NSO MEDIA COVERAGE ALERT: As nurse practitioners expand their scope of practice, navigating risk and liability has never been more important. Discover five strategies to help protect your license and career. Via Daily Nurse. https://bit.ly/3V5pdvj #nursepractitioners #NP #NPs #NPlife #riskmanagement #healthcare
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I absolutely love Dr. Bricker's content and always gain so much value from each of his videos! I couldn’t agree more about the vital role of case managers in coordinating care and bridging gaps between in-hospital treatment and post-discharge follow-up. Nurse Case Managers are truly the “secret weapon” in primary care. They play a pivotal role in ensuring continuity of care, but their impact could be even greater if equipped with tools to identify and address behavioral health concerns. Behavioral health issues often go hand-in-hand with chronic conditions, adding complexity to recovery and care plan adherence. Empowering Case Managers to recognize and act on these challenges unlocks a more holistic, patient-centered approach—one that improves outcomes, fosters trust, and truly integrates mental and physical health care. #CaseManagers #WholePersonCare #CCP #CompleteCarePlatform
Nurse #CaseManagers are the 'Secret Weapon' in primary care because they effectively manage #hospitalized patients, their #discharge and their follow-up with the #PCP. The job description for Acute Care #Nurse Case Manager at ChenMed provides insight into the importance of primary care managing the hospitalizations of their patients. #Responsibilities of Acute Care Nurse Case Managers that work for Primary Care Practices: 1) #Coordinate discharge planning with hospital case managers, insurance case managers, social work and facilities/services accepting the patients. Those facilities/services could be a skilled nursing facility (SNF), acute rehab facility, long-term acute care (LTAC) facility or home health agency. 2) #Meet with the patient and family/caregiver in person daily. This means the nurse case manager travels to the hospital and sees the patient face-to-face. 3) #Schedule a follow up appointment with the PCP for approximately 4 days after discharge. This appointment is made and communicated to the patient PRIOR to discharge. 4) #Identify patients that are good candidates for and amenable to Community Case Management outside the hospital and Disease Management. The Case Manager then facilitates a 'warm handoff' to these other services. #Hospital Case Managers have in person interactions with the patient, but they are not accountable/responsible for continuity. #Insurance Case Managers have accountability/responsibility for continuity, but they do not have in person interactions with the patient. Only the Acute Care Nurse Case Manager from the #PrimaryCare Practice has BOTH in person patient interactions AND accountability/responsibility for continuity. It is this combination that makes them more effective. Sources at AHealthcareZ YouTube Channel.
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Chief Science Officer / Thought Leader / Chronic Care Management, Molecular & Cellular Science, GCT, BioMed, BioTech, SDOH, IAQ, Healthcare Innovation / 20k+ Followers
Eric Bricker, MD, explains the value of acute care nurse case managers and how they can 1) identify and 2) enhance the engagement of patients who qualify for outpatient clinical care management and chronic disease management. Successful patient identification, enrollment, and engagement are the Achilles' heels of most CCM and RPM companies. There are many companies in this space. Most face insurmountable challenges if they don't have W-2-employed, experienced, and generously staffed specialists whose only function is identifying and enrolling patients. Once that happens, the nurse care managers engage - and keep patients enrolled in the program. This improves quality, lowers costs, and generates direct or indirect (value-based) revenue depending on the payment model. #CCM #RPM #ChronicCare #Nursing
Nurse #CaseManagers are the 'Secret Weapon' in primary care because they effectively manage #hospitalized patients, their #discharge and their follow-up with the #PCP. The job description for Acute Care #Nurse Case Manager at ChenMed provides insight into the importance of primary care managing the hospitalizations of their patients. #Responsibilities of Acute Care Nurse Case Managers that work for Primary Care Practices: 1) #Coordinate discharge planning with hospital case managers, insurance case managers, social work and facilities/services accepting the patients. Those facilities/services could be a skilled nursing facility (SNF), acute rehab facility, long-term acute care (LTAC) facility or home health agency. 2) #Meet with the patient and family/caregiver in person daily. This means the nurse case manager travels to the hospital and sees the patient face-to-face. 3) #Schedule a follow up appointment with the PCP for approximately 4 days after discharge. This appointment is made and communicated to the patient PRIOR to discharge. 4) #Identify patients that are good candidates for and amenable to Community Case Management outside the hospital and Disease Management. The Case Manager then facilitates a 'warm handoff' to these other services. #Hospital Case Managers have in person interactions with the patient, but they are not accountable/responsible for continuity. #Insurance Case Managers have accountability/responsibility for continuity, but they do not have in person interactions with the patient. Only the Acute Care Nurse Case Manager from the #PrimaryCare Practice has BOTH in person patient interactions AND accountability/responsibility for continuity. It is this combination that makes them more effective. Sources at AHealthcareZ YouTube Channel.
