{"title":"Virtual Psychiatric Consultations Shorten ED Wait Times.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 7","pages":"101-2"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Don’t Just Send Patients Home if They Have a Mental Health Issue.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 7","pages":"92"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Montefiore Health System’s collaborative care model integrates medical care with treatment for behavioral health issues that can be handled in a primary care setting. · Patients who are identified with behavioral issues are assigned a care manager at the Montefiore Care Management Organization, who coordinates with the primary care physician and behavioral health team to develop a plan of care. · The care manager provides telephonic case management follow-up with patients after their primary care visits, educating them on their condition and helping them meet their goals as well as relaying recommendations from the behavioral health team to the primary care provider. · When the psychiatrist on the behavioral health team recommends medication, the care manager informs the primary care physician, who prescribes it.
Montefiore Health System的协作护理模式将医疗保健与可在初级保健环境中处理的行为健康问题的治疗相结合。·在蒙特菲奥里护理管理组织(Montefiore care Management Organization)为确定有行为问题的患者指派一名护理经理，该经理与初级保健医生和行为健康团队协调，制定护理计划。·护理经理在初级保健就诊后对患者进行电话病例管理随访，教育他们了解自己的病情，帮助他们实现目标，并将行为健康团队的建议传达给初级保健提供者。·当行为健康小组的精神科医生建议用药时，护理经理通知初级保健医生，由初级保健医生开处方。
{"title":"Collaborative Care Combines Medical, Behavioral Health Treatment.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Montefiore Health System’s collaborative care model integrates medical care with treatment for behavioral health issues that can be handled in a primary care setting.\u0000· Patients who are identified with behavioral issues are assigned a care manager at the Montefiore Care Management Organization, who coordinates with the primary care physician and behavioral health team to develop a plan of care.\u0000· The care manager provides telephonic case management follow-up with patients after their primary care visits, educating them on their condition and helping them meet their goals as well as relaying recommendations from the behavioral health team to the primary care provider.\u0000· When the psychiatrist on the behavioral health team recommends medication, the care manager informs the primary care physician, who prescribes it.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 7","pages":"99-101"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Study Identifies Surprising Priorities of Chronically Critically Ill Patients.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 6","pages":"87"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Centers for Medicare & Medicaid Services requires hospitals to give patients an array of documents to explain their rights, their status, and any financial obligations they may incur — and it’s usually up to case managers to see that the hospital complies. •The Medicare Outpatient Observation Notice (MOON) is the latest requirement, but the Important Message (IM) from Medicare also is required under the Medicare Conditions of Participation. In order to bill patients for services that are incurred but not covered, hospitals also must give patients a Hospital Issued Notice of Noncoverage (HINN). •If the documents are delivered at the proper time, they could affect the hospital’s reimbursement, increase the risk of audit, and affect patients’ understanding of their rights and responsibilities. •The entire treatment team should be aware of the documents and intentions. Education on delivering these documents should be part of case management orientation and regular education. •Hospitals should develop a process for delivering HINNs if the need arises. Before that happens, case managers should communicate frequently with the patient and family about the next level of care. •Patients may demand that their status be changed from observation to inpatient, but they can’t be admitted unless they meet inpatient criteria.
{"title":"HINN, IM , and MOON: Alphabet Soup of Forms Can Be Confusing.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Centers for Medicare & Medicaid Services requires hospitals to give patients an array of documents to explain their rights, their status, and any financial obligations they may incur — and it’s usually up to case managers to see that the hospital complies. \u0000•The Medicare Outpatient Observation Notice (MOON) is the latest requirement, but the Important Message (IM) from Medicare also is required under the Medicare Conditions of Participation. In order to bill patients for services that are incurred but not covered, hospitals also must give patients a Hospital Issued Notice of Noncoverage (HINN).\u0000•If the documents are delivered at the proper time, they could affect the hospital’s reimbursement, increase the risk of audit, and affect patients’ understanding of their rights and responsibilities.\u0000•The entire treatment team should be aware of the documents and intentions. Education on delivering these documents should be part of case management orientation and regular education.\u0000•Hospitals should develop a process for delivering HINNs if the need arises. Before that happens, case managers should communicate frequently with the patient and family about the next level of care.\u0000•Patients may demand that their status be changed from observation to inpatient, but they can’t be admitted unless they meet inpatient criteria.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 6","pages":"73-6"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36436477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Designing the MOON Form and Process Was a Team Effort.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 6","pages":"83-4"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delivery of the MOON Has Spurred Objections to Outpatient Status.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 6","pages":"78, 83"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36436379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HINNs Inform Patients When Services Are Not Covered by Insurance.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 6","pages":"76-7"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36435924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the Inpatient Prospective Payment System proposed rule, CMS is asking for public input on how to ease the burdens on providers and how make the healthcare system less complex and bureaucratic. · The proposed rule also asks for input on additional measures that hospitals will have to report under the Hospital Inpatient Quality Reporting Program, including measures on safe use of opioids, malnutrition screening and treatment, and screening and interventions around alcohol and tobacco use. · CMS proposes that Medicare spending-per-beneficiary performance account for 50% of hospitals' Efficiency and Cost Reduction scores in the Value-Based Purchasing Program and that each of the four domains -- safety, clinical care, efficiency and cost reduction, and person and community engagement -- comprise 25% of a hospital's overall score. · As directed by the 21st Century Cures Act, CMS proposed to calculate penalties under the Hospital Readmission Reduction Program by comparing hospitals' performance with other hospitals that have a similar population of patients who are dually eligible for Medicare and Medicaid.
在住院病人预期支付系统拟议规则中，CMS要求公众就如何减轻提供者的负担以及如何使医疗保健系统不那么复杂和官僚主义提供意见。·拟议规则还要求就医院必须根据医院住院病人质量报告计划报告的其他措施提供意见，包括关于阿片类药物安全使用、营养不良筛查和治疗以及围绕酒精和烟草使用的筛查和干预措施。·CMS建议，在基于价值的采购计划中，每位受益人的医疗保险支出绩效占医院效率和成本降低得分的50%，而安全、临床护理、效率和成本降低以及个人和社区参与这四个领域中的每一个都占医院总分的25%。·根据《21世纪治愈法案》(21st Century Cures Act)的指示，CMS提议通过将医院的表现与拥有类似医疗保险和医疗补助双重资格的患者的其他医院进行比较，来计算医院再入院减少计划下的处罚。
{"title":"CMS Continues Emphasis on Quality, Value-based Purchasing.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the Inpatient Prospective Payment System proposed rule, CMS is asking for public input on how to ease the burdens on providers and how make the healthcare system less complex and bureaucratic.\u0000· The proposed rule also asks for input on additional measures that hospitals will have to report under the Hospital Inpatient Quality Reporting Program, including measures on safe use of opioids, malnutrition screening and treatment, and screening and interventions around alcohol and tobacco use. \u0000· CMS proposes that Medicare spending-per-beneficiary performance account for 50% of hospitals' Efficiency and Cost Reduction scores in the Value-Based Purchasing Program and that each of the four domains -- safety, clinical care, efficiency and cost reduction, and person and community engagement -- comprise 25% of a hospital's overall score.\u0000· As directed by the 21st Century Cures Act, CMS proposed to calculate penalties under the Hospital Readmission Reduction Program by comparing hospitals' performance with other hospitals that have a similar population of patients who are dually eligible for Medicare and Medicaid.</p>","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 6","pages":"24-5"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Study: Older Patients Vulnerable to Functional Decline Following ED Visit.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79972,"journal":{"name":"Hospital case management : the monthly update on hospital-based care planning and critical paths","volume":"25 6","pages":"86-7"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号