Hospital Case Management – December 1, 2020
December 1, 2020
View Archives Issues
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COVID-19 Increases Need for Case Managers
COVID-19 has spurred myriad changes in hospitals as providers scrambled to adapt to the new normal. That includes new and creative ways to connect and support patients.
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Practice the Five Disciplines in Case Management
Hospital case managers, just as case managers in all work settings, have faced unbelievable challenges this year. Hospitals are slowly transitioning back to more of a “normal” environment. With the new year approaching, it is a good time to revisit the Five Disciplines that help case management teams refocus on the business side of client care.
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CHECK Program Addresses Chronic Illnesses with a Holistic Approach
A program created to help children and young people, from birth to age 25 years, with chronic illnesses has evolved into a way to prevent emergency department visits and rehospitalizations for any population, including at-risk, older adults.
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CHECK Program Works to Solve Problems Brewing Beneath Surface
The CHECK program prevents rehospitalizations by employing a team of community health workers and licensed behavioral health professionals to help people with chronic diseases deal with the social determinants of health that hinder their disease management.
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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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IHI Issues Action Plan on Patient Safety
The Institute for Healthcare Improvement’s National Steering Committee for Patient Safety recently released its national action plan, aimed at helping healthcare organizations reduce preventable medical harm.
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The Basic Elements of Healthcare Reimbursement — Part 1
Changes in healthcare reimbursement have occurred with lightning speed over the last two decades. Providers billed for services rendered and were reimbursed — with no checks, balances, or control over costs of care. Case management, as a care delivery model, followed a similar course. But as reimbursement changed, so did case management. This month we will begin our discussion of reimbursement, including the changes to case management as it evolved with reimbursement.