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Patient engagement is one of the hottest topics around.
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In 1818, James Blundell performed the first successful human blood transfusion in a woman with postpartum hemorrhage. Nearly 200 years later, about 15 million red blood cell (RBC) units are transfused annually in the United States. Many of these transfusions occur in the intensive care unit (ICU), where up to 30-50% of patients are transfused. Despite the frequency of RBC transfusions, there is little evidence that transfusions benefit patients.
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Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients.
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Florida Hospital East Orlando has developed a transitional care program for uninsured patients to coordinate their healthcare needs as they move from the hospital to home.
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By making personalized recorded discharge information and educational videos available to patients by telephone or computer, Cullman (AL) Regional Hospital has reduced 30-day readmissions by 15% and increased scores on the discharge section of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) by 63%
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A predictable, yet perhaps unwanted, change went into effect on Oct. 1, 2013.
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Tampa General Hospital has created a fund that case managers can use to pay for post-discharge services for unfunded patients when there is no other option.
