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Case Management Advisor – July 1, 2012

July 1, 2012

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  • Want patients to follow a treatment plan? Engage them

    As payers and providers alike begin to recognize the value of care coordination, case managers are being given more and more responsibility.
  • Face to face beats the phone every time

    When you meet with patients in person, you can find out information, determine their level of understanding, and develop rapport much better than just talking to them on the telephone, says B.K. Kizziar, RNC, CCM, CLCP, a case management consultant based on Southlake, TX.
  • Medical home model cuts admissions, ED visits

    As a result of a patient-centered medical home pilot program based around preventive and coordinated care, Bend (OR) Memorial Clinic's hospital admissions and emergency department visits dropped for Medicare Advantage members of PacificSource Health Plans.
  • Case manager helps seniors manage their conditions

    Georgene Siemsen, MS, RN, GNP-BC, visited the home of a 74-year-old patient at Bend (OR) Memorial Clinic because of concerns that she was not refilling her medication consistently. Inside, Siemsen found a disorganized collection of old bottles, expired prescriptions, and multiple refills of the same medications.
  • The term 'medical home' can have many meanings

    When the Bend Memorial Clinic receptionist offered a 90-year-old patient a brochure describing the clinic's medical home model and a letter introducing the nurse care management program, the patient angrily threw the materials back.
  • Phone calls aim to keep patients out of hospital

    When patients who have a high risk of rehospitalization are discharged from Bayada Home Health Care's home health services, the Mooretown, NJ, home health company calls them monthly for the next year to find out how they are feeling and whether they need assistance or additional services that will help them avoid another hospital admission.
  • Rapid intake energizes no-wait ED model

    Getting an entire staff of physicians, nurses, and techs to do things differently is never easy, but you can clear away hurdles by giving them the ability to formulate some of their own solutions.
  • More patients visit EDs with dental problems

    With surging demand from patients with both medical and mental health needs, and continuing pressure to reduce costs, ED managers have a full plate of concerns to contend with.