Community Case Management
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Pandemic-Era Care Transitions Led to ED Overcrowding
Researchers found that adult patients who visited EDs in a North Carolina health system between March 1, 2020, and March 1, 2022, faced significantly longer stays if they were transitioned from the ED directly to a skilled nursing facility (SNF) instead of transitioning to a hospital bed and then to a SNF.
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Targeted Case Management Helps Patients Experiencing Homelessness
The lack of affordable housing is a crisis affecting Americans in all age groups, in every city, in every state. Nearly half of Americans say finding affordable housing in their community is a major problem, according to Pew Research. A case management model in Philadelphia helps a local homeless population by connecting people with the healthcare they need as well as finding them stable housing.
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Case managers are well-positioned to help prevent rehospitalization of sepsis survivors by ensuring a smooth transition to post-acute care services. They can provide follow-up to ensure patients are receiving the home health services, therapies, and primary care visits they need.
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Sepsis Patients Need Transition Support to Prevent Rehospitalization
Post-acute care is crucial for sepsis survivors. It helps patients with functional recovery and can prevent readmissions. Research suggests post-acute care services may be underused. Fewer than half the patients discharged from the hospital receive care in skilled nursing facilities, with home health services, or in long-term care facilities.
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Sweeping Senate Healthcare Legislation Heads to Markup
The HELP Committee has reached a bipartisan agreement on a crucial bill to expand primary care services and the healthcare workforce.
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Social Determinants Play Outsized Role in Black/White Cardiovascular Health Gap
Lower income levels, less education, tighter insurance access raise risk for cardiovascular disease mortality.
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A Little Humor Can Go a Long Way in Healthcare
While healthcare professionals frequently work in high-stress conditions, there are times when they can lighten the mood, provide comfort, or defuse an escalating situation despite the circumstances. One method for case managers to consider is using humor in care.
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Initiative Raises Organ Referral Rates, Expands Donor List and Transplanted Organ Supply
An individual’s organ donation wishes should be part of their holistic care plan. Ethicists could provide education to clinicians on this point. A culture of trust between the patient community, clinical care providers, the transplant program, and the organ procurement organization is necessary. This takes years to build — and one bad case to break.
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Ethicists Are Addressing Social Determinants of Health
Hospitals and health systems should do more to address social determinants of health to meet an ethical obligation to improve community health. Ethicists can collaborate with clinicians and social workers to find solutions. Considering the complexity of such issues, it may be unrealistic to develop effective interventions immediately. But an ethics consult is a good starting point.
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Crisis Case Management Helps Prevent Teen Suicides
Rates of attempted and completed suicides have increased sharply in recent years, particularly among adolescents. A crisis care program at a children’s hospital provides case management help to teens and their families.