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Case Management Advisor – October 1, 2012

October 1, 2012

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  • Ensuring good transitions is just the right thing to do

    Providers and payers alike are recognizing that ensuring smooth transitions when patients move between levels of care and implementing projects to help transitioning patients avoid an emergency room visit or a hospital readmission is the right thing to do.
  • Redesigning the transition process cuts readmissions

    Kaiser Permanente's six-step process to improve transitions of care has resulted in reduced preventive hospital readmissions, an increase in the percentage of patients with physician appointments within five days of discharge, and raised patient satisfaction scores.
  • Six steps lead to better transitions

    After interviewing hundreds of patients and family members, a multi-disciplinary team at Kaiser Permanente redesigned the process for transitioning patients from the hospital to home and developed a list of six processes that should happen during every discharge for every patient.
  • Nurse visits result in fewer readmissions

    Aetna's pilot program sending advanced practice nurses into the home of at-risk Medicare patients within seven days of hospital discharge resulted in a 20% decrease in hospital readmissions, over and above the 23% readmission reductions already achieved by the health plan's case management program for Medicare Advantage patients.
  • Ensure a smooth transition to rehab

    To prevent readmissions when patients are transitioning from the acute care hospital to an inpatient rehabilitation center, case managers should make sure the patients are appropriate for acute rehab, that their medical conditions are stable, and that they can tolerate three hours of therapy every day.
  • ED flow facilitators make throughput center stage

    On any given day, the ED at Mercy Hospital in Springfield, MO, has two zone captains acting as mini-charge nurses, for the east and west sides of the department.
  • Patient flow, boarding standards strengthened

    As demand for emergency care continues its upward climb, The Joint Commission is taking steps to strengthen its accreditation standards pertaining to patient throughput, and it is putting hospital leaders on notice that they will be held accountable for patient flow challenges that occur in the ED.
  • How mobility can shorten stay, improve outcomes

    Every now and then at Sunnybrook Health Sciences in Toronto, Canada, there was talk about getting ventilated patients up and about even if they were still intubated. Some people thought that the patients should be weaned off the ventilator first, some thought after, says Linda Nusdorfer, RN, MSN, an advanced practice nurse for critical care and cardiovascular care at the facility. Still others wanted to work on weaning and mobility at the same time.