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Nurse #CaseManagers are the 'Secret Weapon' in primary care because they effectively manage #hospitalized patients, their #discharge and their follow-up with the #PCP. The job description for Acute Care #Nurse Case Manager at ChenMed provides insight into the importance of primary care managing the hospitalizations of their patients. #Responsibilities of Acute Care Nurse Case Managers that work for Primary Care Practices: 1) #Coordinate discharge planning with hospital case managers, insurance case managers, social work and facilities/services accepting the patients. Those facilities/services could be a skilled nursing facility (SNF), acute rehab facility, long-term acute care (LTAC) facility or home health agency. 2) #Meet with the patient and family/caregiver in person daily. This means the nurse case manager travels to the hospital and sees the patient face-to-face. 3) #Schedule a follow up appointment with the PCP for approximately 4 days after discharge. This appointment is made and communicated to the patient PRIOR to discharge. 4) #Identify patients that are good candidates for and amenable to Community Case Management outside the hospital and Disease Management. The Case Manager then facilitates a 'warm handoff' to these other services. #Hospital Case Managers have in person interactions with the patient, but they are not accountable/responsible for continuity. #Insurance Case Managers have accountability/responsibility for continuity, but they do not have in person interactions with the patient. Only the Acute Care Nurse Case Manager from the #PrimaryCare Practice has BOTH in person patient interactions AND accountability/responsibility for continuity. It is this combination that makes them more effective. Sources at AHealthcareZ YouTube Channel.
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Improving patient experiences through education and support Senior Clinical Educator Neurology/Immunology, MSCN, Patient/Provider Engagement, Access/ Reimbursement, End of Life practitioner, Patient Advocacy
More good points from Dr Bricker. Pharmacy and medication management key consideration in this as well.
Nurse #CaseManagers are the 'Secret Weapon' in primary care because they effectively manage #hospitalized patients, their #discharge and their follow-up with the #PCP. The job description for Acute Care #Nurse Case Manager at ChenMed provides insight into the importance of primary care managing the hospitalizations of their patients. #Responsibilities of Acute Care Nurse Case Managers that work for Primary Care Practices: 1) #Coordinate discharge planning with hospital case managers, insurance case managers, social work and facilities/services accepting the patients. Those facilities/services could be a skilled nursing facility (SNF), acute rehab facility, long-term acute care (LTAC) facility or home health agency. 2) #Meet with the patient and family/caregiver in person daily. This means the nurse case manager travels to the hospital and sees the patient face-to-face. 3) #Schedule a follow up appointment with the PCP for approximately 4 days after discharge. This appointment is made and communicated to the patient PRIOR to discharge. 4) #Identify patients that are good candidates for and amenable to Community Case Management outside the hospital and Disease Management. The Case Manager then facilitates a 'warm handoff' to these other services. #Hospital Case Managers have in person interactions with the patient, but they are not accountable/responsible for continuity. #Insurance Case Managers have accountability/responsibility for continuity, but they do not have in person interactions with the patient. Only the Acute Care Nurse Case Manager from the #PrimaryCare Practice has BOTH in person patient interactions AND accountability/responsibility for continuity. It is this combination that makes them more effective. Sources at AHealthcareZ YouTube Channel.
