Hospital Case Management – May 1, 2015
May 1, 2015
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CMs should understand financial side as well as clinical side of healthcare, experts recommend
In today’s healthcare environment with its focus on high-quality, cost-effective care, it’s more important than ever for case managers to understand the financial side of healthcare.
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Being a Good Steward of Your Patients’ Benefits
Today’s case managers have to be aware of the financial piece in every aspect of the patient stay.
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Case managers, financial staff work together closely
At Medical City Dallas Hospital, the case management team works closely with the financial team to ensure that patients get the care they need and that the hospital is reimbursed for the stay, says Pat Wilson, RN, BSN, MBA, assistant vice president for case management and transplant services.
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Post-discharge interventions reduce readmissions by 20%
At-risk patients who receive post-discharge phone calls from RN transitional care specialists at Ochsner Health System’s Care Coordination Center have 20% fewer readmissions than patients with similar conditions who don’t have the intervention.
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Primary care-based interventions cut admissions, ED visits
Since Lehigh Valley Health Network started its Community Care Team initiative in 2012, at-risk patients who received interventions from an interdisciplinary team of clinicians reduced hospital admissions by 49% and emergency department visits by 25%.
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New task force aims to revamp revenue cycle with a ‘patient-centric’ focus
When payers, providers, revenue cycle vendors, consultants, and financial institutions met to discuss the next generation of revenue cycle management processes and tools, there was a surprising amount of agreement.
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Hospital goes high tech, improves hand hygiene
An Alabama hospital greatly improved hand hygiene compliance and significantly reduced healthcare-associated infections (HAIs) after installing an automated hand-hygiene monitoring system.