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American Institute Health Care Professionals
onto Case Management in Health Care January 15, 2025 1:16 PM
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Roadmap Not all claims follow a straightforward path in workers' compensation. Some cases are inherently more complex, requiring additional attention, resources, and strategy to achieve successful outcomes. These high-risk claims—characterized by prolonged recovery times, potential litigation, or unusual circumstances—demand a proactive and vigilant approach from employers. This article examines the red flags that may indicate | WorkersCompensation.com
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A recent report highlights the role of improved communi […]
American Institute Health Care Professionals's insight:
Improved Communication Between Field Teams and Case Managers Reduces Delays in Medication Access for Rare Disease Patients - GeneOnline News
Improving communication Please also review AIHCP's Healthcare Case Management Certification
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Identifying predictors of patient engagement in a care coordination program for individuals with work disabilities using a continuum-based engagement definition
American Institute Health Care Professionals's insight:
Predictors of Patient Engagement in a Care Coordination Program | PPA
Patient engagement Please also review AIHCP's Case Management Certification
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As we wrap up another year and get ready for 2026 to begin, it is once again time for everyone's favorite annual tradition of Health IT Predictions! We reached out to our incredible Healthcare IT Today Community to get their insights on what will happen in the coming year, and boy, did they deliver. We,
American Institute Health Care Professionals's insight:
Healthcare Revenue Cycle Management – 2026 Health IT Predictions | Healthcare IT Today
Please also review AIHCP's Case Management Program
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Monster’s 2025 Healthcare Market Report shows skyrocketing demand for nurses including CNAs, LPNs, RNs, and NPs. Learn why hiring is rising, what is driving shortages, and how nurses can leverage today’s job market.
American Institute Health Care Professionals's insight:
Nursing Demand Hits New High as Turnover and Shortages Reshape the Workforce | Nurse.Org
The demand of nursing Please also review AIHCP's Case Management Certification
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Rural Americans face significant challenges in accessing primary care, but there are opportunities for policymakers and healthcare leaders to address these issues, according to a new issue brief from The Commonwealth Fund.
American Institute Health Care Professionals's insight:
Rural challenges Please also review AIHCP's Case Management Program
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The Case Manager The US has the best ‘sickcare’ system in the world. Today, doctors and other healthcare professionals have numerous tools to keep people alive and treat them for complex conditions. One example is cancer care. Years ago, cancer was viewed as a terminal disease. Today, due to advances, cancer is now considered a | WorkersCompensation.com
American Institute Health Care Professionals's insight:
How to Move From A Sick System to a Health Care System? - WorkersCompensation.com
Please also review AIHCP's Case Management Program
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The Case Manager In this week’s post, I wanted to let readers know that Case Management Week will take place from October 12th to 18th this year. While the official celebration runs from Oct. 12 to Oct. 18, the Case Management Society of America is recognizing case managers all month long with free and educational | WorkersCompensation.com
American Institute Health Care Professionals's insight:
Case Management Week is Almost Here! How Are You Celebrating? - WorkersCompensation.com
Case Management Please also review AIHCP's Case Management Program
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It's a growth industry, with a market value expected to exceed $63 billion by 2034
American Institute Health Care Professionals's insight:
Population Health Management Gaining Market Traction | MedPage Today
Understanding population health Please also review AIHCP's Case Management program
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Oncology Nursing News connects oncology nurses and APPs with updates on therapy advances, side effect management, and patient-centered cancer care.
American Institute Health Care Professionals's insight:
Where Is the Care in Health Care?
Understanding healthcare Please also review AIHCP's Case Management Certification
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Case Management Focus The 79th Annual Workers Compensation Institute wrapped up on Wednesday, Aug. 20. I attended on Monday, Aug. 18 as a visitor to the exhibit hall. Over 2000 people, including worker compensation case managers, claims adjustors, physicians, attorneys, and employers, came together in Orlando at the Marriott World Center Hotel to learn, network, | WorkersCompensation.com
American Institute Health Care Professionals's insight:
Continuous Learning: The Essential Component to a Case Manager’s Success - WorkersCompensation.com
Case manager success Please also review AIHCP's Case Management Certification
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Among severely impaired and terminally ill nursing home (NH) residents, all-cause hospitalizations (ACH) and emergency department visits without hospitalization are common, and many are potentially avoidable.
