The several different types of post-acute agencies (home health, nursing homes, hospices) and several individual agencies within those types can cause aggravation and, more importantly, delays.
Working with a patient who is leaving against medical advice (LAMA) can be difficult. Although the physician responsible for the patient’s medical care is primarily involved in this situation, discharge planners frequently become involved when the patient has continuing care needs.
Recruiting, retention, and turnover are challenging in any profession. Case management is no exception. Experienced, competent case managers are especially hard to find, says Wendy De Vreugd, RB, BSN, PHN, FNP, senior director of case management for West Region at Kindred Healthcare, Hospital Division, in Westminster, CA.
Preadmission Screening and Resident Review (PASRR) is a federal mandate that protects individuals with serious mental illness (SMI) or mental retardation (MR) from placement in facilities that can’t provide their specialized level of care. The screen also determines whether patients are capable of living independently.
Increased ED volumes, changes in regulatory requirements, the required use of observation, and added scrutiny from the recovery audit contractors have made implementing an ED case management model essential.
