Case Management

The case manager must examine every component of the discharge process for opportunities for improvement; one aspect that deserves increased investigation is the handoff of the patient from the hospital to another care provider.

When executing an interstate transfer, case managers must account for different Medicaid programs and payers, high transportation costs, and unfamiliar physicians—not to mention the challenge of finding an accepting facility.

The daily flash rounds meeting at Greenville Hospital System is a quick, informal meeting that allows various departments to share patient information and encourage teamwork.

Providers talk about the advantages and disadvantages of the two major inpatient screening products.

Experts answer questions about proper use of condition code 44.

In June 2009, HCPro launched a benchmarking survey of recovery audit contractor (RAC) preparation efforts across the country, and the case management department is well represented.

June Stark, RN, BSN, MEd, lists critical interventions that help prevent readmissions and can be applied to all discharges.

Results of a nine-month HCPro transition of care study illustrate the efforts of hospitals and SNFs to improve transitions.

Facilities that accept direct admissions for specialized services should consider creating a reciprocal transfer agreement.

The RapidView system at Tufts Medical Center allows the medical staff to access timely, correct information so it can better align patient needs with resources.