Articles Tagged With: discharge
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The Basic Elements of Healthcare Reimbursement, Part 2
This month will continue the discussion of healthcare reimbursement by third-party payers. We began last month with a review of the diagnosis-related groups (DRGs) and associated terminology. We will continue by reviewing how medical records are coded followed by the new MS-DRGs implemented in 2007.
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The Four C’s of Patient Care
Every day, case managers face pressure to achieve optimal outcomes in a multitude of scenarios. At the core of each case is the patient’s understanding of medical care, their ability to think critically, make decisions about their care, and use good judgment. Capacity, competency, coping, and choice are the core considerations every case manager should examine with each patient.
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New Research Suggests More Data on Readmissions Can Help
A recent study of Medicare data revealed facilities have many opportunities to improve readmissions — to either a medical or psychiatric hospital — after psychiatric hospitalization.
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Leading the Charge in 2021: Managing Capacity
Approaching one year after COVID-19 began spreading in the United States, case managers are considering how to make the most of their new perspective in 2021 and beyond. The pandemic has shone a light on case management program and healthcare facility weaknesses, but also has brought new opportunities for leadership and advocacy. What can case managers do to maximize these opportunities and avoid pitfalls?
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Nurse Navigator Role Helps Reduce 30-Day Readmissions
A program that used nurse navigators with heart failure patients cut its 30-day readmission rate in half and provided more thorough follow-up care in transitioning patients home.
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Healthcare Planning for the Lone Senior
Social isolation is a life-and-death matter, believed to influence mortality as much as obesity and smoking. Yet amid the growing population of seniors, many are unmarried, widowed, or have no children living nearby. When discharge planning for the lone senior, case managers should know several points about this demographic.
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The Elements of a Transitional Heart Failure Care Program
Hospitals and subacute facilities monitor congestive heart failure patients closely, but there may be a gap in care once patients are discharged. A transitional heart failure care clinic can fill that gap.
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Mandates for Discharging Homeless Patients Take Effect in California
California recently enacted a law that addresses this issue by requiring hospitals to follow a prescribed plan for identifying and safely discharging homeless patients. SB 1152 outlines specific discharge planning measures for homeless patients in acute care hospitals.
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Plan of Care Rounds Improve Communication
Collaborative care teams can use interdisciplinary plan of care rounds to improve communication and facilitate smooth transitions. The plan of care round team can give patients a brief overview and answer patients’ questions or concerns.
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Helping COVID-19 Patients Through Recovery and Rehabilitation
For hospitalized COVID-19 patients, surviving the infection is the first major hurdle — but it may not be the last. Their recovery may involve rehabilitation, depending on complications from ventilator-related immobility or damage from blood clots. Rehabilitation facilities have updated their processes to accommodate these patients’ special needs.