CMW tip of the week: Worst case management structure
Case Management Weekly, December 16, 2009
Editor’s note: This week’s tip is a Q&A that appears in Hospital Case Management Models: Evidence for Connecting the Boardroom to the Bedside published by HCPro, Inc. For more information about this book or to order it visit the HCMarketplace.
Q: What is the weakest/worst case scenario for the structure of a case management department?
No director, and a manager buried (organizationally) under a director of an obscure department that was assigned case management during a restructure for downsizing
Case managers who report to unit nurse managers with a dotted line to the case management manager. (This structure does not provide hospitals the central, knowledgeable engine necessary to drive goals. Nurse managers also are unable to focus on case management, and case managers are often pulled into staffing)
No social workers anywhere in the hospital, except perhaps in maternity/pediatrics
- Differentiate between types of wound debridement
- Complications from immobility by body system
- OB services: Coding inside and outside of the package
- Don’t forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- What does case-mix index mean to you?
- Pneumonia with a negative chest x-ray: Clinical diagnoses, physician documentation, and coding guidelines
- ICD-10 tip: Coding for infectious and parasitic diseases
- ICD-10-CM coma, stroke codes require more specific documentation
- Fracture coding in ICD-10-CM requires greater specificity
- Initiative launched to prevent physician, medical trainee suicides
- I Have to Learn This, Too?
- How surviving a disaster changes the disaster plan
- Gap analysis: Three big issues
- Ensure compliance when reporting cirrhosis and alcoholic hepatitis with an MCC
- CMS seeks comment on Medicaid HCBS
- CMS launches new online tool to make Quality Payment Program easier for clinicians
- Assessing weapons in your healthcare facility
- Analyzing nurse staffing: Understanding FTEs
- A clarification on billing for CAH swing bed services