EvidenceCare

APRIL 16, 2024

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

Documentation 130

Documentation Admissions Discharges Billing 130

EvidenceCare

SEPTEMBER 4, 2024

Robin Gantea, Executive Director of Utilization Management and Clinical Documentation Integrity from Baptist Health Jacksonville mentioned, “We haven’t seen changes in behavior related to the Two-Midnight Rule. We’re still facing the same types of denials, especially with short stays where payers push back post-discharge.”

Admissions 130

Admissions Documentation Hospital Discharges 130

EvidenceCare

MAY 29, 2024

Within just 11 months of going live, Baptist Health received the Epic Gold Star Level 10 award, a testament to their operational excellence and collaborative culture. Success Relies on Collaboration At the foundation of Baptist Health’s successful Epic implementation was their culture of collaboration.

Collaboration 130

Collaboration Discharges Documentation Medical History 130

Relias

MAY 16, 2025

Patients unplanned returns to the hospital after discharge drive up costs, disrupt recovery, and reflect gaps in care. Under HRRP, hospitals received financial penalties if their readmission rates exceeded the national average a move that drove greater attention to discharge protocols and transitional care.

Discharges 75

Discharges Acute Care Follow-Up Hospital 75

Relias

OCTOBER 28, 2022

Assessing communication and collaboration. Surveyors will look for structured and unstructured types of care coordination to assess how well the care team members communicate and collaborate to provide better patient care. Documentation in the medical record. As part of discharge planning. Document all coordination.

Hospice 52

Hospice Interdisciplinary Team Follow-Up Documentation 52

Arkenea

JANUARY 25, 2025

Since healthcare software developers create a new application without collaborating with other application engineering teams, creating custom interfaces meant different languages and communication gaps. Such documents are supplemental data for the pillar parent standard. Ultimately, it made compatibility impossible.

Transfers 52

Transfers Discharges Communication Documentation 52

Minority Nurse

MARCH 19, 2024

Immediate Access to Clinical Support Virtual nurses regularly assist with tasks that do not require physical proximity to the patient, such as patient-family education, completing admission and discharge tasks, and participating in two-person verification processes.

Admissions 59

Admissions Collaboration Discharges Transfers 59

Guideway Care

JANUARY 14, 2025

Key Takeaways Bundled payment models promote collaborative healthcare and aim to improve care quality while controlling costs, but implementing these models can be challenging due to the need for enhanced coordination among providers. What are some of the challenges faced by patient advocates in bundled payment programs?

Patient Advocacy 52

Patient Advocacy Patient Satisfaction Discharges Hospital 52

Relias

MARCH 17, 2023

Communicating clearly about medication requirements during transitions of care — either from one hospital setting to another or during a hospital discharge — helps prevent errors. Document risk levels and create mitigation plans for each patient. As with previous goals, communication is the primary component, both verbal and written.

Patient Safety 52

Patient Safety Communication Teamwork Follow-Up 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. Collaborating with them means giving them access to healthcare data.

Acute Care 52

Acute Care EHR / EMR Documentation Hospital 52

Relias

FEBRUARY 26, 2024

It involves communicating and collaborating with patients, their families, and their health care teams to ensure that the patient’s needs and preferences are met and that the best possible outcomes are achieved. The team should document successes and address any challenges or issues that arise. What is care coordination?

Care Plan 52

Care Plan Patient Satisfaction Acute Care Collaboration 52

Relias

JULY 20, 2023

Maternal mortality is closely linked to social and behavioral factors As documented extensively, higher U.S. Managing gaps in mental health services by expanding the scope of services offered, increasing training on mental health for all staff, and reviewing documentation practices can also help.

Hospital 40

Hospital Discharges Documentation Follow-Up 40

Connect Care Bytes Blog

MARCH 13, 2025

Building a Better Health Record (BBHR) As part of our documentation quality improvement initiative , we promote practical ways for clinicians to provide clear and actionable communication at transitions of care. It also provides a space where teams can record discharge planning notes, which can be iteratively updated in a wiki-like fashion.

Discharges 40

Discharges Medication Huddles/Rounds Admissions 40