In this single center interventional study, researchers employed “nurse discharge advocates” to perform several in-hospital functions (medication reconciliation, ensuring PCP follow up, education of diagnoses and medications, assess health literacy, etc) and a pharmacist post-discharge (phone call 2-4 days later to review medications, answer questions, relay information to PCP, etc). The nurse spent about 90 minutes per patients, and the pharmacist spent 30 minutes per patient. The researchers found the intervention patients had fewer hospital utilizations in the 30 days post-discharge, for a cost savings of $412 per patient. What strikes me most about this is how much time it actually takes to “do it right”. This article is worth reading (abstract).
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]
Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week. You need […]
The Centers for Medicare & Medicaid Services (CMS) has not updated its rules (“conditions for participation”) for nursing homes in twenty-five years. Late last year they finally did. Many of the changes will have an impact on the daily lives of NH residents but are far removed from hospital medicine. Think a resident’s ability to […]