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Hospital case management : the monthly update on hospital-based care planning and critical paths最新文献

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Community partnerships keep patients safe after discharge. 社区伙伴关系确保患者出院后的安全。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-10-01
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引用次数: 0
CASE MANAGEMENT INSIDER. The Top 10 Mistakes You May Be Making In Your Case Management Department! Part 4. 个案管理内部人士。你在案例管理部门可能犯的十大错误!第4部分。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-10-01
Toni Cesta
{"title":"CASE MANAGEMENT INSIDER. The Top 10 Mistakes You May Be Making In Your Case Management Department! Part 4.","authors":"Toni Cesta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have now completed our review of the top 10 mistakes you may be making in your case management department. I've included tips and strategies for correcting these mistakes if you are facing them in your organization. If you follow these suggestions, you will help to keep your case management practice and your department on track and moving forward!</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 10","pages":"131-4"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34222461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adequate CM staff is vital as reimbursement models change. 随着报销模式的变化，足够的CM人员是至关重要的。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-09-01
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引用次数: 0
New payment models require a shift in thinking. 新的付费模式需要转变思维。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-09-01
{"title":"New payment models require a shift in thinking.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 9","pages":"112-4"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33954303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Get ready: Bundled payments are in your future. 准备好吧:捆绑支付是你的未来。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-09-01
{"title":"Get ready: Bundled payments are in your future.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Centers for Medicare & Medicaid Services' (CMS') mandatory bundled payment pilot project makes clear that the agency intends to reform Medicare reimbursement. Hospitals in 75 geographic areas are required to participate in a five-year pilot project that puts them at risk for the cost of hip and knee replacements from the time of surgery until 90 days after discharge. Already, more than 6,500 providers are participating in the Bundled Payments for Care Improvement project, a voluntary program where participants can choose from 48 clinical episodes and four models. Even if they won't be part of a bundled payments arrangement, case managers need to shift their thinking to prepare for the future of reimbursement by developing close working relationships with post-acute providers, knowing the services and quality delivered by post-acute providers, and being aware of the costs for the entire episode of care. Case managers will not be able to handle all the responsibilities necessary in a bundled payment arrangement if they have large caseloads.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 9","pages":"109-12"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33954302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CMS proposes to OK one-midnight inpatient stays. CMS建议允许午夜住院。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-09-01
{"title":"CMS proposes to OK one-midnight inpatient stays.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Centers for Medicare & Medicaid Services (CMS) has proposed that stays shorter than two midnights be reimbursed as inpatient stays if the documentation in the medical record supports it. CMS made the proposal in the Outpatient Prospective Payment System proposed rule for 2016 and left the policy unchanged for stays of two midnights or longer. CMS also announced that the two Beneficiary and Family Centered Care Quality Improvement Organizations (QIOs), Livanta and KEPRO, will take over the responsibility of Probe and Educate and will review cases for medical necessity when patient stays are one midnight or less, referring hospitals with high denial rates to the Recovery Auditors. Case managers should continue to assist physicians in determining patient status and to make sure that the documentation is complete, accurate, and specifies the severity of illness.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 9","pages":"121-2"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34020937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
California staffing law reduces occ injuries; nurses in other states fighting for similar laws. 加州员工法减少了occ伤害;其他州的护士也在争取类似的法律。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-08-01
{"title":"California staffing law reduces occ injuries; nurses in other states fighting for similar laws.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 8","pages":"106-7"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34301969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Educate observation patients on what "observation" means to them. 教育观察病人“观察”对他们意味着什么。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-08-01
{"title":"Educate observation patients on what \"observation\" means to them.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 8","pages":"102-3"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34301966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beef up your documentation reviews to ensure reimbursement is appropriate. 加强你的文件审查，以确保报销是适当的。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-08-01
{"title":"Beef up your documentation reviews to ensure reimbursement is appropriate.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 8","pages":"101-2"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34301965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital revamped admission process to comply with two-midnight rule. 医院修改了入院程序，以遵守午夜两小时的规定。
Hospital case management : the monthly update on hospital-based care planning and critical paths Pub Date : 2015-08-01
{"title":"Hospital revamped admission process to comply with two-midnight rule.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A multidisciplinary team at Northwestern Lake Forest (IL) Hospital developed a way to change the admissions process to comply with the Centers for Medicare & Medicaid Services' (CMS') two-midnight rule. The team specified that patient status should be based on expected length of stay, severity of illness, intensity of expected services, and risks for the patient and had the information integrated into the medical record as a reminder for physicians. Case managers screen all patients for medical necessity before registration and recommend that patients who do not meet inpatient criteria receive observation services. The case management department gives patients receiving observation services a letter explaining their status, potential copays, and out-of-pocket expenses.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"23 8","pages":"103-4"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34301967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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