Case Management Newsletters

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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Case Management Monthly

Issue 7, July 1, 2012 - VIEW THE FULL ISSUE

• Is certification right for you? Factors to consider when making this decision

  Just a few years ago, few employers required certification for new case managers. Today, more than...

• Develop strategies to engage case managers in the document review process

  If you merely review patient charts and compare them to screening criteria, such as InterQual®...

Issue 6, June 1, 2012 - VIEW THE FULL ISSUE

• Ensure the right fit when hiring a physician advisor

  Physician advisors provide a critical link between case management and physicians; it's a position...

• Understand home health rules for better care

  For many patients, home health services can mean the difference between a successful recovery and a...

• Team approach benefits Maine healthcare organization

  Improving the hospital experience for patients, improving the quality of care, and reducing costs...

Issue 5, May 1, 2012 - VIEW THE FULL ISSUE

• Barrier reduction teams improve efficiency at New York-Presbyterian

  Leaders there established multidisciplinary barrier reduction teams (BRT) in late 2009, which are...

• Avoiding sticky legal issues during discharge

  Making sure patients are prepared for discharge can be a tricky process. When certain laws are...

• Take control to reduce the strain from audits

  Case managers have already become familiar with the Medicare Recovery Audit Program. In January...

• Feeling the heat: Providers share their experience with Recovery Audit Program and other audits

  Editor's note: Each year HCPro's Revenue Cycle Institute reports on the experience of providers...

Issue 4, April 1, 2012 - VIEW THE FULL ISSUE

• Helping CHF patients ­manage their condition and avoid unnecessary ­readmissions

  When case managers are looking at patients who are frequently readmitted to their facility within...

• HHS confirms ICD-10 delay. What's next?

  It's no longer a mere possibility; the Department of Health and Human Services HHS has confirmed...

• Mastering the handoff: Tips to avoid dropping the ball

  One of the riskiest times for patients comes when they are leaving the hospital and heading home...

• A (controversial) case for ending the marriage between UR and case management

  Utilization review (UR) and case management are as traditional a team as peanut butter and jelly...

Issue 3, March 1, 2012 - VIEW THE FULL ISSUE

• Work with postacute care to reduce readmissions

  So you've looked at your readmission data, and you've found a problem. One nursing home or SNF is...

• Reduce medication errors to prevent readmissions

  If you're looking to reduce your hospital's 30-day readmission rate, it's time to focus in on a...

• Case study: Taking part in an ACO, how to prepare

  In December 2011, Detroit Medical Center (DMC) got word that it had been selected as one of only...

Issue 2, February 1, 2012 - VIEW THE FULL ISSUE

• Mentorship program gives a boost to new case managers

  New nurses just out of school often find themselves at work alongside veterans who have little...

• Planning for homecare can reduce avoidable readmissions

  Case managers want their patients to leave the hospital with a successful transition to home or...

• Effort under way to establish caseload benchmarks

  Many case managers today feel like they're overburdened, but it may not be clear whether they're...

Issue 1, January 1, 2012 - VIEW THE FULL ISSUE

• Four areas that break down physician relationships

  Most case managers have had a spat with a physician at one time or another. Maybe a physician...

• How a patient tracking system is improving case ­management

  Earlier last decade, when patients came into the ED at Christiana Care Health System in Newark...

• Ring in the new year with quality resolutions

  It's January. Time to ring in the new year and make some resolutions for 2012.Case managers have a...