Home Health Care

FEBRUARY 14, 2022

Transitions of care involving seniors — especially those with multiple chronic conditions — can be risky. Despite this, there are a number of methods skilled nursing facilities (SNFs) and other health organizations can adopt to improve the transition from inpatient care to home for patients and their caregivers.

Care Transition 81

Care Transition Nursing Medicare Medicaid 81

HIT Consultant

SEPTEMBER 8, 2024

For example, a hospital case manager may have to send faxes and make phone calls to multiple skilled nursing facilities (SNFs) within the hospital’s network to identify which facility is most prepared to accept a given patient. In the past, care transitions have often come with concerns about risk and uncertainty.

Care Transition 98

Care Transition Hospitals Nursing Accountability 98

Home Health Care

JUNE 16, 2022

For home-based providers, maximizing the seamlessness of a post-hospital care transition is paramount. RML Specialty Hospital — a long-term acute care hospital that offers critical care — has seen this firsthand through its utilization of the care coordination platform CarePort, which is a WellSky-owned company.

Care Transition 90

Care Transition Hospitals Nursing 90

Briggs Healthcare

AUGUST 18, 2022

IQVIA is conducting a survey for the HHS Office of the National Coordinator for Health Information Technology to assess skilled nursing facility (SNF) capabilities related to interoperability, electronically exchanging information across organizations and systems. Why participate?

Nursing 40

Nursing Care Transition Healthcare 40

HIT Consultant

AUGUST 24, 2023

Experience Care has built a powerful financial and clinical software solution that is integrated to streamline data management, save time, and deliver high quality care for skilled nursing, assisted living, and other long-term care facility residents.

Care Transition 98

Care Transition Nursing Integration Hospitals 98

Home Health Care

JUNE 15, 2023

Patient transitions from the hospital to post-acute care providers, including home health agencies, continue to be plagued by incomplete medical records and missing information. Gaps in post-acute care transitions are so common, in fact, that the U.S.

Hospitals 78

Hospitals Care Transition Medicaid Medicare 78

HIT Consultant

AUGUST 13, 2024

For example, a hospital case manager may have to send faxes and make phone calls to multiple skilled nursing facilities (SNFs) within the hospital’s network to identify which facility is most prepared to accept a given patient. Prior to that, he held nursing leadership and paramedic positions at West Tennessee Healthcare.

Hospitals 97

Hospitals Care Transition Nursing Accountability 97

NASHP

SEPTEMBER 20, 2022

As states navigate current fiscal constraints, state policymakers are focusing on helping older adults remain in home-and community-based settings for as long as possible while also potentially reducing costly hospital and nursing home services. Reconceptualizing Nursing Home and Assisted Living Service Models. Food: With nearly 9.7

Medicaid 93

Medicaid Nursing Regulations Care Transition 93

Healthcare Leadership

APRIL 24, 2023

Addressing transitional care is important because it is a time when patients are vulnerable. Transitional Care: Moving patients from one care setting to another”, American Journal of Nursing , September 2008, [link] , accessed 24 April 2023. Kansagara D, Chan B, Harmon D, Englander, H. Valverde, P.A.,

Care Transition 52

Care Transition Nursing Primary Care General Practice 52

Cloud Blogs

AUGUST 2, 2023

Enhance health team coordination and collaboration Care coordination is a complex process involving multiple stakeholders, including primary care physicians, specialists, nurses, and allied healthcare professionals. Modern care management platforms facilitate seamless collaboration and information sharing among care teams.

Quality of Care 84

Quality of Care Healthcare Care Transition Primary Care 84

NASHP

MARCH 22, 2024

References : Under CalAIM, Medi-Cal managed care plans (MCPs) became responsible for providing LTSS services that were traditionally provided under fee-for-service (FFS) in January 2023. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

Medicaid 75

Medicaid Nursing Medicare Integration 75

HIT Consultant

MAY 29, 2024

PointClickCare has a longstanding history of partnering with C3HIE, including a joint effort with the Texas Health Services Authority (THSA) in 2022, which expanded the Emergency Department Encounter Notification (EDEN) network.

