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As hospital discharge planners and case managers struggle to place patients with complex care needs in skilled nursing facility (SNF) beds amidst the challenges of the prospective payment system (PPS), many are keeping their heads above water with a mix of timely planning, community collaboration, and creative thinking.
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Hospital case managers routinely face what I call the Bermuda Triangle of case management ethics. The top of the triangle is the clinical concern, encompassing the medical and treatment needs of the patient. On the right are the financial concerns, and on the left are the legal and ethical issues. In the middle of this triangle is the patient.
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The nations insurance coverage crisis is even worse than many policy analysts have feared, with nearly 38% of Americans younger than age 65 going without insurance at some point over a four-year period from 1996-1999, according to a study sponsored by the Commonwealth Fund, a private, social research foundation based in New York City.
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The Alliance for Human Research Protection (AHRP), a nonprofit research advocacy organization based in New York City, offers the following recommendations for the safety of children involved in clinical research:
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In the emergency department (ED) at Palmetto Health-Richland, a 649-bed regional community teaching hospital in Columbia, SC, two waiting rooms have been converted into functional, secure units for patients with behavioral health problems who are waiting for transfer to a mental health treatment facility.
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New federal laws aimed at encouraging drug companies to study how well their products work in children have had the unintended consequence of weakening already vague protections that prevent child research subjects from being exploited, a leading human subjects research advocate claims.
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Hastings Center issues report on reprogenetics
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