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.
Beatrice, 66, arrives at the long-term acute care (LTAC) hospital with end-stage renal disease (ESRD), hemodialysis, malnutrition, a stage IV coccyx decubitus ulcer, depression, and no family support.
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.
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.
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.
Providers give Medicare beneficiaries the advance beneficiary notice (ABN) before they undergo an outpatient procedure that Medicare will likely not cover.
