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Hospital Case Management – April 1, 2021

April 1, 2021

View Archives Issues

  • Hospital-SNF Partnership Brings Better Care for Complex Patients

    Coordinating post-acute services for patients has been an ongoing challenge during the COVID-19 pandemic. One solution is for hospitals to form partnerships with local skilled nursing facilities. These partnerships can help hospitals find adequate care for complex patients. Hospital case managers and other staff can help the skilled nursing facility with difficult problem-solving and care coordination.

  • Discharge Algorithm Improves Transitions, Results

    Decision support technology can help case managers improve transitions of care and more easily access patient information necessary for an optimal discharge. The algorithm can collect data on patients’ functional status, cognition, caregiver status, and other important characteristics.

  • Care Transition Program Shows Success with Long-Term Outcomes

    A hospital’s Care Transitions Clinical Coordinators program provides patients and caregivers with care transition support. The program focuses on assessment and identification of the root cause of readmission, as well as other key interventions.

  • Occupational Therapy and Hospital Readmissions

    Occupational therapy is a bit like case management. In both vocations, the greater healthcare community (and population in general) is not entirely familiar with their purpose. Both positions often are all-encompassing, diverse, and necessary as they consider the whole person. Both occupational therapists and case managers often play a role in helping control hospital spending.

  • Opioid Use and the Role of the Case Manager

    Regardless of whether they know it, many case managers are faced with patients and clients each day who are struggling with opioid use disorder (OUD). As rates of OUD continue to increase, it is essential for case managers to hone their skills of confidently recognizing and addressing the disorder.

  • Leaders Plot How They Will Leverage the Lessons of COVID-19

    While healthcare leaders continue to battle a global pandemic, many also are plotting how they will use the lessons of this emergency to make their health systems better. Several shared their ideas during the Institute for Healthcare Improvement’s annual forum.

  • The Basic Elements of Healthcare Reimbursement, Part 3

    In this month’s issue, the conversation on healthcare reimbursement turns to the additional prospective payment systems found across the continuum of care. Prospective payment remains a way in which the Centers for Medicare & Medicaid Services can determine the rates for care based on predetermined amounts rather than on billing. The processes are similar to the use of the diagnosis-related groups in the acute care setting, with some differences.