Case Management Weekly  | HCPro

In this issue - May 16, 2007

  1. Survey: Docs say patient flow affects quality of care

  2. San Francisco mayor focuses on alcoholic patients to reduce ED costs

  3. Palliative care programs on the rise

  4. Recruitment secrets: Hiring for attitude, training for skill

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Case Management Weekly
May 16, 2007
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Case Management Weekly is a free e-mail newsletter brought to you by Case Management Monthly, a newsletter that provides case managers with extended stay solutions to real problems, best practices, case studies, and resources to help you move patients more efficiently, safely, and cost effectively through the health care continuum and communicate better with physicians. It features behind-the-scenes ideas, tips and solutions from case managers in every practice, plus important news analysis, including regulatory updates and information related to preadmission, discharge planning, quality, payment denials, physician relations, and much more.

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Survey: Docs say patient flow affects quality of care

 

A recent survey of physician leaders found that one of the most pervasive problems affecting quality of care is patient flow because of the huge backups in ED's.

 

The American College of Physician Executives' (ACPE) 2007 Quality of Care Survey was completed by 1,155 physicians in hospitals, group practices, and other healthcare organizations.

 

"The hospital is overcrowded, resulting in closure of the ED to new patients 30% of the time," one physician respondent wrote, according to an ACPE release on the survey. "Patients are kept in the ED holding beds for up to two days, waiting for beds in the hospital. More inpatient beds are available, but floors are kept closed because staffing them would cost too much."

 

The survey was conducted in February and the results are being published in the May/June issue of The Physician Executive Journal of Medical Management, published by the ACPE

 

Source: Patient Flow Weekly, HCPro, Inc

 

Other articles of interest:

 

Massachusetts ED wait times vary drastically depending on setting

Many California EDs dangerously crowded

 

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San Francisco mayor focuses on alcoholic patients to reduce ED costs

In an effort to reduce ED costs, San Francisco mayor Gavin Newsom plans to call for new services exclusively for patients suffering from alcoholism, the San Francisco Chronicle reports.

 

San Francisco spent more than $10.8 million from 2003 to 2006 providing medical services for alcohol-related problems to 219 frequent users of ED's, statistics from the city health department show, according to the Chronicle.

 

To help address the growing problem, Newsom is proposing:

 

  • Expanded outreach efforts to chronic alcoholics
  • A greater number of homeless outreach workers
  • Funding for "inebriate housing," where people can live and receive services before they have quit drinking

Source: San Francisco Chronicle; California Healthline

 

Other articles of interest:

 

ED patients with untreated addictions result in higher costs

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Palliative care programs on the rise

As the U.S. population ages and develops more illnesses, the need for palliative care programs will increase dramatically. An article in USA Today quotes the U.S. Census Bureau as reporting that the number of U.S. residents 65 and older will increase by 44%, to 55 million, by 2020.

 

Since 2000, the number of medical centers that provide palliative care has increased to 1,240, or about 30% of hospitals, according to the Center to Advance Palliative Care, a national organization dedicated to increasing palliative care awareness.

 

Additionally, a study conducted by the Department of Veterans Affairs (DVA) found that hospitals can reduce costs by 57% when patients are moved from regular departments to palliative care units.

 

According to the DVA, savings can be attributed to:

 

  • Moving patients out of critical care and treating them in more appropriate settings
  • A reduction in ED visits and readmissions
  • Avoiding expensive and sometimes unnecessary tests such as cat scans and MRI's

 

Source: USA Today; Center to Advance Palliative Care

 

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Recruitment secrets: Hiring for attitude, training for skill

What do Southwest Airlines, UPS, and Thomas Hospital in Fairhope, AL, all have in common? They all look beyond the traditional criteria used for hiring prospective employees-solely focusing on degree, resume, and experience-and actively seek candidates with a little attitude and a lot of heart.

 

The concept these companies practice is called hiring for attitude and training for skill, and the philosophy is that you can teach the right person the skills to do a job, but you can't transform the most knowledgeable person into a success if he or she lacks the right temperament.

 

Even in specialized fields such as case management, skills are only half of the package, says Kathy Baugh, director of customer service for Thomas Hospital, a hospital that has centered its mission statement and revamped its human resources department around the notion of hiring for attitude, training for skill.

 

"Hiring for attitude is our main focus, regardless of the nursing shortage," says Baugh. "We want the staff to be as perfect as possible. Processes are easy, but finding the people is difficult."

 

Baugh admits that certain skill sets are absolutely essential in a new hire, but that hiring for attitude is just as important.

  

Source: Case Management Monthly, June 2007

 

 

 

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Will you be ready for severity-adjusted DRGs?

CMS has proposed to implement a severity-adjusted DRG methodology effective October 1, 2007. Since most case managers are involved with clinical documentation, they need to understand what the proposed model looks like and to start educating the hospital staff and physicians now. Join HCPro on Wednesday, May 30 for Preparing for Severity-Adjusted DRGs: Strategies for Successful Implementation. During this live, 90-minute audioconference, our expert speakers will provide specific strategies to help case managers prepare for severity-adjusted DRGs.

To register, call 800/650-6787 and mention source code EZINEAD, or visit HCPro's Healthcare Marketplace.


Case managers and social workers are the foundation of case management.
Don't let power struggles, philosophical differences, and unclear role delineations disrupt collaboration among the two. Join HCPro on Monday, June 4 for Nurses and Social Workers in Case Management: Creating Synergistic Partnerships to More Effectively Move Patients Across the Continuum of Care. During this live, 90-minute audioconference, our expert speakers will provide the strategies you need to establish effective working relationships between case managers and social workers.

To register, call 800/650-6787 and mention source code EZINEAD, or visit HCPro's Healthcare Marketplace.





CONTACT US

Jeff Anderson
Editor
janderson@hcpro.com



Case Management Weekly

Volume 4 Issue 20

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