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The use of computer simulation modeling at Overlook Hospital was really a very simple application of a simulation model, asserts Dan Krupka, PhD, managing principal of Sherborn, MA-based Twin Peaks Group LLC. In fact, he says, the more complex the process, the greater the need for computer simulation.
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A pre-discharge order form and an 11 a.m. target time for discharging patients are among the initiatives the care management teams at the Medical University of South Carolina (MUSC) in Charleston have created to help move patients through the continuum of care more efficiently. The 596-bed tertiary care center serves as a resource for the entire state of South Carolina.
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The best way for hospital case managers to provide patient-centric care is to get themselves in a position to influence the physicians who are treating their patients, asserts Stefani Daniels, RN, MSNA, managing partner of PHOENIX Medical Management Inc., a Pompano Beach, FL-based consulting firm.
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With a care coordination program in place that has dramatically reduced acute care and emergency department (ED) utilization by the chronic frail elderly while enhancing patients quality of life, Sutter Health Sacramento Sierra Region (SHSSR) was looking for a way to take the program to yet a higher level, says Jan Van der Mei, RN, care management director.
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The Disease-Specific Care (DSC) certification offered by the Joint Commission on Accreditation of Healthcare Organizations is designed to evaluate disease management and chronic care services provided by hospitals, health plans, disease management service companies, and other care delivery settings.
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The latest requirements from the Centers for Medicare & Medicaid Services (CMS) call for more detailed evaluation of processes than ever before, causing one health care system to look to industry for the tools needed to respond appropriately.
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At the heart of the decision to use computer simulation modeling at Overlook was the need to answer one basic question: Will the flow-gorithms work?
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After weathering three major hurricanes in just over 30 days, case managers in Florida hospitals have some advice for their counterparts in other parts of the country: Plan ahead and be flexible.
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Almost as soon as Homestead (FL) Hospital implemented an integrated model of case management, patient satisfaction scores went up and lengths of stay started to decline.