One of the biggest problems in care is cost. Long visits and efficient care increase any cost. Sometimes hospital visits can become so long that cost is driven up immensely. This may be sometimes necessary but in other cases, better coordination can prevent unneeded lengthy stays that increase cost and insurance issues.
The article, “How a hospital becomes a costly hotel for patients who can’t leave” from UCDavis Health looks at patients caught in limbo of the healthcare system. The article states,
“Extreme length of hospital stay – defined as 100 days or more – is not unusual at an academic medical center like UC Davis. A premature infant who requires intensive neonatal care to survive and thrive needs a lot of time in the hospital. The burn patient who needs specialized treatments, physical therapy and skin grafts often requires months of care, too. UC Davis Health has unique expertise for these types of lengthy, acute-care cases.”
Please also review AIHCP’s Healthcare Case Management Program and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in Case Management.
Supply is important for any hospital or healthcare department. Supplies are critical for nurses to perform their duties and ensure patient health and safety. With Covid, these supply lines have been challenged. The importance of inventory is key to good Healthcare Management and keeping a department supplied is critical to success.
The article, “How Hospital Supply Chains Impact Nurses, Patient Safety, and Margins”, from Managed Healthcare Executive Staff looks at some statistics and facts regarding supply needs and how it affects every aspect of care. The article states,
“Nurses face significant supply chain management problems that impact efficiency, patient safety, and hospital margins, according to a recent survey from Syft, a leading national provider of healthcare inventory control and end-to-end supply chain cost management software and services.”
Healthcare management is a key element in providing quality healthcare. Unfortunately, the United States and its healthcare system ranks very low in comparison to other industrialized nations. This has led to the necessity of utilizing healthcare managers to help provide better delivery of healthcare systems by a better understanding of healthcare data and its delivery, population health, competencies of professionals, and care coordination.
The article, “Managed Care-A Plan to the Future” by Patricia Kirkpatrick looks at the critical importance of Managed Care for the future of Healthcare in the United States. She states,
“Value-based care is here to stay. By developing specific competencies in quality, population health, care coordination, data analytics, governance and care delivery, MCOs can empower their workforces to meet the challenges and opportunities presented by this new model—and ultimately improve health care outcomes for all.”
Please also review the American Academy of Case Management’s Healthcare Case Management Certification and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in Case Management
Readmissions is a big issue in Healthcare management. It is not only important to reduce readmissions for the overall health of the person but also to reduce penalties that limit Medicare funding. Many hospitals suffer from too high readmission rates and it is critical that hospital management encourage safe and efficient practices to reduce readmissions. Case Managers can play a big role in reducing unnecessary readmissions.
The article, “Understanding your Readmissions: How to Reduce Penalties” by Marie Stinebuck looks closer at ways to reduce readmissions. She states,
“Hospitals already suffering from the financial hemorrhage of the COVID-19 pandemic will be hit again by the readmission penalty. More than 2,500, or 83 percent of hospitals in the U.S., will receive reduced Medicare funding for the 2021 fiscal year because of their readmissions from 2016 to 2019.”
Please also review AIHCP’s Healthcare Case Management Program and see if it meets your academic and professional goals. The program is online and independent study and open to healthcare professionals seeking a four year certification in Healthcare Case Management
Healthcare can be confusing and costly but there are many things individuals do not understand in regards to finances and healthcare. Healthcare affordability is a big issue with the coming election and prices and payment policies are always at the front of voter’s minds.
The article, “Four Myths About Healthcare Affordability” by Bird Blitch looks at payment options and ideas surrounding healthcare. He states,
“Even when we’re not dealing with a global pandemic and the subsequent economic crisis, paying healthcare bills is often confusing and overwhelming for patients. To make matters worse, there are many misconceptions patients have about healthcare finances, which adds to the confusion. Now is the time to debunk these common myths, some of which may be preventing patients from scheduling the care they need.”
Healthcare can be costly but how we finance it can make it easier. Please also review AIHCP’s multiple programs in healthcare, most notably AIHCP’s Healthcare Case Management Certification and see if you qualify.
