Each year the Office of Inspector General (OIG) outlines its enforcement priorities. Its 2015 Work Plan includes items case managers should have on their radar.
After physicians treat them in the emergency department (ED), millions of patients each year head home to recover, but not all of them do so successfully. Many wind up needing to head right back to the hospital because something goes wrong and the discharge fails. The Agency for Healthcare Research and Quality (AHRQ) recently partnered with the Johns Hopkins University Armstrong Institute for Patient Safety and Quality to study this issue.
Case managers rejoice. CMS recently sounded what is being called the death knell of the 2-midnight rule certification in a final rule published in the November 10, 2014, Federal Register.
Preventing readmissions is a hot topic these days. CMS has imposed new financial penalties for organizations that don't successfully prevent 30-day readmissions for patients with certain medical conditions, and organizations are always looking for new strategies to ensure patients are successfully able to move to the next level of care.
Do observation patients belong in their own unit? The answer is debated at many organizations. Some say establishing a separate unit brings numerous advantages, from improved ED throughput to shorter lengths of stay. Others say some facilities may not need one.
