Hospital Case Management – October 1, 2005
October 1, 2005
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CMS’ changes to IPPS will affect your hospital’s reimbursements
The Centers for Medicare & Medicaid Services (CMS) has made sweeping changes to the Inpatient Prospective Payment System (IPPS) that will have a major impact on hospital reimbursement. -
Ensure quality indicators are documented
Now that the Centers for Medicare & Medicaid Services (CMS) is requiring hospitals to submit data on 10 quality measures to get the full 3.7% inflation-adjusted payment increase, it is more important than ever for case managers to ensure accurate documentation. -
Clinical pathways can help you track data
If youre not using your clinical pathways on a regular basis, youre missing an opportunity to facilitate the collection of quality indicators and outcomes information and to affect your patients length of stay. -
Pathway keeps LOS low for young diabetes patients
Since Childrens National Medical Center in Washington, DC, implemented its diabetes clinical pathway, the hospitals average length of stay for diabetes patients has been significantly lower than the national average, and the 72-hour readmission rate has been less than 1%. -
Critical Path Network: Hospitals collaborate to reduce surgical infections
Fifty-six hospitals from 50 states as well as U.S. territories, collaborating to improve surgical care, significantly cut the rate of surgical infections for more than 35,000 patients in a yearlong, nationwide effort sponsored by the Centers for Medicare & Medicare Services (CMS) and led by Qualis Health, the quality improvement organization (QIO) for Washington, Alaska, and Idaho. -
Critical Path Network: Early ‘100,000 Lives’ participant sees benefits
One of the better known ongoing collaborations in the United States is the Cambridge, MA-based Institute for Healthcare Improvements (IHI) 100,000 Lives Campaign, whose goal is to save 100,000 lives through targeted QI interventions by June 14, 2006. -
Discharge Planning Advisor: Innovative program helps homeless, frees up beds
An unusual collaboration among three competing California hospitals is providing much-needed post-discharge care for homeless people. It is linking those individuals to ongoing medical benefits while freeing up hospital beds for more acute patients. -
Discharge Planning Advisor: Sutter Health seeks dialysis solutions
One of the biggest discharge planning challenges at Sutter General Hospital in Sacramento, CA, involves patients who need dialysis after they come into the hospital, says Kate Tenney, RN, manager of case management. -
Patient Safety Alert supplement