At my hospital, RNs often call for non-urgent issues, which can be disruptive during rounds/admissions. Totally get calling for urgent concerns.
Curious how it works elsewhere
Do you use Epic chat more for non-urgent issues?
Any guidelines for call vs message?
What do you prefer?
Thinking this might be a QI opportunity—has anyone tried standardizing this?
In my 3 years as a hospitalist, it feels like pursuing inpatient rehab (IPR) for Medicare Advantage patients often takes a long time, frequently involving denials, peer-to-peer calls, and appeals, which ultimately prolongs length of stay.
My question is: how do you decide which Medicare Advantage patients are truly worth fighting for IPR versus going directly down the SNF route?
Are there specific functional thresholds, diagnoses, or therapy criteria you use to decide early whether IPR is realistic, or do you typically try IPR first and let it get denied if needed?