Hospital Case Management
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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.
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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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Virtual Rounds Shorten Lengths of Stay
An Arizona facility cut more than 3,000 excess days for a savings of more than $6 million over 10 months.
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Biden Administration Releases 10 Drugs for Price Negotiation
Medications represent 20% of the total Medicare Part D gross covered prescription costs.
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Using AI in Case Management
Touted as a way to save money and time, enable more accurate diagnoses, and streamline processes, AI can be a helpful tool in hospitals. The accessibility of high volumes of information can help with decision-making and care coordination.
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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.