Tag Archives: embedded case managers

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

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

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Embedded Case Manager | 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

10 Characteristics of CDPHP’s Embedded Case Management Model

Following in the footsteps of Geisinger Health System’s embedded case manager model, Capital District Physicians Health Plan (CDPHP’s) Enhanced Primary Care effort used embedded nurse case managers to move from a provider-centered to a patient-centered model. The model helped to … finish reading 10 Characteristics of CDPHP’s Embedded Case Management Model

Posted in affordable care act, Avoidable Hospitalization, Behavioral Health, Case Managers, Clinical Integration | Tagged , , | Leave a comment

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

Posted in Case Managers, Case Managers and the Patient Experience, Embedded Case Manager | Tagged , , | Leave a comment