Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Relias

JANUARY 19, 2024

Managing hundreds of regulations that inform your post-acute care organization’s compliance requirements is complex. Automate documentation One of the key challenges in compliance management is the extensive documentation required to demonstrate adherence to regulations. Federal and state regulations change frequently.

Acute Care 52

Acute Care Documentation Patient Satisfaction Patient Safety 52

Relias

NOVEMBER 14, 2022

Many post-acute care agencies continue to use outdated paper-based evaluation processes, which are difficult to track and prone to errors. With the right tools, you can streamline the process, minimize errors, and provide quality care to your patients and residents. “CMS Bureau of Labor Statistics , more than 2.6

Acute Care 52

Acute Care Documentation 52

Connect Care Bytes Blog

OCTOBER 25, 2024

Related preparations include: General inpatient : Make sure that all dictations are complete and signed; use dictation (eScription) for all admissions, transfers and consults between now and launch, if possible, so that transition notes at launch can refer to recent documentation in Netcare.

Acute Care 40

Acute Care Long Term Care Documentation Transfers 40

Connect Care Bytes Blog

APRIL 26, 2024

Related preparations include: General inpatient : Make sure that all dictations are complete and signed; use dictation (eScription) for all admissions, transfers and consults between now and launch, if possible, so that transition notes at launch can refer to recent documentation in Netcare.

Acute Care 40

Acute Care Long Term Care Documentation Transfers 40

Relias

DECEMBER 8, 2022

Long‐term acute care hospitals. Short-term acute care hospitals. Your work may uncover specific care providers who may need additional education and training to improve documentation and reduce associated risk,” she said. The report is available for the following facilities: Skilled nursing facilities.

Acute Care 52

Acute Care Interdisciplinary Team Billing Hospice 52

Arkenea

JUNE 27, 2024

Reports say that medical errors are one of the leading causes of death, and electronic medical records leave little to no room for documentation errors. The rise in the adoption of EMR isn’t just limited to error-free documents or mandates. These EMRs include longitudinal patient care, along with chronic care management.

Acute Care 52

Acute Care EHR / EMR Documentation Hospital 52

Relias

OCTOBER 28, 2022

Comprehensive education for home health staff is vital to boost performance under HHVBP, observed Relias Director of Post-Acute Care Solutions Trish Richardson, MSN, BSBA, RN, NE-BC, CMSRN. Hospices should also be concerned about care coordination. Documentation in the medical record. Document all coordination.

Hospice 52

Hospice Interdisciplinary Team Follow-Up Documentation 52

Mobius MD

AUGUST 8, 2024

Despite the many headaches caused by a growing clinical documentation burden, it’s great to know that the best EHR systems are improving. In fact, KLAS ranked MEDITECH as the top EHR software for acute care in small hospitals (EPIC took that title for hospitals with 150+ beds).

Acute Care 52

Acute Care Hospital Follow-Up Billing 52

Relias

MAY 13, 2024

Because complications of shoulder dystocia can lead to lawsuits and can occur even with the best care, it is important for every member of a healthcare team to be well-trained in shoulder dystocia practice protocols. Implementing a comprehensive checklist for shoulder dystocia documentation can help protect medical personnel from litigation.

Documentation 52

Documentation Medication Communication Acute Care 52

Relias

SEPTEMBER 20, 2024

Ensure incidents are documented and promptly addressed. Key action items: Train managers on how to handle reports of violence and support affected staff. Hold regular team meetings where issues can be openly discussed.

Conflict Resolution 98

Conflict Resolution Teamwork Communication Collaboration 98

Healthcare Law Insights blog

OCTOBER 17, 2023

To best position the nursing home for the most successful outcome at the appeal hearing, the facility must follow specific rules and requirements as it discharges or transfers the resident and the facility must ensure it documents all necessary facts along the way. What documentation is required before sending the notice of discharge?

Discharges 59

Discharges Transfers Long Term Care Documentation 59

Relias

FEBRUARY 26, 2024

Emergency care Coordination of emergency care helps ensure that patients who come to the emergency department receive timely, appropriate, and high-quality care and are safely and effectively transitioned to the next level of needed care, whether it is inpatient, outpatient, or home-based.

