Blog

Manual Care Transitions Are Having a Bigger Financial Impact Than You Might Think

I’ve traveled to numerous hospitals and conferences to talk to healthcare professionals about the need to have efficient, patient-centric care transitions. What I’ve discovered is just how many people are surprised by the significant financial impact that results from inefficient patient discharge. But those lengthy... Read More

by Mary Kay Thalken, RN, MBA in Patient Discharge, blog, Transitions of Care

Ready, Set, STOP! How to Discharge Difficult-to-Place COVID Patients

It’s happened to all of us in the case management field. You have a patient who’s ready to take the next step in their recovery. Their acute stay is complete, they’ve selected their preferred post-acute facilities, and you’ve begun the process of communicating with those providers to determine if they have the... Read More

by Mary Kay Thalken, RN, MBA in Patient Discharge, blog, COVID-19

Transitioning to a Remote Discharge Planning and Case Management Workforce

Doing so is possible, but it requires careful planning and specific infrastructure needs. The COVID-19 pandemic has caused everyone in the healthcare field to rethink previous policies and consider new ways of doing things. Some of these may be temporary adjustments that help get us through the crisis, while other,... Read More

by Mary Kay Thalken, RN, MBA in Ensocare Transition, Patient Discharge, Case Management, blog

Speeding Up Discharge Communication with Post-Acute Providers in a Crisis

As hospital resources grow strained due to the influx of patients suffering from the coronavirus, it’s absolutely essential to keep length of stay reasonable. That doesn’t mean discharging patients earlier than would be medically sound, but it does require medical teams to assess patients on their individual... Read More

by Mary Kay Thalken, RN, MBA in Ensocare Transition, Patient Discharge, Case Management, blog

Coronavirus Case Management and Discharge Resources

The healthcare field is facing an unprecedented situation. As the coronavirus upends virtually every aspect of modern life, the world is relying on healthcare professionals to simultaneously protect infected COVID-19 patients, protect themselves, prevent the spread of the virus to other patients and the community at... Read More

by Mary Kay Thalken, RN, MBA in Ensocare Transition, Patient Discharge, Case Management, blog

What CMS’s Final Rule on Patient Data Sharing Means for You and Your Post-Acute Network

On November 29, 2019, the Centers for Medicare and Medicaid Services will finalize a rule meant to ensure appropriate data is provided to patients and their families when they’re making their decision about a post-acute care (PAC) provider. Read More

by Karen Underwood in Post-acute Care, Patient Discharge, blog

California Law Sparks Renewed Look at Post-Acute Care Challenges for the Homeless

The majority of patients take for granted that they’ll be discharged either back home or to a post-acute facility capable of meeting their needs. But perhaps no patients prove as great of a challenge as homeless patients who don’t have anywhere to go after their hospitalization or care episode ends. With this patient... Read More

by Mary Kay Thalken, RN, MBA in Patient Discharge, blog, Care Management

Improving and Innovating Your Care Management Processes

In early August 2018, Ensocare hosted a webinar entitled “Getting The Most Out of Your Care Management Model.” In it, Tomi Ogundimu of the Advisory Board discussed modern best practices for care management models, areas for potential improvement and specific examples of hospital systems and the steps they’ve taken to... Read More

by Mary Kay Thalken, RN, MBA in Patient Discharge, Care Planning, Care Management

Managing Risk During and After Patient Discharge

No matter who your patient is, there’s no way to avoid a certain degree of risk. If there were, preventing readmissions would be a much easier prospect. Read More

by Luis Castillo in Care Transitions, Risk Stratification, Patient Discharge

7 Ways to Ensure Patients Comply with Physician Orders

About a year ago, we discussed a problem that many, if not all, physicians and providers have probably encountered at some point in their practice: why won’t patients take their meds? It’s a good read, but it’s since struck us that we maybe didn’t go far enough. After all, taking medication on a prescribed regimen is... Read More

by Mary Kay Thalken, RN, MBA in Care Coordination, Patient and Family Engagement, Patient Discharge