Articles Tagged With:
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Conflicts on Discharge Decision: Home or Skilled Nursing Facility?
Discharge to a skilled nursing facility is sometimes recommended in order to ensure continued independent community living for frail patients. Conflicting views as to what is best for the patient sometimes raise ethical concerns.
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Hospitals Take Social Determinants of Health Beyond Theory, Put Data to Use
The healthcare community is gradually accepting that social determinants of health can improve quality of care. Finding a way to apply the data can be difficult, but several hospitals and health systems are showing how it can be done.
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Training Program Helps Create Stable Case Management Workforce and Workflow
Training new case managers sometimes takes a team approach and can involve education, training, mentoring, and follow-up for six months to a year.
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Care Connectors Help Close Gaps With Medicaid Population
When gaps in care reports began popping up, leaders at Alcona Citizens for Health knew something had to be done. The deficiencies were due to inadequate staffing, inconsistent workflow, and knowledge deficits in using the electronic medical record.
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What Case Managers Can Expect From Medicare’s 2019 OPPS
The new Medicare 2019 Hospital Outpatient Prospective Payment System final rule focuses on patient-driven healthcare, acknowledging the importance of addressing social determinants of health.
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Early Rehospitalization Among ICU Survivors: How Can We Do Better?
Based on inductive analysis of a large sample of patients and caregivers, this study provides an organizational framework on which to focus efforts to develop complex healthcare interventions aimed at reducing readmission after critical illness.
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Diagnosis Sepsis: Is Newer Better?
Sepsis-3 criteria may be the favored method for prognostication, whereas SIRS-based criteria may be the preferred method to screen patients for consideration of ICU admission. Future studies are necessary to continue to explore the benefits of qSOFA and potentially reveal a more precise and reliable screening tool. Most importantly, it is paramount to remember that neither set of criteria is diagnostic. Using clinical judgment along with these guides remains the ideal approach.
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A Combination of Commonly Measured Clinical Variables May Predict Prolonged Mechanical Ventilation
The results of this study validate a clinical tool using common ICU variables for predicting prolonged mechanical ventilation. However, one must consider both the implications and strength of any predictive model for clinical decision-making.
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Antipsychotics Do Not Shorten the Duration of ICU Delirium
These results support minimizing the use of haloperidol and ziprasidone in delirious patients who are not agitated. Current best practice is to adhere to the ABCDE bundle, remove causative agents when possible, and continue antipsychotics (only if they appear effective and for the minimum time necessary). The jury is still out regarding how to manage agitated delirium.
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Acupuncture as Adjunct Therapy for Infertility in Polycystic Ovary Syndrome
Acupuncture as an adjunctive therapy for treating infertility in Chinese women with polycystic ovary syndrome receiving clomiphene citrate or placebo offered no benefit over sham acupuncture.