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"This was a new patient who had a severe hand injury and was seeing a microsurgeon for an evaluation.
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Technology can make a huge difference in the practice of case management, but you should choose carefully and deliberately to avoid pitfalls in the future, cautions Marcia Diane Ward, RN, CCM, PMP, a case management consultant based in Columbus, Ohio.
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As part of a program targeting at-risk Medicaid fee-for service members, case managers at Hudson Health Plan are using a software tool that helps them focus in on the needs of their clients they should address first.
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When the Centers for Medicare and Medicaid Services (CMS) begins its Medicare Shared Savings Program for Accountable Care Organizations (ACOs) providing care for fee-for service Medicare patients in January, 2012, it's likely to mean new opportunities for case managers, says Bruce Merlin Fried, JD, senior member of SNR Denton's Health Care group and former director of the Center for Health Plans and Providers at CMS.
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Hip fractures are among the most debilitating and expensive diagnoses to treat, but hospitals can significantly improve outcomes and lower costs if they move hip-fracture patients into surgery quickly, explains Anthony Balsamo, MD, an orthopedic surgeon and head of the Geriatric Fracture Care Program (GFCP) at Geisinger Wyoming Valley Medical Center in Wilkes-Barre, PA.
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When case managers for Medical Management International visit clients and providers, they use the latest information technology equipment to enter documentation, create and transmit reports, forward orders for durable medical equipment, tests or procedures, and send letters to patients, physicians, attorneys, or other interested parties, all in real time while they are still with the patients.
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Patient education managers must stay abreast of the latest technology for delivering patient education to involve the learner and provide individualizing teaching to meet the needs of the learner, says Fran London, MS, RN, a health education specialist at The Emily Center, Phoenix (AZ) Children's Hospital.
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In a large, randomized, controlled trial, screening for prostate cancer did not have a significant effect on mortality from prostate cancer after 20 years of follow-up.
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The use of low-dose aspirin is associated with an almost two-fold increase in the risk of upper gastrointestinal bleeding compared with nonuse and this risk is further increased when low-dose aspirin is combined with clopidogrel, oral anticoagulants, nonsteroidal anti-inflammatory drugs, or high-dose oral corticosteroids.
