CMS revises 2-midnight audit process

June 2, 2017
Case Management Monthly

CMS has changed its selection process for medical records for short-stay reviews under the 2-midnight rule. This could be problematic for some organizations, says Ronald Hirsch, MD, FACP, CHCQM, vice president at R1 Physician Advisory Services in Chicago.

Case management job seekers stymied by old-school practices

June 9, 2017
Case Management Monthly

Leah Jacoby, a veteran neonatal intensive care unit (NICU) nurse, recently interviewed for a case management position that she hoped would help her make the jump from the clinical world to care coordination and patient advocacy.

Case study: Pennsylvania hospitals seek to combat food insecurity and improve health outcomes

June 16, 2017
Case Management Monthly

There is little doubt that food plays a crucial role in health, but eating habits are often treated as a lifestyle, not a medical issue. That recently changed in Pennsylvania when a group of hospitals banded together to pilot a new program, The Healthy Food Access Pilot, which strives to help at-risk patients eat well in an effort to improve health outcomes.

From the director’s desk: The future of emergency department case management

June 23, 2017
Case Management Monthly

The ED will soon no longer serve as the welcome mat for the community because the role of the entire hospital in the continuum of healthcare services is going through rapid transformation.

Complex case: Wife and husband admitted to same case manager on same admission

June 30, 2017
Case Management Monthly

Mary, a medical case manager, was comforting Susan, the daughter of one of her patients, who was distressed because her mother was hospitalized with a broken hip. Susan, an only child, was the primary caregiver for both her parents. After visiting her mother in the hospital, Susan would run home to provide evening care for her father, who had a home-care technician during the day.