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Understanding DRG Codes and Their Impact on Hospitals

EvidenceCare

In our efforts to empower hospital clinicians to provide better care by having real-time transparency to cost and benchmark utilization data, we’ve learned that one of the core code systems that defines modern hospital resource management – Diagnosis-Related Groups (DRG) – is misunderstood or even unknown.

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Understanding Transitional Care Management in Reducing Readmissions

Guideway Care

Transitional care management (TCM) plays a critical role in reducing hospital readmissions by ensuring patients receive proper care and support as they transition from the hospital to home. reduction in chances for patients who received TCM services.

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Care Coordination: The Key to Improving Patient Outcomes

Relias

By incorporating care coordination practices such as risk assessment, care planning, care transitions, patient education, patient navigation, telehealth, and home visits, care coordination teams can bring in resources to help patients navigate health concerns that span physical, behavioral, and social risk factors and needs.

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AI is Transforming Healthcare Behind the Scenes

Mobius MD

By predicting admissions and discharge patterns, AI helps prevent overcrowding and reduces wait times. Optimizing the Supply Chain Like patient flow management, hospitals and clinics rely on a steady flow of medical supplies and medications to provide effective care. Yet supply chain disruptions remain a common challenge.

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Enhancing Patient Safety in Nursing: Strategies and Practices

Relias

For many hospitals, achieving better outcomes begins with the implementation of improved patient safety protocols. Nurses are a crucial part of a hospital’s efforts to improve patient safety, as they have more direct interaction with patients of any healthcare professional. For example, the study found that 59.2%

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

Hospices should also be concerned about care coordination. The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation.

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New HIPAA Regulations in 2022-2023

The HIPAA Journal

The Centers for Medicare and Medicaid Services (CMS) also published an interoperability rule in March 2020 that applies to Medicare- and Medicaid-participating short-term acute care hospitals, long-term care hospitals, rehabilitation hospitals, psychiatric hospitals, children’s hospitals, cancer hospitals, and critical access hospitals (CAHs).

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