Care Management is crucial to patient health and recovery as well as cost saving elements within an institution. Care management is key to these elements and case managers play key roles in maintaining standards of quality that benefit both patient and hospital.
The article, “3 Strategies to Transform Care Management” by Jessica Scruton reviews three ways that one can transform care management. She states,
“Care coordinators or care managers are the foundation for any accountable care organization (ACO) or other such integrated delivery networks for managing patient populations. Robust, integrated and artificial intelligence-powered information technology is certainly essential for helping these teams work efficiently and productively.”
Care coordinators are a critical element in healthcare and care management. To read the entire article, please click here
Good article looking at the benefits but also costs of medicare. With healthcare always a central topic in politics, the idea of medicare for all is a big conversation. Some say it will save while others say it will cost too much.
The article, “Would ‘Medicare for All’ Save Billions or Cost Billions?” gives one opinion on the subject. The authors JOSH KATZ, KEVIN QUEALY and MARGOT SANGER-KATZ state,
“How much would a “Medicare for all” plan, like the kind being introduced by Senator Bernie Sanders on Wednesday, change health spending in the United States? Some advocates have said costs would actually be lower because of gains in efficiency and scale, while critics have predictedhuge increases.”
Good article for those interested in Healthcare Case Management and revenue cycling. Many hospitals have ineffective revenue cycle management. The article looks at statistics as well as aspects of this topic.
The article, “26% of Hospitals Without Effective Revenue Cycle Management System” by Jacqueline LaPointe discusses how hospitals can do a better job in this area and enhance their revenue cycle. The article states,
“Black Book surveyed over 4,640 individuals from 522 hospitals and healthcare delivery networks on their use of 165 revenue cycle management technology services and solutions. The survey showed that revenue cycle management improvement is happening, but a significant portion of hospitals still do not have workable solutions.”
Please also review our Healthcare Case Management Program to learn more about revenue cycles as well as to become certified in Healthcare Case Management. The online program is designed for working professionals in the healthcare field who are looking to enter into the case management arena.
Healthcare is far from perfect, but it could still be so much better in the United States. It is constantly an issue every election and it seems noone can ever get it right. This is an issue Americans deal with while it seems other countries manage to put a better product on the table for their citizens. Why can’t the United States?]
The article, “America’s Health Care System Could Be So Much Better” by Donald Rebhun looks at this issue and what it would take for a real change to occur. The article states,
The ongoing conversation around health care in the United States presents a daunting question: How is it that this country—with all its wealth, education and innovation—has among the highest health care costs of any industrialized nation, yet its clinical outcomes still lag behind?
Good article on the rising healthcare costs. The rising prices for employees and their healthcare is always a concern by owners or healthcare facility directors. The increased prices can be a big hit on any budget as employers try to reward their employees with the best care. The raised prices in 2019 point to an alarming trend. Please also review our Case Management Program
The article, Cost of Employer Health Coverage to Rise 5% in 2019, by Kimberly Lankford states,
“This would be the sixth consecutive year with a 5% increase, with premiums and out-of-pocket costs for employees and their dependents averaging $14,800 next year. Fortunately, employers continue to cover 70% of that tab, on average, with workers picking up the rest.”
Great article on cost cutting strategies for healthcare executives. This article looks at seven cost cutting strategies that can help reduce cost. Please also review our Healthcare Case Management Program to learn more.
The article, Healthcare finance leaders share 7 cost-cutting strategies, by Kelly Gooch states,
“Hospitals and health systems increasingly face financial pressures from dwindling reimbursement, increasing competition, deteriorating payer mix and other factors.
Due to these pressures, reducing costs is at the forefront of healthcare finance leaders’ minds, whether they are at a rural, nonprofit, urban or safety-net organization.
Here, executives from various types of facilities discuss seven strategies to reduce costs.”
To read about the other cost cutting strategies, please click here
It is very important as healthcare professionals to reduce prices without lowering the quality of care. This article points to how this can be done.
Please also review our Case Management Program and see if it matches your academic and professional needs.
Good article how Opioid stimga is resulting in those who need them in cancer care, not getting the doses they require. Please also review our Case Management Program, as well as our Substance Abuse Program
The article, “Opioid stigma is keeping many cancer patients from getting the pain control they need” by Sara Ray and Kathleen Hoffman states
“History is repeating itself. Twenty years ago, a pain management crisis existed. As many as 70 percent of cancer patients in treatment at that time, or in end-of-life care, experienced unalleviated pain.”
Good article on social media and how it is affecting the patient doctor relationship. Please also review our Case Management Program
The article, Is Social Media Changing the Doctor-Patient Relationship?, states
“Results from two recent surveys reaffirm longstanding trends in the ways patients of different ages use social media and the internet to access health information and communicate with physicians. The surveys’ findings also illustrate the growing importance of social media in the doctor-patient relationship and underscore the communication challenges family physicians face while trying to meet the needs of a diverse patient base.”
HIPAA Headaches: What Happens When Patient Data is Compromised
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is legislation that outlines how health records must be protected and secured. However, in today’s technology advanced world, data breaches are occurring at an alarming rate and some of those breaches have compromised health records. Healthcare providers must understand how dangerous medical record breaches can be and what to do if they believe their data has been compromised.
Incidences of Medical Record Data Breaches
Over the past few years, 89 percent of healthcare organizations experienced a security breach. One reason hackers are particularly interested in health records is that they contain information that can lead to identity theft, such as social security numbers, home addresses and even the names of family members which are often used as security questions. It is expected that more than 25 million people will have their medical information stolen between 2015 and 2019. Breaches occur in many different ways. Some of the most common reasons for a breach in health records include:
Healthcare employee uses an unsecure cloud-based app to access protected health information
Excel spreadsheets with patient information copied and stolen
Missing backup disks from an unlocked storage facility
A weak password leads to a server breach
Doctors or administrators provide staff with usernames and passwords enabling an employee unauthorized access to data
The hacking of a server leading to the misappropriation of patient information
Healthcare Provider Responsibility Under HIPAA
All medical professionals, including doctors, nursing professionals, and technicians are required to safeguard patient records as much as possible. The 2009 stimulus act required that a breach that affects 500 or more patients must be reported to the Department of Health and Human Services as well as the media. One way that healthcare providers could provide added protection is to encrypt data, something that financial organizations have done for years, but something that healthcare providers have been slow to adopt. Other ways that medical records can be protected is by improved cloud storage and stricter password rules.
One thing that the government is looking into to stop the increase in medical record breaches is an increase in fines against healthcare providers when data is breached. In many cases, the breaches occur due to lax security at the healthcare location. More than 40 percent involved portable devices like laptops or USB hard drives while a large number of other breaches occurred due to easily-hacked passwords. Since the enactment of HIPAA, there were more than 22,000 complaints about violations of privacy in medical records but only one fine has been issued since 2003.
It is critical that healthcare providers take as many steps as possible to protect the records of the patients they care for and there are steps that can be taken to that end. Encryption, stronger password requirements and secure cloud storage are three of the best ways you can keep your patient’s health records safe. Hopefully, the above information will help you, as a professional, to better secure your patients’ data.
Hannah Whittenly is a freelance writer and mother of two from Sacramento, CA. She enjoys kayaking and reading books by the lake.