Popular perception of teams and groups is marked by idioms such as “the more the merrier” and “two heads are better than one,” as well as the idea that the majority rule is the best approach.
Case managers today have many demands placed on them, from meeting patient needs to ensuring quality, reducing legal risks, and ensuring that care is efficient and cost-effective. In a new HCPro book, Case Management Models: Best Practices for Health Systems and ACOs, Second Edition, author Karen Zander, RN, MS, CMAC, FAAN, tackles numerous topics, focusing on how to structure case management models across the continuum of care.
So, you just tossed out the old version of your Advance Beneficiary Notice of Noncoverage (ABN) form and traded it for a fresh version, which went into effect in June. Get ready for another round of replacements.
Interventions designed to reduce hospital readmissions are accomplishing their goal from a patient perspective—but not always from a cost savings perspective.
The Commission on Combating Drug Addiction and the Opioid Crisis recently presented to President Donald Trump an interim report with recommendations for combatting opioid abuse. The commission was convened this year through an executive order from Trump in response to the opioid epidemic in America.
While the Affordable Care Act has led to fewer 30-day readmissions, this reduction in readmissions does not correlate with 30-day mortality rates, according to a JAMA study.
Connie, the manager of a case management department, was responsible for the patient discharge transportation budget for patients who did not have a ride home from the hospital. Her role covered all medical-surgical units, but not the postacute recovery room (PACU). However, when she received a desperate call from one of the PACU staff nurses, requesting assistance with a patient who did not have a ride home, she agreed to help. Connie viewed her case management department as being service-oriented and inclusive of all patients, even those beyond her assignment.
