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Hdl Handle:
http://hdl.handle.net/10755/165109
Category:
Abstract
Type:
Presentation
Title:
CASE MANAGEMENT OF THE NEWLY DIAGNOSED LEUKEMIA PATIENT
Author(s):
Rogala-Scherer, Kathy; Durusky, Michele
Author Details:
Kathy Rogala-Scherer, RN, Director of Case Management, Roswell Park Cancer Institute, Buffalo, New York, USA, email: kathy.rogala-scherer@roswellpark.org; Michele Durusky, RN, BSN
Abstract:
For the best patient outcomes, most cost effective management of patient care and utilization of resources, the Case Management Department at the Roswell Park Caner Institute developed and implemented a paradigm of activities that occur each week the patient remains in patient during their induction chemotherapy treatment. The purpose of our abstract is to present the unique challenges and solutions for: Communication with the patient's insurance payer Working with the patient and the patient's family/support system on a realistic and safe discharge plan. Obtaining vital information needed to plan for optimal post hospital care. We have been able to demonstrate that education to the insurance payers about Acute Leukemia and its sub categories, the variety of treatment options available and the expected length of stay has decreased the denial of reimbursement of inpatient stay days from the insurance payers. We have also demonstrated that with Case Management intervention on weeks 2-3, initiating the discussion of discharge planning, RPCI in conjunction with patients/families are able to plan for a more realistic, timely and safe discharge plan. Lastly, because the Nurse Case Manager completes a comprehensive insurance check of the patientÆs insurance benefits, we are able to maximize the benefits that are available to the patient. The RPCI Case Management Department evaluates the success of our program using the following criteria: All inpatient hospital days are reimbursed by the insurance payor; The patient is discharged to the next level of care that is safe and most beneficial for maximal recovery; and The Nurse Case Manager and the patient/family are aware of the coverage and co-pays. Informed choices are made where coverage may be lacking. Alternate sources of coverage are applied for. In conclusion, we believe this process meets the needs for best practice and outcomes for insurance payors, resource utilization and most importantly, the needs of the newly diagnosed leukemia patient.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCASE MANAGEMENT OF THE NEWLY DIAGNOSED LEUKEMIA PATIENTen_GB
dc.contributor.authorRogala-Scherer, Kathyen_US
dc.contributor.authorDurusky, Micheleen_US
dc.author.detailsKathy Rogala-Scherer, RN, Director of Case Management, Roswell Park Cancer Institute, Buffalo, New York, USA, email: kathy.rogala-scherer@roswellpark.org; Michele Durusky, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165109-
dc.description.abstractFor the best patient outcomes, most cost effective management of patient care and utilization of resources, the Case Management Department at the Roswell Park Caner Institute developed and implemented a paradigm of activities that occur each week the patient remains in patient during their induction chemotherapy treatment. The purpose of our abstract is to present the unique challenges and solutions for: Communication with the patient's insurance payer Working with the patient and the patient's family/support system on a realistic and safe discharge plan. Obtaining vital information needed to plan for optimal post hospital care. We have been able to demonstrate that education to the insurance payers about Acute Leukemia and its sub categories, the variety of treatment options available and the expected length of stay has decreased the denial of reimbursement of inpatient stay days from the insurance payers. We have also demonstrated that with Case Management intervention on weeks 2-3, initiating the discussion of discharge planning, RPCI in conjunction with patients/families are able to plan for a more realistic, timely and safe discharge plan. Lastly, because the Nurse Case Manager completes a comprehensive insurance check of the patientÆs insurance benefits, we are able to maximize the benefits that are available to the patient. The RPCI Case Management Department evaluates the success of our program using the following criteria: All inpatient hospital days are reimbursed by the insurance payor; The patient is discharged to the next level of care that is safe and most beneficial for maximal recovery; and The Nurse Case Manager and the patient/family are aware of the coverage and co-pays. Informed choices are made where coverage may be lacking. Alternate sources of coverage are applied for. In conclusion, we believe this process meets the needs for best practice and outcomes for insurance payors, resource utilization and most importantly, the needs of the newly diagnosed leukemia patient.en_GB
dc.date.available2011-10-27T12:12:41Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:12:41Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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