Browsing: discharge planning

Communication
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Do You Understand What Was Said?

BY SANDRA ZAWALSKI, MSN, RN, CRRN, CCM, ABDA, MSCC
I sometimes wonder why patients are readmitted with the same diagnosis. Is it because they don’t follow the prescribed treatment plan, which can occur for a variety of reasons? Or did they not understand the discharge instructions?

Transitions of Care
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A Road Less Traveled: Bridge to Home

BY JENNIFER CLINE, PT, DHSC, MS, AND SHONA METCALF, RN, BSN, MSN, CCM, IQCI
Carolinas Medical Center (CMC) in Charlotte, North Carolina, a facility of Advocate Health, has a Bridge to Home (BTH) program, which serves unfunded or underfunded patients by giving them two to three hours of therapy daily for approximately two weeks.

Advocacy
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Case Managers Collaborate with Patient Advocates to Improve Health Outcomes

BY JANET BEESTING NELSON, BSN, RN, BCPA
As a hospital-based case manager, you work extremely hard to coordinate care between physicians, community resources, durable medical equipment providers and families. You coordinate with countless insurance plans. You solve problems and create solutions all day long and somehow bring it all together to discharge the patient with a safe plan.

Mental Health
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Struggling to Find Happiness After Childbirth: Identifying Mothers with Postpartum Depression

BY JENNIFER HEALY, MSN, RNC-OB, CCM

The social stigma associated with any mental health concern, including postpartum depression, prevents many mothers from openly communicating with friends, family or their medical provider about their symptoms, preventing them from getting the help they need. It is important, now more than ever, to bring awareness to this pregnancy complication to help patients who suffer from postpartum depression get the treatment they need.

COVID-19
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COVID and Case Management Before and After

BY PATTI GRADY, MSSL, RN, CCM, CCP, CMCN COVID has brought significant change to case management practice in Texas as well as the entire country. The first wave of COVID drove dramatic increases in COVID hospitalizations and increased utilization for those patients. Many healthcare systems struggled with bed capacity, equipment and…

President's Message
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The Importance of Documentation

BY JOSE ALEJANDRO, PhD, RN-BC, MBA, CCM, FACHE, FAAN “If it is not documented, then it is not done.” These words continue to be a powerful reminder of the importance of thorough documentation. This is especially true in our role as professional case managers in facilitating and coordinating care across…