Cudney A
Premier Inc., Charlotte, NC, USA.
Hosp Case Manag. 1999 Apr;7(4):64-7.
Concerned about insurance denials and late discharges, administrators at Alamance Regional Medical Center in Burlington, NC, chose to merge two of its departments--patient and family services, and utilization review--to create a case management department. The thought was that by working as one department, staff could integrate work processes and capitalize on their existing resources. Regular staff meetings were held to solicit input from members of both departments on the merger. Communication among staff improved greatly after implementation of an informal daily report in which the team members discuss their activities and perspectives for each patient to ensure that their efforts are coordinated. Team members also participate in more formal discharge planning meetings held in each unit.
北卡罗来纳州伯灵顿市阿兰芒斯地区医疗中心的管理人员担心保险拒付和延迟出院问题，于是选择将两个部门——患者及家属服务部和利用审查部——合并，以创建一个病例管理部门。他们的想法是，作为一个部门工作，员工可以整合工作流程并利用现有资源。医院定期召开员工会议，征求两个部门成员对合并的意见。在实施了一份非正式的每日报告后，员工之间的沟通有了很大改善，团队成员在报告中讨论他们针对每位患者的活动和观点，以确保工作协调一致。团队成员还参加各科室举行的更正式的出院计划会议。
