December 3, 2020
By Marie Stinebuck, MBA, MSN, ACM, and Tiffany Ferguson, LMSW, ACM Coronavirus, Case Management, and the Vaccine
The impact of the coronavirus is being especially felt among case management professionals. There is no topic that will define the career of those currently in healthcare more than the adaptation that has occurred due to the coronavirus pandemic. Healthcare systems across the globe have been overwhelmed by equipment, personal…
By Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV
Case managers could be at risk relative to discharge planning. While not significantly common, hospital case managers have been named in nursing malpractice suits, primarily in association with discharge planning. Attorneys Jessica L. Gustafson, Esq. and Abby Pendleton, Esq. from The Health Law Partners, P.C. discussed this issue and other…
April 12, 2018
By Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV Are Peer-To-Peers Worth It? Physician Reaction
Not all P2Ps should be pursued. In my reporting a few weeks ago, I encouraged physician advisors and other leaders in case management to analyze the outcomes of their peer-to-peers (P2Ps). As a reminder, P2P conversations revolve around the appropriateness of Inpatient status and take place between the medical director…
December 21, 2017
By Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV Keeping Empathy from Trumping Medical Necessity
Determining when and how to discharge adult patients can present some difficult dilemmas. When I was a medical student (not that long ago,) my instructors emphasized a clear message over and over: decisions about patient care should never be tainted with consideration of cost. When I entered residency, however, things…