Case Management

Case Management Headlines

  • Frequent post-acute care use may equal more readmissions

    Some hospitals may be referring patients too quickly to post-acute facilities—which is reducing their average length of stay but negatively affecting their readmission rates, according to a February 2016 study published in the American Publich Health Association's journal.

    Researchers looked at data from 217 hospitals in 39 different states. The analysis included information on more than 112,000 patients from the national surgery registry, Medicare claims, and the American Hospital Association annual surveys between 2005 and 2008.

  • Storing UR documents

    Q: Our utilization review (UR) team is researching new database solutions for our electronic documents, as well as the remaining paper documents. How can we determine what solutions will best meet our needs?

     

  • Case management strategies to manage long length of stay

    Patients with a long length of stay can be a challenge for case managers. The goal of case managers is to ensure that care for these patients is efficient and smooth, but sometimes there are some pretty big barriers in the way of a smooth discharge to the next level of care.

  • Don't underestimate the importance of good documentation

    It’s an unfortunate part of healthcare today—the lawsuit. Are you ready if one is filed against your organization?

  • AHA: Hospitals need time to comply with the NOTICE Act

    The American Hospital Association is pushing for a six-month implementation period after the final rule for the Notice of Observation Treatment and Implication for Care Eligibility Act is issued.

  • Commonwealth Fund scorecard highlights the state of healthcare

    While the quality of care you get still very much depends on what state you live in, the good news is healthcare in most states improved from 2013 to 2014, according to the fourth Commonwealth Fund Scorecard on State Health System Performance.