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Monday Memo
Monday Memo
Monday, January 11, 2016
What's NEW at Athena Forum

Keeping Readmissions Down

A recent article outlined four ways to reduce hospital readmissions as follows:

1. Get better, timelier data

2. Identify high-risk patients

3. Plan for discharge early and often

4. Follow up after discharge

Keeping readmissions down is a critical factor for hospitals and case managers because the federal Centers for Medicare & Medicaid Services have penalized facilities with high readmission rates since 2012, with 753 hospitals penalized in the last year. Almost 20 percent of Medicare patients are readmitted within 30 days of hospitalization. Most of these readmissions are preventable, the magazine reported.

The first step to preventing readmissions is to get better, timelier data on patients who may be at risk. Methods to identify known risk factors such as patients with multiple chronic conditions, lower levels of education, depressive symptoms, reduced cognition, and difficulties with activities of daily living are highlighted in many Athena Forum courses.

[Managed Healthcare Executive, December 20, 2015]

www.athenaforum.com

Tips from our featured course

CM Express: How to Get Better, Timelier Data

The inpatient prior authorization process allows for identification of:

  • Alternatives to proposed care
  • Potential for reduction of inpatient days
  • Pre-admission discharge planning potential
  • Quality of care issues, especially with readmissions

"Case Managers must remember that collaboration and communication with other members of the transdisciplinary team are key actions in performing initial or prospective reviews and ultimately to facilitate early and effective transitions of care."

Teresa C Fugate, RN, BBA, CCM, CPHQ
Medicare STARS Strategic Consultant

[CM Express, Module C Effective Resource Management] www.athenaforum.com


Depression: Meticulous CC Leads to Cost Control

In the process of patient identification, assessment, goal setting and problem identification, monitoring and evaluation can be utilized to address the manifestations of depression that are reflected in poor quality of life (QOL), early mortality, exorbitant costs and high readmission rates.

Sustained cost control will occur only with meticulously coordinated care (CC) that prevents avoidable complications and hospital readmissions for patients with chronic illness.

[Depression, Module E CM Role] www.athenaforum.com

Notice from the Publisher

I want to thank our 20,000 healthcare professionals for requesting new topics on Athena Forum.

Thanks,
Thomas A. Rasmussen
CEO & Publisher
Athena Forum Institute

Monday Memo Editor

Cathy Wright, BSN, RN

Clinical Editor

Athena Forum

Contact the Editor

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