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Hospital Case Management – January 1, 2021

January 1, 2021

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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?

  • Case Management Leaders Can Help Staff Weather Ongoing Crisis

    Research on the effects of the COVID-19 pandemic on nurses, physicians, and other healthcare workers across the world shows disturbing levels of anxiety, depression, stress, burnout, and suicide. The authors of one study estimate the prevalence of burnout among registered nurses in the United States to range from 35% to 45%.

  • Methods for Case Managers to Build and Enhance Resilience

    Hospital case management departments can anticipate increased levels of stress among their staff as the COVID-19 pandemic continues. This could cause employees to burn out and leave their jobs. But before things reach a crisis point, there are practical and evidence-based steps leaders can take to help their employees shore up their resiliency to deal with pandemic-related stressors.

  • 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.

  • 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.

  • 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.