Use four proven strategies to reduce readmissions

January 1, 2013
Case Management Monthly

Successful programs to reduce preventable hospital readmissions range from the transitional care model ­created by Mary Naylor, PhD, FAAN, RN, a nurse researcher at the University of Pennsylvania, to Project RED, created by the Commonwealth of ­Massachusetts. Kathleen Heery, MS, RN, CCM, and Cheryl ­Pacella, DNP(c), HHCNS-BC, CPHQ, the ­homecare consultant and quality advisor at CAP Consulting, LLC, discussed the secrets to their success during "Reducing Readmissions by ­Improving ­Transitions in Care," an HCPro webcast.

Monitor documentation for accurate LOS estimate

January 1, 2013
Case Management Monthly

Ensuring detailed documentation isn't important only with respect to documenting medical necessity. Case managers should also ensure physicians are including enough information in patient records to help them accurately estimate LOS, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, PCS, FCS, ­C-CDIS, CCDS, an independent health information ­management consultant in ­Madison, Wis.

Help physicians provide effective documentation

January 1, 2013
Case Management Monthly

Physician documentation must include sufficient detail to ensure that case managers can accurately estimate LOS, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, PCS, FCS, C-CDIS, CCDS, an independent health information management consultant in ­Madison, Wis.