-to-provider times. Lower-acuity patients are treated as “fast-track,” and discharged quickly. Registration teams might struggle to keep up, to the point that some patients may miss the official registration process. Without proper contact information, collection becomes exponentially more difficult.