Care Transition 52

Care Transition Integration Nursing Hospitals 52

Home Health Care

JANUARY 26, 2022

PACE is a Medicare and Medicaid program that helps keep people in their communities instead of nursing homes. Oftentimes, programs are run out of community-based centers with the support of in-home care providers and their staff. Axxess adds three executives to its leadership team. “I

Regulations 89

Regulations Care Transition Medicaid Medicare 89

HIT Consultant

OCTOBER 7, 2021

One extremely forward-thinking provider organization designed an innovative program several years ago to transition reimbursement away from fee-for-service and towards value-based care. The program rewarded LTSS facilities and nursing facilities for high-quality and efficient treatment of enhanced respiratory medical conditions.

Healthcare 75

Healthcare Nursing Care Transition Accountability 75

HIT Consultant

MARCH 26, 2024

. – The strategic deployment will provide Prisma Health and its Clinically Integrated Network, inVio Health Network , with real-time patient intelligence across the entire care continuum. By doing so, they can truly become an integrated extension of our care team, enabling us to deliver better outcomes and lower costs.”

Care Transition 40

Care Transition Integration Hospitals Nursing 40

Home Health Care

SEPTEMBER 3, 2021

All of these capabilities support better care transitions, which Fischer calls “one of the biggest gaps in health care.”. When a patient needs a walker, for instance, a nurse must order the walker, then get a physician to sign the order. Without that signature, the home health agency does not get reimbursed.

Primary Care 78

Primary Care Care Transition Hospitals Nursing 78

Home Health Care

DECEMBER 6, 2023

Equitable access to home-based care is hampered by disparities affecting certain racial, ethnic and socioeconomic groups, posing a challenge that extends to educating patients and families about home-based care services, and identifying those with advanced illnesses sooner to maximize the benefits.

Regulations 77

Regulations Care Transition Telemedicine Patient Safety 77

Readiness Rounds

OCTOBER 16, 2023

The Negatives Where there is much room for improvement is in the responsiveness of hospital staff (65% average HCAHPS score), communication about medications (61%), the quietness of the hospital environment (62%), and the patient’s care transitions (51%).

Care Transition 52

Care Transition Patient Safety Patient Experience Hospitals 52

HIT Consultant

DECEMBER 9, 2021

Inside hospitals, for example, nurse case managers are the quarterbacks of care, wrangling insurance companies, providers, families, and physicians to find medical services for patients who need care following treatment for injury or illness. The SNF needs approved authorization before admitting a patient. About Russell Graney.

Medicare 52

Medicare Accountability Nursing Care Transition 52

NASHP

NOVEMBER 17, 2023

They are consequently significantly overrepresented in institutions, such as nursing facilities. They are also less likely to be employed or have a stable home , adequate medical care , and informal supports in the community. They live shorter lives and develop chronic health conditions earlier in life than other Americans.

Medicaid 64

Medicaid Nursing Primary Care Hospitals 64

Home Health Care

NOVEMBER 21, 2022

One other interesting fact is if you go back to 2019 and look at skilled nursing referrals and home health referrals, there has been a huge shift away from skilled nursing towards home health. Whereas skilled nursing has actually gotten close to returning to the 2019 levels, but still is not moving at the same rate that home health is.

Medicare 73

Medicare Hospitals Nursing Care Transition 73

Healthcare Leadership

MARCH 19, 2023

Patient Perspectives on Care Transitions From Hospital to Home”, JAMA Network Open , 6 May 2022, [link] , accessed 19 March 2023 “Hospital discharge planning hinges on good communication”, Healthy Debate , 6 June 2017, [link] , accessed 19 March 2023 Minemyer, Paige. “The

Patient Safety 52

Patient Safety Care Transition Patient Experience Home Care 52

NASHP

DECEMBER 10, 2021

CHW services could be used for many health conditions as long as there is a care plan in place written by a physician, physician assistant, nurse practitioner, or a certified nurse midwife. Many provider types may supervise CHWs, including physicians, dentists, public health nurses and mental health professionals among others.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

OCTOBER 22, 2021

People with serious and life-threatening health conditions experience care needs that drive costs, including hospital admissions , emergency department utilization , and nursing home care. Kelley and Bollens-Lund, 2018. billion on chronic obstructive pulmonary disease (COPD) per year.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

Medical GPS

JUNE 23, 2021

His school nurse can stay up-to-date regarding his medications. He’s in developmental therapies at a private clinic several days a week and thanks to an effective EHR system, his physicians and therapists can be on the same page. We’re able to log his daily caloric intake through an EHR system.