Care Plan 52

Care Plan Patient Satisfaction Acute Care Collaboration 52

Relias

NOVEMBER 22, 2022

Maternal mortality rates have been documented extensively. The DHCRC project will also help connect groups providing health care in remote areas to improve care delivery. Data is available from U.S. government entities and from international entities such as the World Health Organization.

Unit Organization and Environment 52

Unit Organization and Environment Acute Care Collaboration Documentation 52

Relias

JUNE 6, 2024

Results documented in AONL’s Quantifying Nurse Manager Impact report showed a measurable return on investment for developing more nurse leaders to improve retention and quality of care and reduce overtime costs.

Unit Organization and Environment 98

Unit Organization and Environment Huddles/Rounds Patient Safety Patient Care 98

Healthcare Law Insights blog

AUGUST 8, 2023

All information submitted to OHCA in connection with a material change transaction will be treated as a public record unless the submitting party identifies documents or information as confidential and OHCA accepts the designation of confidentiality.

Documentation 52

Documentation Follow-Up Acute Care Transfers 52

Relias

JUNE 2, 2022

Creating this type of formal document sends a message that lateral violence is not tolerated within the organization. Organizations should develop zero-tolerance policies that clearly define a workplace code of conduct as well as consequences for those who break that code. Create Open Lines of Communication.

Communication 98

Communication Hospital Documentation Acute Care 98

Relias

AUGUST 23, 2023

The Journal of Nursing Education published a research article documenting the history and use of the expression, “Nurses eat their young.” Carefully document every detail of each instance of bullying. The expression refers to the generational phenomenon of bullying behaviors experienced and then reenacted by nurses on others.

Unit Organization and Environment 98

Unit Organization and Environment Conflict Resolution Follow-Up Communication 98

Relias

MAY 13, 2024

Nurses’ responsibilities For nurses specifically, managing shoulder dystocia includes: Alerting all appropriate members of the obstetric care team for situational awareness Applying primary maneuvers Assisting the provider as necessary with secondary maneuvers Regularly communicating the time to the team Briefing and debriefing with the team to thoroughly (..)

Best Practices 98

Best Practices Follow-Up Teamwork Continuing Education 98

Relias

NOVEMBER 16, 2022

You can provide consistent care if you have accurate documentation of your patient’s care at the hospital. Care planning starts with an assessment and documentation of the wound. Diagnosing wounds correctly is critical for the best patient outcomes and accurate documentation for reimbursement purposes.

Documentation 10

Documentation Long Term Care Care Plan Medication 10

Relias

APRIL 18, 2022

Promoting a culture of knowledge and awareness of current standards of wound care. Providing consistent, evidence-based care and thorough documentation. Avoiding penalties and legal risks that go along with inaccurate assessments, incomplete documentation, and preventable pressure injuries. Minimize Risk and Liability.

Documentation 52

Documentation Certification Hospital Admissions 52

Relias

APRIL 28, 2023

For some older clients, you must be the one to check and recognize the signs of a pressure sore’s development when performing perineal care, providing showers, or performing other assessments of skin integrity. All such checks should be documented as well.

Long Term Care 98

Long Term Care Follow-Up Hospital Patient Safety 98

Relias

JUNE 1, 2023

5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation. Missing documentation can cause rework for revenue cycle staff. If this isn’t documented in the record, it delays the authorization — and therefore, delays patient care,” said Budri.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

JUNE 1, 2023

5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation. Missing documentation can cause rework for revenue cycle staff. If this isn’t documented in the record, it delays the authorization — and therefore, delays patient care,” said Budri.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

NOVEMBER 15, 2022

Patient medical records include documentation of patient histories and care. Consider the following data sources: Administrative data includes data gathered from claims, encounters, enrollment, and providers, such as type of service, units of service, diagnosis and procedure codes, locations, and amounts billed and reimbursed.