American Institute Health Care Professionals's insight:
Avoidable All-Cause Hospitalization, ED Visits Common in Nursing Homes
Helpful visits to limit hospital returns in nursing homes Please also review AIHCP's Case Management Training Program
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According to a new study published by the National Bureau of Economic Research, more hospitals are purchasing private physician practices, which has led to reduced competition and higher healthcare prices. Here's what you need to know.
American Institute Health Care Professionals's insight:
Hospitals are buying up physician practices. What does this mean for prices?
An interesting development Please also review AIHCP's Case Management Program. Click here
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By addressing key challenges in healthcare, the U.S. can reduce administrative burdens, streamline regulations, promote advancements like AI, and improve access to care.
American Institute Health Care Professionals's insight:
Building a Better Healthcare System with Innovation & Efficiency | U.S. Chamber of Commerce
More efficiency Please also review AIHCP's Case Management Training
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AbstractWe build and deploy machine learning models that accurately predict short- and medium-term inpatient outcomes for Hartford HealthCare, including 24–48 hour discharge, ICU transfer
American Institute Health Care Professionals's insight:
Patient Outcome Predictions Improve Operations at Hartford HealthCare | INFORMS Journal on Applied Analytics
Better patient outcomes Please also review AIHCP's Case Management Program
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Becker’s asked five health system strategic leaders about the role value-based care plays in their system's strategic planning and how they're managing…
American Institute Health Care Professionals's insight:
How healthcare executives are managing value-based care challenges
Understanding value based care and its challenges Please also review AIHCP's Case Management program
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Behavioral health management doesn’t have to strain resources. Learn how the collaborative care model can reduce costs, scale resources, and transform patient care — without major investments.
American Institute Health Care Professionals's insight:
How the collaborative care model improves access to behavioral healthcare
Important care models Please also review AIHCP's Case Management program
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Implementing a new VBC program in healthcare requires cross-functional support and overcoming numerous challenges
American Institute Health Care Professionals's insight:
Reinventing Value-Based Care Program Administration with AI
Value based care Please also review AIHCP's Case Management Program
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Burn injuries are severe traumas causing serious complications and high mortality. Managing burns is especially challenging in resource-limited settings. This study explores burn care challenges from the perspectives of both patients and healthcare providers. This qualitative descriptive study was conducted in Iran (2024–2025) with 41 hospitalized burn patients and healthcare providers, including physicians, nurses, psychologists, physiotherapists, and nutritionists. Participants were purposively sampled, and data were collected through semi-structured interviews until saturation. Data were analyzed concurrently using Graneheim and Lundman’s content analysis method with MAXQDA 2020 for data management. An inductive data analysis process revealed two main categories and nine subcategories. The categories identified were: “Structural and Professional Barriers in Burn Management” and “Challenges Related to Burn Patients and their Families”. Key structural barriers include inadequate interprofessional collaboration, limited resources and specialized expertise in non-specialized centers, insufficient burn care education in health profession curricula, and a lack of attention to burn injuries in health policy. Patient- and family-related challenges include cultural and economic factors, insufficient post-discharge follow-up, and low public awareness about burn injuries. This study highlights the multifaceted challenges in burn management from both healthcare providers’ and patients’ perspectives. Addressing these interconnected challenges requires comprehensive strategies encompassing healthcare system reforms, enhanced education and training, culturally sensitive care approaches, and supportive policies. Such efforts are essential to improve patient outcomes, reduce long-term complications, and alleviate the substantial burden of burn injuries on individuals and the healthcare system.