Doctors 52

Doctors Care Transition Healthcare Hospitals 52

NASHP

NOVEMBER 3, 2023

About the Lead Author Emerson Ea is clinical professor and associate dean for clinical and adjunct faculty affairs at New York University Rory Meyers College of Nursing. He is a 2022–2023 Health and Aging Policy Fellow working with the Administration for Community Living.

Home Care 69

Home Care Prevention Population Health Rehabilitation 69

NASHP

NOVEMBER 29, 2021

CHW services could be used for many health conditions as long as there is a care plan in place written by a physician, physician assistant, nurse practitioner, or a certified nurse midwife. Many provider types may supervise CHWs, including physicians, dentists, public health nurses and mental health professionals among others.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

MAY 17, 2022

In February 2022, for example, results from a nurse survey commissioned by a prominent staffing firm showed 56% of nurses reported that their mental health and well-being has suffered due to the pandemic, and 41% are considering leaving the profession for good. How Patient Flow Challenges Contribute to Burnout.

Tertiary Care 98

Tertiary Care Nursing Patient Experience Patient Safety 98

Readiness Rounds

JULY 31, 2023

PATIENT SAFETY: Patient communication boards improve patient safety in hospitals in several ways: Enhance Communication Between Patient and Care Team: These boards enhance communication between patients, nurses, doctors and other hospital staff by providing a consistent visual and accessible means of conveying important information.

Patient Safety 52

Patient Safety Nursing Care Transition Hospitals 52

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Family understanding and access to care plan.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Patient Safety Movement

NOVEMBER 8, 2023

In this time of multiple wars, we also want to recognize the heroism of the healthcare workers who have stayed, or traveled to, very dangerous locations to take care of the injured—often at great risk to themselves and with very limited supplies.

Patient Safety 69

Patient Safety Prevention Hospitals Nursing 69

HIT Consultant

JUNE 22, 2022

By proactively addressing patients’ social-risk factors through technology, hospitals take a comprehensive and coordinated approach to whole-person care, resulting in better outcomes, lower costs, and sustainable care – all critical to success under value-based care models. Optimize skilled nursing facility length of stay.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

HIT Consultant

JUNE 2, 2022

In February 2022, for example, results from a nurse survey commissioned by a prominent staffing firm showed 56% of nurses reported that their mental health and well-being has suffered due to the pandemic, and 41% are considering leaving the profession for good. How Patient Flow Challenges Contribute to Burnout.

Tertiary Care 52

Tertiary Care Nursing Patient Experience Patient Safety 52

NASHP

AUGUST 9, 2021

Ensure access to referred services by coordinating behavioral health services with obstetric care, working with managed care organizations to guarantee members have access to specialists and treatment, addressing social determinants of health, and providing enabling services such as child care and transportation.

Medicaid 52

Medicaid Prevention Primary Care Hospitals 52

HIT Consultant

OCTOBER 4, 2024

Many, particularly those in skilled nursing facilities (SNFs), share this concern. With an estimated need for 191,000 additional nurses and a price tag of around $6.8 With an estimated need for 191,000 additional nurses and a price tag of around $6.8 While well-intentioned, the unfunded mandate presents a multifaceted problem.

Healthcare 105

Healthcare Law Firms Nursing Care Transition 105

NASHP

MARCH 29, 2024

Paid Family Caregiving Colorado Colorado allows family members of Medicaid-enrolled CYSHCN to be paid for providing care to their children by becoming licensed as certified nursing aides. 25, 26 At the provider level, workforce shortages among professionals who deliver specialized pediatric care (e.g.,

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124