Category Archives: Embedded Case Manager

5 Embedded Case Management Strategies for 30-Day Readmissions Success

Looking to ward off Medicare 30-day readmissions penalties, Caldwell Memorial Hospital managed to decrease rehospitalizations from over 19 percent to less than 10 percent, a metric that catapaulted their hospital’s readmission ranking into the top five nationwide, says Melanie Fox … finish reading 5 Embedded Case Management Strategies for 30-Day Readmissions Success

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Embedding a Case Manager? Consider Workflow Changes, Training Needs

Continually monitoring skills and training needs and evaluating the workflow changes — operational, technological and cultural — inherent in an embedded environment are two important, ongoing challenges when working with embedded case managers, says Annette Watson, RN-BC, CCM, MBA, senior … finish reading Embedding a Case Manager? Consider Workflow Changes, Training Needs

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New Payment Models Reduce Reimbursement Challenges for Embedded Case Management

Understanding where a practice is and where it wants to go helps to ease the challenge of embedding case managers into physician practices, says Annette Watson, RN-BC, CCM, MBA, senior vice president of community transformation for Taconic Professional Resources. She … finish reading New Payment Models Reduce Reimbursement Challenges for Embedded Case Management

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3 Ways Embedded Case Managers Can Support the Hospital Discharge

Ensuring that patients understand their discharge instructions and can afford their medications are two ways embedded case managers can support the hospital discharge, says Irene Zolotorofe, RN, MS, MSN, and administrative director of clinical operations at Bon Secours Health System. … finish reading 3 Ways Embedded Case Managers Can Support the Hospital Discharge

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Duties of Embedded Case Managers in Advanced Primary Care

Embedding registered nurses (RNs) into the advanced primary care practice is best because of their skill set, and their experience dealing with the chronically ill and those with some complex comorbidities, says Annette Watson, senior vice president of community transformation … finish reading Duties of Embedded Case Managers in Advanced Primary Care

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Care Managers in Medical Homes Contribute to Improved Diabetes Outcomes

Patient-centered medical homes (PCMHs) are an effective way to help care for patients with chronic diseases such as diabetes, and placing care managers in them further improve patient outcomes for high-risk diabetes patients, according to a study conducted at Joslin … finish reading Care Managers in Medical Homes Contribute to Improved Diabetes Outcomes

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Value of Case Management Collaboration with Home Health, SNFs and Long-Term Care

One of the keys to success in following patients within the continuum of care is building a collaboration and relationship with them, and that includes having a case manager available, say Diane Littlewood, director of population management operations with Geisinger … finish reading Value of Case Management Collaboration with Home Health, SNFs and Long-Term Care

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5 Criteria for Selecting Practices for Embedded Case Managers

One of the most challenging but important criteria when choosing practices in which to embed or colocate case managers is physician willingness, explains Charlene Schlude, RN, CCM, director of case management at Capital District Physicians Health Plan (CDPHP). While it … finish reading 5 Criteria for Selecting Practices for Embedded Case Managers

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Study: 2 Key Factors That Improve Medical Home Quality, Efficiency

An EmblemHealth project found evidence that use of the Patient-Centered Medical Home (PCMH) model results in modest but promising reductions in ED visits and improved quality of care. The findings, reported in an independent study by University of Connecticut (UConn) … finish reading Study: 2 Key Factors That Improve Medical Home Quality, Efficiency

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3 Steps to Improve Hospital Discharges

Getting patients back in for follow-up appointments within five to seven days of hospital discharge is key in preventing unnecessary readmissions, explains Irene Zolotorofe, administrative director of clinical operations at Bon Secours Health System. Medication reconciliation is also a crucial … finish reading 3 Steps to Improve Hospital Discharges

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