Hospital case management : the monthly update on hospital-based care planning and critical paths最新文献

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Don’t Leave Managing Patient Throughput Off Your To-do List. 不要把管理病人吞吐量从你的待办事项列表中删除。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-12-01

Maintaining good patient flow is more important than ever as CMS and other payers move toward payment reform basing reimbursement on the entire episode of care.Making sure patients move smoothly through the continuum is part of the case manager's responsibilities and is essential to the hospital's bottom line.Complete patient assessments and start discharge planning on Day 1, or before the patient arrives if the admission is planned, to eliminate last-minute problems that contribute to avoidable delays.Establish what happens during every step of the hospital stay, identify where the bottlenecks occur, and take steps to make improvements.Case managers should cover all access points to ensure admitted patients meet inpatient criteria and arrange services at another level of care if they don't.

保持良好的病人流量比以往任何时候都更加重要，因为CMS和其他支付方朝着基于整个护理事件的报销支付改革迈进。确保患者顺利通过连续的过程是病例管理员职责的一部分，对医院的底线至关重要。在第一天完成患者评估并开始出院计划，或者如果计划住院，在患者到达之前开始出院计划，以消除导致可避免延误的最后一刻问题。确定住院期间的每个步骤发生了什么，确定出现瓶颈的地方，并采取措施进行改进。病例管理人员应覆盖所有接入点，以确保入院患者符合住院标准，并在不符合住院标准的情况下安排另一级护理的服务。

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ED Case Managers Can Prevent Bottlenecks Before They Happen. ED案例管理器可以在瓶颈发生之前预防它们。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-12-01

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The Process of Managing Long-Stay and Difficult-to-Discharge Patients. 长期住院和难以出院患者的管理过程。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-12-01

Toni Cesta

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Five More Strategies to Improve Patient Throughput. 提高病人吞吐量的另外五种策略。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-12-01

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Using Telemedicine to Address Crowding in the ED. 利用远程医疗解决急诊科拥挤问题。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-12-01

引用次数: 0

Patient Flow Initiative Eliminates Barriers to Discharge. 病人流动倡议消除了出院障碍。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-12-01

When Intermountain Medical Center in Murray, UT, reached capacity a few months after opening, a year-long initiative on patient flow determined that part of the holdup was taking care of last-minute details.Each unit holds a multidisciplinary care coordination meeting every day to discuss each patient and what they need to go to the next level of care.The team sets an anticipated discharge date during the first meeting, giving everyone on the team a target for carrying out their responsibilities.The unit charge nurse chairs the meetings and ensures team members carry out their responsibilities for moving the patient toward discharge.

当德克萨斯州默里市的山间医疗中心(Intermountain Medical Center)在开业几个月后达到满负荷时，一项为期一年的病人流动倡议确定，部分延误是为了照顾最后一刻的细节。每个单位每天都会召开多学科护理协调会议，讨论每个病人以及他们需要进入下一阶段的护理。团队在第一次会议上设定预期的离职日期，给团队中的每个人一个履行职责的目标。单位主管护士主持会议，并确保小组成员履行他们的责任，将病人转移到出院。

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Develop Criteria for Patients Referred to Complex Case Manager. 制定转介给复杂病例管理人员的患者标准。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-11-01

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Home Visits Help Reduce Readmissions for At-Risk Medicare Patients. 家访有助于减少有风险的医保患者再入院。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-11-01

Hallmark Healthcare’s Community-based Care Transitions project created the position for transition facilitators who visit at-risk patients in their homes and achieved significant decreases in readmissions.Transition facilitators work as a team with inpatient case managers, a nurse practitioner, and a pharmacist.They see at-risk patients in the hospital, visit them in their homes within three days of discharge, set up any community services needed, and follow them by telephone for 30 days.The nurse practitioner and pharmacist make home visits to patients who need extra assistance in following their treatment plan or medication regimen.

霍尔马克医疗保健的社区护理过渡项目为过渡调解员创造了一个职位，这些调解员到有风险的患者家中探视，并显著降低了再入院率。过渡调解员与住院病例管理人员、执业护士和药剂师组成一个团队。他们在医院看望有风险的病人，在出院后三天内到病人家中探望，提供所需的任何社区服务，并通过电话跟踪他们30天。执业护士和药剂师对需要额外帮助的病人进行家访，以遵循他们的治疗计划或药物治疗方案。

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Communication is the Key to Ensuring a Successful Transition. 沟通是确保成功过渡的关键。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-11-01

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New Role for Case Managers Opens Up With Payment Reform. 随着支付改革，案例管理人员的新角色开启。

Hospital case management : the monthly update on hospital-based care planning and critical paths

Pub Date : 2016-11-01

Somebody has to coordinate the post-discharge are now that hospitals are beginning to bear risk for what happens to patients after discharge, but inpatient case managers are already swamped and don't have the time to do the job well, experts say.Hospitals need to develop a new role of translational case manager, RN navigator, or some other title and hire a separate person to handle discharges and follow-up for complex patients.The job requires someone with experience in the inpatient setting and knowledge of community resources and how to refer patients to them.The key to success under payment reform is communication within the hospital and between all levels so everyone who touches the patient has complete information.

专家说，现在医院开始承担病人出院后的风险，必须有人协调出院后的情况，但住院病例管理人员已经忙得不可开交，没有时间做好这项工作。医院需要开发一个新的角色，如转译病例经理、注册护士导航员或其他头衔，并聘请一个单独的人来处理复杂患者的出院和随访。这项工作需要有住院经验的人，了解社区资源以及如何将病人转介给他们。支付改革成功的关键是医院内部和各级之间的沟通，让每个接触病人的人都有完整的信息。

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