Bringing it Home: The Shift in Where Healthcare is Delivered

Lauran Hardin, MSN, RN, and Diana J. Mason, PhD, RN 

RN Care Managers understand that the needs and realities of clients we serve cannot be fully understood in traditional care settings such as clinics or hospitals.  People ‘live their health’ every day in their own settings. The future will include the provision of expanded health services in communities and homes. Learn more from 2 nurses who grasp this emerging reality, and understand the distinctive knowledge and skill set that RNs bring to these emerging roles. Read more….

The Power of Nursing, Patient Centered Care and Home Visiting are just a few of the topics RNs completing the Contemporary RN Case Manager Certificate Program have an opportunity to strengthen.  Enroll now to gain specialized knowledge and prepare for practice in these important roles.  

What’s the latest U.S. literacy rate? (2013 -19)

Wylie Publishing.  Retrieved Dec 2019.

To assure patient centered care, Registered Nurses and RNCMs need to understand health numeracy and literacy.  A 2019 headline in the New York Times ( states that Reading Scores on National Exam Decline in Half the States. These tests are administered to all US 4th and 8th graders. “Two out of three children did not meet the standards for reading proficiency set by the National Assessment of Educational Progress.” Implications for assessing and working effectively with patients? Read more     

Eliciting the Patient’s Agenda: Secondary Analysis of Recorded Clinical Encounters

Journal of General Internal Medicine 34(1):36–40 2018

Patient centered care is an agreed upon objective for all healthcare services in the US in the future.  Getting there can be difficult. Learn more about the barriers to patient centered care. “…., the results of our study suggest that we are far from achieving patient-centered care, as barriers for adequate communication and partnership continue to limit the elicitation of the patient’s agenda and lead to quick interruptions of the patient discourse.” Read more…

Strengthen your understanding of Primary Care, Acute Care Transitions and Long Term Supports and Services by enrolling in the Advanced Care Coordination Series.

Care Coordination Vexes US Primary Care Physicians

Marcia Frellick 

40% of US Primary Care Physicians coordinate care with social service and community providers, 74% of physicians in Germany and 65% in the United Kingdom make those connections. What would need to change to improve coordination by MD practices in primary care?  The authors point out that the United States is the exception to all the other countries studied who envision a central coordinating role for primary care in which care is provided in a ‘universal’ health system that guarantees access for all, and this may be the big difference. Read more…

CMS releases final discharge planning rule that includes record access requirements

by Robert King Summary from CMS Final by Fierce Healthcare

Discharge is a central element of assuring that care is coordinated and that services needed are understood by patients and scheduled in a patient centered manner. CMS released a 200+ page final report on discharge requirements. 200 pages? Read this Fierce Healthcare summary of the new required discharge changes that are important for all RNs to know. Read more…