Staff at a California hospital found rapid mortality reviews conducted soon after a patient death resulted in the treatment team identifying opportunities to improve the patient’s care in more than 40% of the cases. The team conducting the rapid mortality reviews concluded this technique can offer advantages over the standard retrospective case reviews, provider surveys, and structured morbidity and mortality conferences.
No knew the world would be in the grips of COVID-19 in 2016. That is when Johns Hopkins Hospital unveiled a first-of-its-kind Capacity Command Center (CCC), a high-tech control room designed to apply all the latest analytical tools to bed management, patient transfers, and surge planning. CCC leaders have spent the last five years working around the clock to optimize patient flow and anticipate any potential bottlenecks. But there is no question the concept has been put to the test by pandemic conditions. How did it fare?
In the pandemic and post-pandemic times, case management leaders can take many steps to help their staff prevent mental health issues, like trauma, stress, burnout, post-traumatic stress disorder, and others.
Since the COVID-19 pandemic forced a shutdown in the United States, nurses, case managers, and other healthcare professionals have faced high levels of stress, burnout, and occupational trauma. A year after the pandemic began, more than half of nurses said they have felt exhausted within the previous two weeks.
As case managers work harder to meet their organizations’ patient engagement goals — particularly in the value-based care model — evidence-based tools can help them succeed. One such tool is the Patient Activation Measure, a scale that describes four stages of activation. Research showed the tool to be a valid and reliable instrument to measure activation and to help patients individualize care plans.
A multidisciplinary group at Zuckerberg San Francisco General Hospital has created an ED Social Medicine (EDSM) team to deliver better outcomes for patients who present to the ED and to lift some burden off the shoulders of providers. In operation since 2017, investigators are finding the EDSM team approach is delivering dividends on multiple fronts. They also believe they have created a roadmap to follow for other facilities struggling with similar concerns.
Housing is an important health factor among low-income and homeless people in the community, including veterans. New research revealed that clinicians should view veterans’ housing status and their behavioral health factors, including loneliness and substance use disorder. Social workers and case managers should keep veterans’ housing and substance use struggles in mind.
Case managers should expect a large segment of patients with diabetes also to present with depression, and possibly distress or anxiety related to diabetes. These mental health issues are common among people with the chronic illness, according to government statistics.