HCPro.com: Case Management Monthly

This newsletter offers case studies, best practices, and how-to analysis to help case managers move patients through the care continuum efficiently and safely.

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September 2008 (Volume 5, Issue 9)	view entire issue

Where case management sits in the POA puzzle
$23,772: That's the projected average annual loss per hospital starting October 1, when Medicare stops reimbursing hospitals for eight types of medical errors, according to a recent study by Thompson Publishing. CMS launched a nationwide effort to prevent hospital-acquired conditions (HAC) in October 2007, requiring hospitals to report whether predetermined conditions were present at the time of a patient's admission. Although facilities have had one year to correct any flaws, the pressure to report accurately on these diagnoses increases October 1, when Medicare will no longer reimburse a higher-paying MS-DRG if a selected HAC was not present on admission (POA).

Reaching out to the disadvantaged obstetrics population
The nurses in the Maternity Care Coordinator Program office in the birthing center at Prince William Hospital in Manassas, VA, spend their days educating and finding care for pregnant women who normally have to forego prenatal care due to lack of income. "Our reality is that you can get prenatal care if you have insurance; you have no problem. But if you have Medicaid, or no insurance, then you have a problem," says Teresa Baltuano-Post, RN, IBCLC, a nurse at Prince William. The women that the program potentially helps are uninsured and do not qualify for government care, which means, without assistance, they would likely go their entire pregnancy without seeing a physician.

Other recently-published articles from Case Management Monthly:

Taking an interdisciplinary approach to attacking

Data collection, analysis lead to positive outcomes

Case managers and documentation specialists: Collaboration for improved documentation and communication

Maximizing your PA program: How one facility uses PAs to create a team approach to patient care

Manage your fear of the RAC

Make advocacy and quality the focus of a comprehensive case management program

Ask June

Transforming the elective precertification process

LOS initiative saves one facility more than $1 million

Improving nurse and case manager relations

Say yes to best practices in denial prevention

Collaboration accelerates discharge planning process

Reaching out to the disadvantaged obstetrics population

Where case management sits in the POA puzzle

Rewiring the discharge planning process

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