Positive case management outcomes are most commonly associated with offering high-intensity interventions and developing multidisciplinary care plans for high-need patients, according to a new study.
A June report by Kaiser Permanente found that not only do Americans believe that having social needs met—such as housing, food, and social support—is crucial to good health, but 68% of those surveyed reported that they had at least one social need unmet in the last year, and more than 25% of them said that unmet social need affected their health.
CMS issued a final rule last week reforming the discharge planning process for hospitals, critical access hospitals, and home health agencies that participate in Medicare and Medicaid.
Stephanie, a home care nurse case manager, follows patients with repeated readmissions, stabilizes them in the community, and prevents the readmissions from continuing. But with record-breaking temperatures approaching, Stephanie knows that helping her patients avoid readmission will be more challenging than usual.
