Tag Archives: case managers

Cigna Collaborative Care Reduced Avoidable ER Visits by 16 Percent

Cigna’s second-year results from a collaborative care initiative with Granite Healthcare Network (GHN) reveals significant progress in improved health and affordability, and decreased avoidable emergency room (ER) visits by 16 percent, according to Cigna officials. Cigna Collaborative Care, a partnership … finish reading Cigna Collaborative Care Reduced Avoidable ER Visits by 16 Percent

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Case Managers, Case Managers and the Patient Experience, Diabetes, Disease Management, Elderly Care, electronic health records (EHRs), Emergency Room, Hospital Readmissions, Reducing Healthcare Costs | Tagged , , , , | Leave a comment

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

Posted in Care Coordination, Case Managers, Embedded Case Manager, Hospital Readmissions | Tagged , , , | Leave a comment

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

Posted in affordable care act, Avoidable Hospitalization, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Embedded Case Manager, Uncategorized | Tagged , , , | Leave a comment

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

Posted in Avoidable Hospitalization, Care Coordination, Case Managers, Case Managers and the Patient Experience, Embedded Case Manager, Emergency Room | Tagged , , , | Leave a comment

Case Managers Coach Patients on Readmission ‘Red Flags’

Seeing patients within seven days of hospital discharge is key to avoiding “red flags” that can land that patient back in the hospital, says Dr. Randall Krakauer, MD, national Medicare medical director for Aetna. Red flags can range from patients … finish reading Case Managers Coach Patients on Readmission ‘Red Flags’

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience | Tagged , , , , | Leave a comment

3 Post-Reform Priorities for Case Management: Collaboration, Integration and Extension

Today’s case managers have to be capable of dealing with both physical and mental health issues, says Teri Treiger, RN-BC, MA, CHCQM-CM/TOC, CCM, CCP, president of Ascent Care Management. Many case managers don’t feel comfortable dealing with mental health issues, … finish reading 3 Post-Reform Priorities for Case Management: Collaboration, Integration and Extension

Posted in Behavioral Health, Care Coordination, Case Managers, Case Managers and the Patient Experience | Tagged , , , | Leave a comment

Culture of Population Health Management Key to Medical Home Success

While electronic health records are integral to patient-centered medical homes’ success, the new roles and relationships of providers and staff may be even more important in driving quality improvement, according to a study funded by the Commonwealth Fund. Given the … finish reading Culture of Population Health Management Key to Medical Home Success

Posted in affordable care act, Avoidable Hospitalization, Case Managers, Disease Management, electronic health records (EHRs), Healthcare Costs, Healthcare Information Technology | Tagged , , , | Leave a comment

3 Revelations from Stanford Home Visits for High-Risk Patients

Home visits can reveal details that healthcare professionals can’t learn over the phone or in the clinic setting, says Samantha Valcourt, MS, RN, CNS, Stanford Community Care’s clinical nurse specialist, like whether their patient is properly utilizing the cane sitting … finish reading 3 Revelations from Stanford Home Visits for High-Risk Patients

Posted in Avoidable Hospitalization, Care Coordination, Case Managers, Elderly Care, Home Healthcare | Tagged , , , | Leave a comment

Care Transitions Prime Opportunity for Patient-Centric Case Management

Hospital-to-home or hospital-to-nursing home transitions offer a wealth of opportunity for intervention, the first being medication management and medication reconciliation, say Doreen Salek, director of business operations of health services, and Janet Tomcavage, RN, MSN, vice president of health services … finish reading Care Transitions Prime Opportunity for Patient-Centric Case Management

Posted in affordable care act, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience | Tagged , , | Leave a comment

6 Ways to Groom Embedded Case Managers for Advanced Primary Care

Embedded case managers are carefully being groomed as ambassadors for the evolving patient-centered healthcare landscape. And while challenges to employing them persist, including staff buy-in and communication, reimbursement is less of an obstacle today than in the past due to … finish reading 6 Ways to Groom Embedded Case Managers for Advanced Primary Care

Posted in Care Coordination, Care Transitions, Case Managers | Tagged , , , | Leave a comment