Articles Tagged With: readmissions
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Stroke Patient Navigator Prevents 30-Day Readmissions
A stroke nurse navigator team can prevent 30-day readmissions in stroke patients treated with thrombolysis, investigators found. A health system’s 30-day readmission rate was 13.6% before it began to use a stroke nurse navigator. The rate declined to 6.9%. Patients with the stroke nurse implementation were 67.6% less likely to be readmitted within 30 days compared to patients without the navigator.
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Care Continuum Collaboration Improves Heart Failure Patient Care
A focus on multidisciplinary management of heart failure patients, along with transitional care interventions and integration with post-acute care facilities, can lower 30-day readmission rates for heart failure patients, new research shows.
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Standardized Process for SNF Transitions Helps Prevent Readmissions
Using Lean methodology, Monument Health in Rapid City, SD, created a care transition process that reduces excess hospital days, prevents readmissions, and shortens the time it takes from discharge order to the patient leaving the hospital.
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Hospital Cuts Readmissions in Half with Process Improvement Strategy
Employees at HonorHealth Network in Phoenix work toward reducing readmissions. This is why the health system created a process improvement program that addresses the challenges of frequent users. In 2022, the program reduced readmissions among patients with complex care plans by 51%.
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Health Systems Improve Post-Acute Transitions
Transitioning patients from the hospital to skilled nursing facilities has become more difficult for case managers since the COVID-19 pandemic began. Case management leaders from several different hospitals have developed solutions.
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High-Risk Patients Benefit From Direct Social Needs Assistance
A case management team can help high-risk patients access social assistance. But to be most effective, they need to help clients access psychosocial support and direct assistance for social needs. A health system’s program reduced inpatient hospitalizations by 11% in a randomized study.
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How to Fight Denials
Case managers do not have to settle for denials. In fact, they can use their skills to overturn denials. There are certain tactics that can help in this process, and some case management professionals even specialize in this.
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Solving Transportation Problems Improves Hospital’s Efficiency
Health systems that work to improve social determinants of health, including transportation, may find their actions improve patient care and follow-up, discharge, and throughput efficiency. For example, UCSF Health found case managers could more easily plan discharges and turn over beds once they solved the issue of finding rides home for clients without family or social support.
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Offering Transportation Services Is a No-Brainer for Some Health Systems
Case managers are logistical artists when it comes to helping patients handle care needs during hospitalization and transitions after discharge. But things can get out of control when patients leave the hospital, and transportation is a top obstacle to patients receiving necessary care in the community.
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Free Meals Available for Seniors, But Too Few Referrals from Case Managers
A lesser-known option to improve nutrition for older Americans is congregate meals, which are available in almost every American community. Case managers sometimes are unaware of this resource for both nutritious food and socialization, which both of which benefit seniors.