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Monday, April 1, 2013
  Clinical Accuracy Spoken Here  

DCP: The Uninsured

Over 60 million Americans were uninsured for at least part of the year prior to June 2011. More than 65% of the individuals without coverage were employed workers and their families.

As the number of uninsured climbs, discharge planners will have to work harder and become more creative to locate funding for necessary services and medical equipment that uninsured patients need upon discharge.

Lack of health insurance is also directly associated with:

  • Poor functioning
  • Increased morbidity
  • Increased mortality

[Reference: Discharge Planning, Module A, Philosophy and Standards]
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  Excellence in Case Mgmt  

DCP: External "Payer" Forces

Until this year, the health care system derived reimbursement for procedures and volume, not for outcomes. One newer approach which pays for episodes of care, rather than procedure(s), is known as bundling. Some hospitals and health systems are using this model.

In 2005 CMS began developing and implementing a set of Pay for Performance (P4P) initiatives aimed at supporting quality improvements in the care of Medicare beneficiaries. This program, the Hospital Value-based Purchasing Program, was implemented to payments for discharges occurring on or after October 1, 2012.

[Reference: Discharge Planning, Module C, External Force]
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  Improving Patient Care...  

DCP: Strengths-Based Assessment

  • Use respect and empathy in patient interactions.
  • Recognize patient's strengths and use those abilities to effect change.
  • Help patient use effective coping skills and insights to manage current crises.
  • Recognize and help resolve patient's difficulties.
  • Distinguish cultural norms and behaviors from challenging behaviors

[Reference: DC Planning, Module B, Patient-Centered DP]
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Tom RasmussenTom Rasmussen
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