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When Jan T. Homan, RN, BSN, was a home health nurse, she encountered several "revolving door" patients who would receive home health services for six weeks, keep their chronic condition under control for a few months, then end up back in the hospital and be discharged again with home health services.
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As payers and providers grapple with ways to ensure that people obtain the healthcare services they need to stay healthy and to keep rising costs down, it's a good time to be a case manager.
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Visiting a primary care clinician every two weeks was associated with greater control of blood glucose, blood pressure, and cholesterol levels among patients with diabetes, according to a report1 in a recent issue of Archives of Internal Medicine.
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Medicare patients with advance directives specifying limits in treatment who lived in regions with higher levels of end-of-life spending were less likely to have an in-hospital death, averaged significantly lower end-of-life Medicare spending, and had significantly greater odds of hospice use than decedents without advance directives in these regions, according to a study in a recent issue of the The Journal of the American Medical Association (JAMA).
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Even though many Americans learn through community health screenings that they are at high risk for having a stroke, they rarely follow up with their doctor for care.
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Medicare spends about $17 billion a year on hospital readmissions that could have been prevented, experts say.
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According to a report1 from the The Journal of the American Medical Association (JAMA), patients discharged from acute care hospitals might be at risk for unintentional discontinuation of medications prescribed for chronic diseases. The report says that the intensive care unit (ICU) might pose an even greater risk because of the focus on acute events and the presence of multiple transitions in care.
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Capitalizing on a large cohort of British patients followed after treatment for Hodgkin's lymphoma, the risk of occurrence of second malignancy was assessed in the context of treatment with chemotherapy alone vs treatment with combined chemotherapy and radiation.
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A 61-year-old female was evaluated for intermittent upper abdominal discomfort. A non-contrast enhanced CT revealed 5x3x4 cm lesion in the spleen that appeared to be cystic.