Follow-Up 98

Follow-Up Documentation Billing Acute Care 98

Minority Nurse

NOVEMBER 22, 2023

I knew that I needed a strong nursing background if I was going to manage patients independently, so I decided to work for two years in critical care before going to the L&D Nurse Manager every week and asking her if I had enough experience yet to be hired as an L&D nurse. And finally, one day, she said I did!

Unit Organization and Environment 59

Unit Organization and Environment Patient Safety Hospital Best Practices 59

Relias

MAY 24, 2023

Outcome regression models revealed that a 4:1 patient-to-nurse ratio would have decreased the number of patient deaths and reduced patient length of stay by a total of 40,000 days, saving the healthcare systems a combined $117 million per year. .”

Patient Safety 52

Patient Safety Unit Organization and Environment Huddles/Rounds De-Escalation 52

Relias

MAY 24, 2023

Outcome regression models revealed that a 4:1 patient-to-nurse ratio would have decreased the number of patient deaths and reduced patient length of stay by a total of 40,000 days, saving the healthcare systems a combined $117 million per year. .”

Patient Safety 52

Patient Safety Unit Organization and Environment Huddles/Rounds De-Escalation 52

Relias

JULY 4, 2023

This coordinated partnership requires a joint effort toward the common goal of accurate charges, identification and resolution of any discrepancies, and signed documentation indicating completion. Charging occurs in the clinical departments, but patient accounting acts as the gatekeeper.

Follow-Up 52

Follow-Up Medical Coding Documentation Best Practices 52

Relias

APRIL 27, 2023

Some health plans are refusing to pay claims due to missing documentation to support the need for a procedure. Managed care specialists, denial specialists, and information services staff can help get the word out about such unexpected issues. It’s hard even for experts to keep up. Some payers are deliberately capricious,” said Kraus.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

Relias

JULY 13, 2023

The formal service system requires the identification and documentation of clinically defined symptoms and problems. The Diagnostic and Statistical Manual of Mental Disorders ( DSM-5 ™) is currently the most common tool used for that purpose. In these situations, your role is to be an advocate for the older adult.

Long Term Care 52

Long Term Care Documentation Diagnostics Best Practices 52

Healthcare Law Insights blog

JULY 29, 2022

The trend is well-documented and especially felt by the healthcare industry which continues to experience the brunt after the onslaught of COVID-19. Workplace violence has become a hot topic in today’s discourse; however, workplace violence is not just headline fodder for media outlets.

Hospital 52

Hospital Documentation Acute Care Hospice 52

Relias

JANUARY 28, 2022

Therapists have a strong foundational knowledge of evidence-based practices in wound care and, in collaboration with the interdisciplinary care team, can provide instrumental support for effective wound care management.

Interdisciplinary Team 52

Interdisciplinary Team Collaboration Documentation Communication 52

Guideway Care

JANUARY 14, 2025

The Role of Technology in Supporting Patient Advocacy Technological advancements have significantly bolstered the efforts in patient advocacy by enhancing care delivery and fostering better communication among healthcare providers. Ready to experience the benefits of patient advocacy for your healthcare organization?

Patient Advocacy 52

Patient Advocacy Patient Satisfaction Discharges Hospital 52

Relias

AUGUST 9, 2023

You might have millennials looking to start their career, RNs with decades of experience, or seasoned acute clinicians that are new to the post-acute care space. The seasoned staff members may just need a refresher on the latest practice, whereas someone with less experience might need in-depth instruction on trach care.

Follow-Up 52

Follow-Up Acute Care Best Practices Tests 52

Relias

FEBRUARY 1, 2023

This is happening even though clinical documentation supports medical necessity and the stay meets the ’2-midnight’ rule per CMS guidelines ,” said Jennifer Ward, CRCS, denial specialist supervisor for patient financial services revenue integrity at Sharp HealthCare. Some Medicare Advantage plans are denying authorization for hospitalization.

Insurance 10

Insurance Billing Documentation Hospital 10

Relias

DECEMBER 21, 2021

That means making sure they are compliant with all required training, are up to date on evidence-based practices, and have the knowledge and skills to consistently provide high-quality care. You want to be sure your team helps patients get better at elements such as mobility and taking medications correctly.

Follow-Up 52

Follow-Up Discharges Hospital Admissions 52