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Certified Case Manager in Digital Health Tech/Clinical Care Monitoring/Management Advisor for Telehealth RPM,CCM,RTM,PCM and Wellness
This is a “Must Watch” if you’re a Physician, RN or anyone that is interested in the Future of Health Care in America and especially if your interested in modernizing healthcare with technology to coordinate Case Management and provide disease management programs with RPM (Remote Patient Monitoring) Ironically this is a huge learning curve for the Tech Companies that have not lived in this world as an RN or Physician. Most Clinicians don’t have this kind of expertise. #RPM #CCM #nurses2tech #casemanagemant #transitionalcare
Nurse #CaseManagers are the 'Secret Weapon' in primary care because they effectively manage #hospitalized patients, their #discharge and their follow-up with the #PCP. The job description for Acute Care #Nurse Case Manager at ChenMed provides insight into the importance of primary care managing the hospitalizations of their patients. #Responsibilities of Acute Care Nurse Case Managers that work for Primary Care Practices: 1) #Coordinate discharge planning with hospital case managers, insurance case managers, social work and facilities/services accepting the patients. Those facilities/services could be a skilled nursing facility (SNF), acute rehab facility, long-term acute care (LTAC) facility or home health agency. 2) #Meet with the patient and family/caregiver in person daily. This means the nurse case manager travels to the hospital and sees the patient face-to-face. 3) #Schedule a follow up appointment with the PCP for approximately 4 days after discharge. This appointment is made and communicated to the patient PRIOR to discharge. 4) #Identify patients that are good candidates for and amenable to Community Case Management outside the hospital and Disease Management. The Case Manager then facilitates a 'warm handoff' to these other services. #Hospital Case Managers have in person interactions with the patient, but they are not accountable/responsible for continuity. #Insurance Case Managers have accountability/responsibility for continuity, but they do not have in person interactions with the patient. Only the Acute Care Nurse Case Manager from the #PrimaryCare Practice has BOTH in person patient interactions AND accountability/responsibility for continuity. It is this combination that makes them more effective. Sources at AHealthcareZ YouTube Channel.
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Nurse Entrepreneur | Value-Based Care & Care Coordination Specialist | Outsourcing & In-House Care Management Consultant | Developer of ClaraOne, The All-in-One Care Management tool designed by nurses
My experience as a nurse business owner is that primary care providers think nurses are "too expensive" and they don't have many (or any) nurses in their primary care practices. They don't even understand how cost effective we can be! We even developed a Microsoft-certified app to guardrail the TCM process from admission all the way through the 30-days post discharge. My nurse care managers perform these services for Medicare beneficiaries leveraging reimbursable time tracking programs like CCM, and we are very successful in getting great outcomes and decreasing readmissions. It's not rocket science, but it's like pulling teeth to get primary care physicians to adopt the TCM process through hiring nurses and implementation of CCM. One of my clients made an extra 6 figures this year on outsourcing CCM/TCM for a few hundred patients but they think they can't afford nurses.
Nurse #CaseManagers are the 'Secret Weapon' in primary care because they effectively manage #hospitalized patients, their #discharge and their follow-up with the #PCP. The job description for Acute Care #Nurse Case Manager at ChenMed provides insight into the importance of primary care managing the hospitalizations of their patients. #Responsibilities of Acute Care Nurse Case Managers that work for Primary Care Practices: 1) #Coordinate discharge planning with hospital case managers, insurance case managers, social work and facilities/services accepting the patients. Those facilities/services could be a skilled nursing facility (SNF), acute rehab facility, long-term acute care (LTAC) facility or home health agency. 2) #Meet with the patient and family/caregiver in person daily. This means the nurse case manager travels to the hospital and sees the patient face-to-face. 3) #Schedule a follow up appointment with the PCP for approximately 4 days after discharge. This appointment is made and communicated to the patient PRIOR to discharge. 4) #Identify patients that are good candidates for and amenable to Community Case Management outside the hospital and Disease Management. The Case Manager then facilitates a 'warm handoff' to these other services. #Hospital Case Managers have in person interactions with the patient, but they are not accountable/responsible for continuity. #Insurance Case Managers have accountability/responsibility for continuity, but they do not have in person interactions with the patient. Only the Acute Care Nurse Case Manager from the #PrimaryCare Practice has BOTH in person patient interactions AND accountability/responsibility for continuity. It is this combination that makes them more effective. Sources at AHealthcareZ YouTube Channel.
