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Case Management Advisor

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  • Is your facility vulnerable to a malpractice lawsuit?

    In today's litigious society, it's more important than ever for case managers to take steps to protect themselves in case of a medical malpractice lawsuit, says Jacqueline Carolan, JD, an attorney with Fox Rothschild in Philadelphia.
  • Benchmark study identifies frequency, causes of falls

    Although home health agencies have focused on falls in the home for many years, their importance was brought into the spotlight when the Joint Commission on Accreditation of Healthcare Organizations included that category in the 2005 National Safety Patient Goals.
  • Postpartum RTW calls for sensitivity, creativity

    Return to work can be challenging for any recovering or rehabilitating worker, but helping a new mother adjust to being back at work can require an occupational health nurse to be especially creative and understanding.
  • President signs patient safety bill into law

    On July 29, President Bush signed into law the Patient Safety and Quality Improvement Act of 2005, which will create legal and confidentiality protections for patient safety information that providers share for educational purposes and create patient safety organizations to promote information sharing.
  • Multilayered DM programs help members stay healthy

    A series of award-winning population-based and multilayered disease management programs has resulted in high member satisfaction ratings, improved HEDIS scores, and decreased utilization over time by members in the program for Anthem Blue Cross and Blue Shield plans in Indiana, Kentucky, and Ohio.
  • Guest Column: Approach helps CMs show their effectiveness

    Case managers know that their services potentially can benefit their clients health, wellness, and autonomy. That impact, however, may not routinely be measured against specific performance indicators. Case management services can produce improvements in health care quality and cost-effectiveness. Those beneficial results, however, may not be systematically tracked and analyzed.
  • Communication is key to client satisfaction

    Everyone who works in health care has a list of ideas for what needs to be done to improve client satisfaction, but one theme appears to be a common thread throughout: communication.
  • Do things right, and return to work won’t go wrong

    When an employee is out of work for an extended period with an injury or illness, his or her absence creates a physical and emotional void. The work needs to be done, and co-workers and supervisors look forward to the employees return. That is, unless the employee isnt really wanted back.
  • Plan rewards members for healthy behavior

    Blue Shield of California is taking a different approach to cutting health care costs rewarding members for engaging in activities aimed at improving their health. Members who are participating in the two-year pilot project log onto the Blue Shield web site and complete activities at least once a week for a minimum of 20 weeks to earn a reward of $75. Members who participate for 28 weeks earn $150. At 35 weeks, the cash reward goes up to $200.
  • Tools to help improve teaching, communication

    In an effort to spur documentation, standardize teaching, and ensure patients will be ready for a safe discharge, many institutions utilize checklists, guidelines, and teaching plans. However, the implementation of these tools doesnt necessarily guarantee the desired result will be achieved.