Discharge Planning
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Pharmacists Can Help Improve Diabetes Outcomes in the Community
Some health systems are trying to integrate pharmacists in primary care units in hopes of improving outcomes for patients with chronic diseases, such as diabetes and hypertension. One model is to assign four or five primary care providers per pharmacist and create a co-visit model that integrates pharmacists in care involving medication management.
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Care Coordination Connects Students with Healthcare Providers
School mental health providers find care coordination to be important for students in public school districts. Care coordination refers to care activities for delivering services through communication to all involved, with the central goal of meeting the student’s needs and preferences and addressing gaps in care.
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Best Practices for Hospital Z Codes
Hospital Case Management asked Tammy Love, RHIA, CCS, CDIP, director of coding classification and policy at the American Hospital Association in Washington, DC, to answer a few questions via email about Z codes and what case managers need to know.
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Large Medicare Data Study Shows Big Benefits with Primary Care Follow-Up
New research shows Medicare patients who are hospitalized with a condition that could require emergency general surgery are far less likely to be readmitted if they receive follow-up care with a primary care provider within 30 days of discharge.
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Standardized Care Protocols at SNFs Improve Hospital Readmission Rates
New research shows how standardized care protocols can improve care and reduce readmission rates for patients with chronic conditions in skilled nursing facilities.
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How the PSA Handoff Form Works
The Patient Safety Attendant Handoff Form includes patient information and SBAR boxes for PSAs and nurses to communicate.
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Nurses Develop Successful Handoff Tool for Patient Safety Attendants
Nurse residents and co-investigators created and successfully tested a simple communication tool, called Patient Safety Attendant Handoff Form, that helps improve safety and care quality for patients with personal safety attendants.
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Ensuring Compliance in Case Management Is Critical
Many compliance issues in the CMS Conditions of Participation for utilization review and discharge planning need attention. Ensuring compliance is critical for improving patient care, preventing financial penalties or sanctions, and avoiding trouble with governmental authorities by identifying and correcting compliance issues early.
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Consider the Burden for Those Caring for Older Trauma Patients
Family caregivers of older people who have experienced a serious fall or another traumatic event sometimes are unprepared for the role. The authors of a recent study found close to one-third of family caregivers of older trauma patients experience high caregiver burden up to three months after the patient’s discharge.
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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.