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Read Will Marshall's exclusive overview in Care & Nursing Essentials to understand key trends shaping risk in an evolving care sector - https://lnkd.in/gis4Aati Important issues addressed: - Medication errors leading to claims - robust dispensing policies and audit are crucial - Record-keeping gaps hampering defence strategies - Staff training and retention directly impacting risk profiles - Rising stress claims among care workers These trends underscore the importance of robust policies, ongoing training, and proactive risk management strategies. Contact us to discuss how we can help you or your clients manage and mitigate these trends with our tailored AlteaPlus solutions. #carehomes #healthcareleadership #insurance #insurancenews #medicalmalpractice #nursing #patientcare #riskmanagement
Caring for carers; recent claims trends in care homes sector - Care and Nursing Essentials
https://careandnursing-magazine.co.uk
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🔑 Avoid Fines and Boost Compliance: The Importance of Credentialing in Nursing Homes 🔑 In the fast-paced world of nursing homes and long-term care, credentialing is more than just a checkbox—it's a legal safeguard that protects your facility from hefty fines and compliance issues. Credentialing ensures that your staff is qualified, your facility remains compliant, and most importantly, that your residents are receiving care from trusted professionals. At Perla, we dive deep into how an organized credentialing process can: ✅ Save your facility from costly fines ✅ Maintain high-quality standards of care ✅ Streamline compliance management with ease 🔗 Read more in our latest blog: https://lnkd.in/gERc_KXT Let’s talk about how we can simplify credentialing at your facility—because staying compliant shouldn't be complicated! #nursinghomes #credentialing #healthcarecompliance #longtermcare #GoPerla #healthcareleaders
Perla | Credentialing Compliance in Nursing Homes: How to Avoid Fines and Stay Audit-Ready
goperla.com
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A recent case highlights the devastating impact that failure to perform exclusion and licensure screening can have on patient safety and the integrity of the healthcare system. In a scheme that resulted in over $1.6 million in profits, Ejike Asiegbunam conspired to sell fraudulent nursing diplomas and licensure documents to unqualified individuals. These individuals obtained employment in healthcare settings without completing required coursework or clinical assignments, placing patients at significant risk. This case underscores why exclusion and licensure checks are essential for any compliance program: Prevent Unqualified Personnel from Practicing: Without proper licensure screening, unqualified individuals can slip into critical roles, putting patients in danger. Protect Patient Safety: Compliance programs must prioritize exclusion checks to ensure that individuals with revoked licenses or criminal backgrounds are not employed, safeguarding the well-being of patients. Maintain Organizational Integrity: Hiring individuals with fraudulent credentials can severely damage the reputation of healthcare providers and result in legal and financial consequences. Avoid Regulatory Penalties: Consistently performing exclusion and licensure checks helps ensure compliance with federal and state regulations, preventing costly fines and penalties. Compliance officers, now more than ever, must ensure that exclusion screenings and licensure verification are at the forefront of every hiring and credentialing process. Protecting the integrity of healthcare starts with ensuring the right people are in the right positions—qualified, certified, and trustworthy. #HealthcareCompliance #ExclusionScreening #LicensureChecks #PatientSafety #RegulatoryCompliance #RiskManagement #HealthcareIntegrity #ComplianceMatters #ProtectPatients #Nursing https://lnkd.in/ewgFNSNa
Maryland Man Sentenced For Selling Fraudulent Nursing Diplomas, Transcripts And Nursing Licenses
justice.gov
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CEO Grow Midwives, LLC; March for Moms, Founding President/Board Member; Past President ACNM; Editor Top Selling Book, 2nd Ed., Nobody Told Me About That: Surviving and Thriving Through the Early Weeks of Parenting
Controversial article on APP/APCs last week prompts time to respond. A July ‘24 article in Bloomberg titled, The Miseducation of America’s Nurse Practitioners [the first part of a series] implies, “The proliferation of nurse practitioners programs in the U.S. is spurring concerns about the quality of training for these advanced practice providers and potential consequences for patient safety.” https://lnkd.in/gsjd_fY8 I’m asking you to take a moment to reflect. Why would TDC Group (theTDCgroup.com) the nation's largest physician-owned provider of insurance, risk management, and healthcare practice improvement solutions choose to support independent practice of APCs? Secondly, did the Bloomberg authors read a recent study conducted by Candello (a division of CRICO) on the safety of APC care? Research, “…evaluated their national database of medical professional liability claims, to addres growing concerns over advanced practice providers (APPs) and malpractice risk compared to physicians. Fortunately, the analysis may put many worries to rest.” https://lnkd.in/gP4xRT6x Wouldn’t provision of liability coverage by TDC for APPs, combined with extensive claims made data analysis provide foundational evidence about role and scope? If you are looking for perfect, don’t look to exclusive physician-based care. Medical errors evolve within systems care is delivered in. Can we please stop the divisive rhetoric that precludes our country from providing essential care to all? When will the AMA stop their “scope creep” campaign? Can we please look forward, developing models of care that provide right provider, right place and, right time? If you are an APP pursuing independent practice, I highly endorse and recommend The Doctor’s Company as a leading option for excellent coverage. https://lnkd.in/gsjrB9m2 #GrowMidwives
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