Case Management Monthly

Unlike politicians who only give lip service to working with rivals, BryanLGH and Saint Elizabeth Regional Medical Center have joined forces to create Lincoln ED Connections, which helps patients who use the ED for primary care.

In an environment of limited resources, ensuring care for patients post-discharge can challenge any case manager’s creativity. Rural locations in particular can pose problems related to serviceable areas and resource availability.

Rita, an 82-year-old female, is involved in a motor vehicle accident while traveling from South Dakota to Arkansas in early January. She arrives at the hospital Sunday afternoon with a concussion and two fractured ribs.

Medicare rules require hospitals give patients a choice between postacute facilities. Learn how to document the choice was given.  

The American Case Management Association (ACMA) Public Policy Committee is in communication with CMS to change the requirements for the second Important Message from Medicare (IM).

Case managers can do their part to make sure their hospital's case-mix index is as high as possible.

Case managers at Jennie Edmundson use an assessment tool to identify patients that are at a readmission risk.

Denial prevention begins by establishing channels that lead to a systematic review of each patient’s admission.

A patient's high-profile spouse makes discharge planning a challenge.