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When Integris Baptist Medical Center in Oklahoma City began looking at implementing palliative care and end-of-life services, the case management department was the appropriate place to start, says Anita Bell, RN, MEd CHPN, palliative care coordinator at the 508-bed facility.
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The inpatient prospective payment system (IPPS) final rule, issued by the Centers for Medicare & Medicaid Services on July 30 makes it clear that the health care agency expects hospitals to do more with less reimbursement.
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Mistakes happen even to the best clinicians. This is why hospitals increasingly are relying on checklists and other tools to assist clinicians in the discharge process.
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With its approach to glycemic control, SMS St. Mary's Health Center in St. Louis, aims to shorten lengths of stay and "break the cycle of the revolving hospital door," for patients with diabetes as a primary or secondary condition, says Philip Vaidyan, MD, head of the IPC academic hospitalist program.
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Before patients are admitted to Intermountain McKay-Dee Hospital, a patient flow nurse completes the first level of review for medical necessity and works with the admitting physician to determine the patient status.
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Your ED patient's bad outcome might have nothing to do with the fact that he or she was held in the hallway while awaiting an inpatient bed. However, it could impact the outcome of subsequent litigation against the ED.
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When a hospital in downtown Knoxville, TN, closed and volume soared at other nearby hospitals, two hospitals in the Covenant Health System joined forces to develop a systematic approach to capacity management that allows each hospital to create variances in the process to meet its individual needs.
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In just a few years, your hospital could lose a significant amount of money if its 30-day readmission rate is higher for Medicare patients with certain diagnoses than the rate at other hospitals.
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As part of its efforts to increase transparency in health care and to help consumers make informed decisions about which hospital to choose, the Centers for Medicare & Medicaid Services (CMS) expanded the information on the Hospital Compare website, adding 10 new outpatient measures and updated information on 30-day mortality and readmission rates for heart failure, acute myocardial infarction, and pneumonia.
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Here's a common hospital discharge scenario: the patient is ready to be discharged home, and the hospital has a discharge planner or case manager who is prepared to call the patient's primary care physician (PCP) to discuss the patient's post-discharge care. But who does the discharge planner call? And will anyone respond to the call?
