Quality and Safety: Linchpins to Successful Healthcare Delivery
Welcome to the December 2013 issue of Case In Point. To have an effective healthcare system, three elements are needed: cost must be contained; quality must be part of the process; and all individuals,...
View ArticleLife Coaching Delivers Strong Results for Behavioral Health Patients
Patients facing behavioral health issues can prove to be tremendous challenges for care managers. They are frequently high utilizers of healthcare services, and they account for a wealth of hospital or...
View ArticleObesity Linked to Surging Rates of Knee Replacements
Approximately 600,000 knee replacement surgeries are performed each year, costing the U.S. healthcare system just shy of $10 billion. Aided by the wave of baby boomers entering their mid-60s, those...
View ArticlePeer Review Maintains Quality, Compliance in Case Management Departments
The concept of professional peer review is not new. Peer review has been a touchstone of modern scientific method since the middle of the 20th century, the only exception being medicine. Before then,...
View ArticleImproving Organizational Accountability With a ‘Just Culture’
There is no greater disservice to patients and the healthcare profession than to lose an experienced nurse to suicide, incarceration or loss of license for an unintended medical error. The healthcare...
View ArticleTeam-Based Care Payment Models Receive Support from AMA
As healthcare delivery models continue to place a greater emphasis on value-based care, new paradigms like the patient-centered medical home and accountable care organizations are delivering on their...
View ArticleAccountable Care and Patients’ Rights: Case Management’s Roles and...
One of the most common sayings that healthcare leaders hear is this: The only constant we have is change. The concept behind accountable care organizations (ACOs), and all of the practical, day-to-day...
View ArticleIn a World of Accountable Care, Patients Play a Critical Part
The approach to healthcare defined by accountable care organizations (ACOs) is the newest attempt to move from a volume- to value-based reimbursement mechanism. At its simplest, an ACO is a contract...
View ArticleAfter Hospital Stay, Medication Adherence Improves With Interventions
For patients released from the hospital with orders to take medications following a heart attack or angina, medication adherence is often a difficult task – approximately one-third of such patients...
View ArticleNew Drug Approvals: A Case Manager’s Guide
This edition of Rx Pipeline, presenting the latest FDA drug approvals, has direct application to case managers and the patients they monitor. For the treatment of chronic hepatitis C, leukemia, pain...
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