Care Management has a variety of functions, from disease management to utilization management. These management techniques help increase patient outcome and reduce cost. Case Management is hence a key part of the healthcare system and something many companies and facilities invest thousands of dollars in. This is especially the case in training healthcare professionals in healthcare management
The article, “What We Talk About When We Talk About Care Management” by Leah Marcotte and Joshua Liao looks at healthcare management strategies. They state,
“Emphasis on care management has become ubiquitous in the era of value-based payment. At the vanguard of the movement, policy makers such as Medicare have emphasized care management via a variety of initiatives, ranging from payment models that encourage longitudinal care management1 to billing codes that reimburse clinicians for coordinating the care of patients who have chronic conditions”
Please also review AIHCP’s Healthcare Case Management Program. The program is designed to help train professionals in the area of case management. Care and case management are key ingredients to healthcare and AIHCP’s programs continue to be essential in training professionals in Care Management.
Some of the most expensive patients in healthcare are dealing with homelessness and addiction. These factors contribute to the patients not finding immediate resolution of the issue, as well as frequent re-admissions. This results in higher prices and more difficult coordinated healthcare care management. Case Managers find themselves in difficult positions trying to help the patient find a permanent resolution to the medical issues experienced.
The article, “These Patients Are Hard to Treat” by Reed Abelson looks at these two types of patients and better ways to help them and also reduce cost. She states,
“These individuals, frequently struggling with addiction or homelessness, have extremely complicated medical conditions. By finding them and connecting them to the right doctors and social services, dozens of costly hospital stays could be avoided. The idea has been adopted in numerous communities around the country.”
Please also review our Healthcare Case Management Certification. The program is online and independent study and can help prepare medical professionals for the field of case management. Please review the program and see if it matches your academic and professional goals.
Success within the healthcare market can be a challenging thing. Healthcare professionals and healthcare organizations have stiff competition but by meeting primary goals they can meet success and carry on a successful model for patients, employees and overall health of the community.
The article, “Defining Success in Healthcare” by Keith Loria looks at some things that determine the success for those involved in healthcare. He states,
“Success in these measures will be defined by stakeholders including patients, providers, and employers having a better understanding and view of their healthcare costs; stable or reduced costs of healthcare that patients and employers actually feel through premiums and cost share; and improvement in the perception of health plans and PBMs by the public,” says Jeremy Schafer, PharmD, senior vice president of New York-based Precision for Value, a group of consultants providing payer insights”
One important and critical element to success in healthcare is good case management. Case and care managers can help patients through admission to recovery increasing positive patient experience and reducing costs for the clinic or hospital. Please review the American Academy of Case Management and its Healthcare Case Management Certification. The program is online and independent study, open to healthcare professionals looking to enter into the case management field.
Healthcare continues to be a growing cost for the average American as well as the average employer. Employers on average according to a latest poll are paying around $13,000 an employee a year. With the cost continuing to rise, it is becoming more and more expensive to give people the basic care they need. With healthcare such a huge issue in the 2020 election, it will be interesting to see who has the solutions and who does not to combat this ever growing national issue.
The article, “Companies Move to Limit Employees’ Health Costs: bt David McCann looks at some statistics illustrating the growing problem with healthcare costs. He states,
“The average total health benefit cost per employee grew 3.0% to reach $13,046, following a rise of 3.6% in 2018. This is the eighth consecutive year of health benefit cost growth in the low single digits, and employers expect the cost to rise at a similar pace next year. Still, cost increases continue to outpace overall inflation.”
Cancer is a very painful disease and it requires management. To manage cancer pain, cancer treatments and palliative care as well as later if necessary hospice care, looks to lessen the pain with pain management strategies. Case managers and a cancer team can put together an effective plant o help cancer patients minimize pain and discomfort during treatment or if on the darker note, a terminal trail.
The article, “Approaches to Cancer Pain Management” by Deborah Abrams Kaplan states,
“Ideally, treating pain involves a multi-prong approach. That might mean some combination of physical therapy, behavioral therapy, blocks/injections, and medication. Not all health insurance covers an extensive approach, though undertreating pain impacts a patient’s health and quality of life substantially. ”