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 12, December 1, 2009 - VIEW THE FULL ISSUE

• Pilot program identifies the cause of frequent ED visits; patients overcome barriers

  For many facilities the emergency department (ED) is a chaotic and crowded place. Making things...

• Traveling exposes case manager to many models

  Travel nursing is ideal for healthcare professionals who want to explore the country while...

• ‘Making case management history’ one story at a time

  Because case managers have such an intimate knowledge of the healthcare system, they are certainly...

Issue 11, November 1, 2009 - VIEW THE FULL ISSUE

• Clearing up condition code 44 confusion

  Case managers struggle with the condition code 44 requirements. Our experts address the most common...

• HINNs help with difficult cases

  The HINN and the Important Message from Medicare (IM) are useful tools in the case manager’s...

• The RAC effect: How RACs influence case management

  One of the major challenges for hospitals today is the Recovery Audit Contractor (RAC) program...

Issue 10, October 1, 2009 - VIEW THE FULL ISSUE

• Answers to your questions about dealing with undocumented patients

  During the July 15 HCPro audio conference, “¬Caring for Uninsured and Undocumented...

• Facilitating transitions of care with the Care Express tool

  Crouse Hospital in Syracuse, NY, developed Care Express, an electronic online tool that allows home...

• Weekly Top 10 meeting reduces LOS

  Northside Medical Center holds a weekly meeting to discuss patients with the top 10 length of stay...

Issue 9, September 1, 2009 - VIEW THE FULL ISSUE

• One facility redevelops an assessment tool to ensure documentation

  In January 2007, the University of North Carolina (UNC) Hospitals in Chapel Hill implemented a...

• What are the benefits of using whiteboards to track patient discharges?

  Imagine a communication tool in patient rooms that allows interaction between the patient, his or...

• Customer service counts in case management

  Customer service is receiving a great deal of attention in healthcare organizations as we grapple...

• Free software can help you prepare for RAC audits

  Do you ever wonder how the postacute transfer rule will affect the reimbursement for a particular...

Issue 8, August 1, 2009 - VIEW THE FULL ISSUE

• Recruit and retain staff for top-notch case management

  Carolinas Medical Center (CMC) in Charlotte, NC, didn’t have a big problem with turnover...

• Clinical case management

  The three-year Recovery Audit Contractor (RAC) demonstration project that concluded in March 2008...

• Expediting discharges with a case manager–nurse practitioner model

  Organizing and executing discharges in a timely manner at a busy teaching hospital is quite an...

Issue 7, July 12, 2009 - VIEW THE FULL ISSUE

• Virtual patient advocate could reduce readmissions

  The spotlight’s shining on readmission rates. A Commonwealth Fund–supported study...

• Case managers intervene to aid admission process

  The goal is to comply with payer rules and provide the appropriate care to patients. As simple as...

• How case management influences organizational goals

  Which of the following has the biggest influence on the way your case management staff is...

Issue 6, June 1, 2009 - VIEW THE FULL ISSUE

• Observation status: Tips for accurate care determination

  Hospitals large and small, rural and urban, face a common struggle to ensure that their patients...

• Partner with hospitalists to improve patient care

  Hospitalist programs are becoming increasingly popular because of their specialized knowledge of...

• Managing long LOS patients

  There are several reasons that some patients end up staying in the hospital for long amounts of...

Issue 5, May 1, 2009 - VIEW THE FULL ISSUE

• Improve delivery of patient care with integrated case management

  The pressure is on for case managers to reduce readmissions and prolonged LOS, which may be caused...

• The RAC is back! How can I prepare my facility?

  The time is now for RAC readiness for case management departments throughout the country.

• Determining accurate caseloads

  When case management caseloads become unmanageable, mistakes inevitably occur.

• Case management's role in managing denials

  A comprehensive understanding of hospital denials and their root causes will not only avoid...

Issue 4, April 1, 2009 - VIEW THE FULL ISSUE

• Addressing patient noncompliance in medication adherence

  It’s the fourth leading cause of death in the United States and it costs the healthcare...

• Changing times call for weekend case management coverage

  Adding weekend case management at your facility may seem like a difficult task or an unnecessary...

• Recession-proof your facility

  With seemingly no other resources available to them, the uninsured are increasingly looking at the...

Issue 3, March 1, 2009 - VIEW THE FULL ISSUE

• What is the MAC and how will it affect case managers?

  As case management struggles to meet CMS compliance regulations—keeping a vigilant eye on...

• Delegation in case management: Techniques to save your time and sanity

  Case managers often have more tasks to accomplish than they have hours to do them. Wouldn’t...

• Tackling readmissions: An evidence-based approach to reduce rehospitalizations

  Hospital readmissions are catching the eyes of private payers and CMS. Soon, they may become a way...

Issue 2, February 1, 2009 - VIEW THE FULL ISSUE

• Mastering Medicare's Important Message

  Although many facilities struggle with delivering the Important Message (IM) from Medicare as part...

• How case management fits into the organization

  Case management is an invaluable part of a hospital, but how is it recognized by the...

• Harnessing technology to advance case management

  You know the drill: rally for improved documentation practices at your facility, train everyone on...

• Improve patient satisfaction to enhance discharge planning

  A patient can come into your facility and get the best care possible, but if you don't have a...

Issue 1, January 1, 2009 - VIEW THE FULL ISSUE

• Improve patient advocacy by creating a managed care partnership

  Managed care companies are viewed as the Goliath to a case management program’s David...

• What role does the case manager play in coordinating and implementing core measures?

  No longer just a Joint Commission requirement, core measures have hit everyone’s radar and...

• Eliminate overcrowding in the ED

  ED overcrowding is a problem almost every hospital faces. Many patients inappropriately come to the...

• Starting case managers on the right foot

  Despite the effect the economic downturn is having on the national job market, hospitals still face...