American Institute Health Care Professionals's insight:
Challenges in burn care management: a qualitative study of health professionals’ and patients’ perspectives | Scientific Reports
Burn care management Please also review AIHCP's Case Management Program
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Explore why nurse career advancement matters, using insights from two recent reports, to show how growth and recognition drive satisfaction.
American Institute Health Care Professionals's insight:
Why Nurse Career Advancement Matters
Advancing in nursing Please also review AIHCP's Healthcare certifications for nurses
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A practice-ready nurse is one who can make consistent, effective clinical judgements, and know when to ask for assistance, says this nursing leader.
American Institute Health Care Professionals's insight:
What Makes a Nurse Ready to Practice? | HealthLeaders Media
Nurses Please also review AIHCP's Case Management Program
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Healthcare organizations face ongoing challenges like burnout and inefficiency, but a shift towards integrated technology and collaboration offers hope for improvement.
American Institute Health Care Professionals's insight:
Healthcare Organizations Are Stuck in Crisis Mode as Clinicians Lose Time to Administrative Work
Less time and staff Please also review AIHCP's Case Management Training
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From usability to integration, these key considerations can help you avoid costly mistakes.
American Institute Health Care Professionals's insight:
How to choose practice management software: 7 things every small practice should know
Please also review AIHCP's Case Management Program.
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Background Gender-based violence is a pervasive issue in Pakistan, necessitating effective interventions to enhance the responsiveness of healthcare workers’ capacity to respond effectively to Gender-based violence. This study aims to strengthen the health system’s response to Gender-based violence by implementing a need-based Life Skills-Based Training program for healthcare providers in Pakistan. Method A quasi-experimental pre-post study design was employed. The intervention, i.e., Life Skills-Based Training program was implemented across four diverse districts Matiari and Shadadkot (Sindh), Chitral (Khyber Pakhtunkhwa), and Gilgit (Gilgit-Baltistan) to ensure geographic and sociocultural variation. A total of 84 healthcare providers and 78 stakeholders were purposively selected based on their roles in patient care or Gender-based violence-related policymaking. Life Skills-Based Training was delivered over six days at each site, including tailored modules for healthcare providers and stakeholders, focusing on Gender-based violence concepts, screening, counseling, referral pathways, and system-level advocacy. A pre- and post-test assessment was administered to measure changes in knowledge, competencies, and attitudes using structured questionnaires adapted from UNHCR and UNICEF tools. Quantitative analysis of score improvements and qualitative feedback were used to evaluate training effectiveness. Results A comparative analysis of pre- and post-test assessments demonstrated significant improvements in participants’ Gender-based violence knowledge, awareness, and case management skills, with high satisfaction reported in Life Skills-Based Training evaluations. Feedback highlighted themes such as the effectiveness of training, the need for competent professionals, involving community leaders, replicating sessions, government health system responses, and integrating Gender-based violence education into curricula. Follow-up results demonstrated the sustainability of interventions, with participants actively applying their knowledge and leading community education. Conclusion The study highlights the need for continuous capacity-building and integrating Gender-based violence education into healthcare and educational systems to improve support for survivors. Strengthening the health workforce with targeted training and protocols is essential for addressing Gender-based violence effectively, offering a framework for similar efforts in other regions to foster equitable and responsive healthcare.
American Institute Health Care Professionals's insight:
Enhancing health workforce capacity through life skills-based interventions: evidence from Pakistan on reducing gender-based violence | BMC Health Services Research | Full Text
Healthcare work force Please also review AIHCP's Healthcare manager program as well as its case manager program
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The transition from the structured environment of the hospital to the more independent home setting presents various challenges and opportunities that…
American Institute Health Care Professionals's insight:
Navigating hospital to home transitions: A qualitative study exploring older adult and informal caregiver experiences, challenges and opportunities - ScienceDirect
Helping for better transitions Please also review AIHCP's Case Management program
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Recognizing Red Flags and Managing High-Risk Claims: Strategies for Complex Cases - WorkersCompensation.com
Recognizing red flags
Please also review AIHCP's Case Management Certification by accessing here