Successful programs to reduce preventable hospital readmissions range from the transitional care model created by Mary Naylor, PhD, FAAN, RN, a nurse researcher at the University of Pennsylvania, to Project RED, created by the Commonwealth of Massachusetts. Kathleen Heery, MS, RN, CCM, and Cheryl Pacella, DNP(c), HHCNS-BC, CPHQ, the homecare consultant and quality advisor at CAP Consulting, LLC, discussed the secrets to their success during "Reducing Readmissions by Improving Transitions in Care," an HCPro webcast.
You're reviewing a case file and discover that a patient's recent readmission is due to a medication prescribing error made by a physician. Do you report it?
A physician has recommended an excellent treatment plan for your patient. It looks good on all fronts. But there is one final question a good case manager should ask: Will the patient's insurance pay for it?
Various types of certification are available for case managers, but one credential focuses on the specific skills needed in a hospital setting-Accredited Case Manager (ACM™) certification.
