News & Analysis

September 1, 2012
Case Management Monthly

Chronic obstructive pulmonary disease (COPD) is a complex condition that is a major source of readmissions at many hospitals, say Loretta Olsen, RN, MSN, the director of case management at Mercy Medical Center North Iowa in Mason City.

September 1, 2012
Case Management Monthly

In October, CMS will start including hospital scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey in its calculations for the valude-based incentive programs, which is part of the Value-Based Purchasing Programs. Is your organization ready?

September 1, 2012
Case Management Monthly

A recent study indicates that more Medicare patients are being assigned to observation services than in the past, and this decision may be costing these patients money, according to the July issue of Health Affairs.

August 1, 2012
Case Management Monthly

Which questions should a case manager ask to ­improve documentation and better reflect the severity of a patient's condition?

August 1, 2012
Case Management Monthly

More than one-third of Americans are obese, according to the Centers for Disease Control and Prevention. These individuals typically have a higher risk of numerous health conditions, such as heart disease, stroke, diabetes, and certain types of cancer-conditions that can all lead to higher rates of complications and readmissions.

August 1, 2012
Case Management Monthly

If your utilization review (UR) committee is like many others nationwide, it may not have actually met in years-and chances are your UR committee members are secretly glad that's the case. Let's face it; those meetings can be a complete snooze.

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