A maternity and child case manager is faced with a complex discharge planning situation involving a new mother who has a history of opioid abuse and lives in shelter.
Increasingly, hospitals and case managers are using social media as a way to educate and inform the community, link up with other professionals to solve problems or ask questions, raise awareness of their organization, and share information.
If you’re involved in utilization review and have found yourself in the uncomfortable position of having to tell a doctor that a patient doesn’t meet criteria for an inpatient stay, you may want to consider different ways to approach these conversations.
Q: I am still not sure whether I need RNs or social workers or both as case managers. Is there any evidence to help me make a decision? I want everyone to be effective, work together well, and be respected as a service.
A recent study in the Journal of the American Medical Informatics Association found that using population health data could help identify patients with a high risk of developing cardiovascular disease who have not been previously identified as high risk due to lack of relevant cholesterol data.
A proposal to change discharge planning regulations has gotten new life. CMS announced last month that it is giving itself another year to publish the final version of the discharge planning rule.
Q: As a case manager, I know about motivational interviewing, especially for patients with mental health or substance abuse disorder, but a colleague recently mentioned the “ask me 3” technique to me. Is it similar to motivational interviewing?
Geisinger Health System’s ProvenRecovery program, a population health initiative to combat opioid use after surgery, reduced the length hospital stays, saved $1.5 million, and contributed to an 18% reduction in opioid use across the organization since its pilot launched in June 2017.