How do your case managers rate on financial performance?

At most hospitals and health systems throughout the US, recent fiscal operating performance results are disappointing to disastrous. Here are eight questions to consider to determine the financial performance of its case management department. These include: 1. Do case managers review observation an...

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Bibliographic Details
Published in:Healthcare financial management 2010-03, Vol.64 (3), p.86-90
Main Authors: Hines, Patricia, Randall, Michael
Format: Article
Language:English
Subjects:
Case management
Case Management - economics
Collaboration
Community support
Compliance
Cost reduction
Efficiency, Organizational - economics
Feedback
Financial performance
Guidelines
Health administration
Health care policy
Hospital Administration
Hospitals
Humans
Medicare
Patient education
Physicians
Primary care
Reimbursement
Trends
Workforce planning
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Summary:At most hospitals and health systems throughout the US, recent fiscal operating performance results are disappointing to disastrous. Here are eight questions to consider to determine the financial performance of its case management department. These include: 1. Do case managers review observation and one-day length-of-stay cases for appropriate registration in preparation for recovery audit contractor audits? 2. Does your organization track and report hospital-acquired conditions and present-on-admission conditions? 3. Are your 30-day readmission rates trending down? 4. Does your organization trend denied days and collaborate with the medical staff and business office to resolve variances? 5. Does your organization document and trend avoidable days and use performance improvement committees to resolve these barriers to discharge? 6. Do physicians on your medical staff receive feedback regarding their operational performance? 7. Does your organization have an RN case manager or medical social workers in the emergency department during key volume hours?
ISSN:0735-0732